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The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the most influential worldwide. Its some 38,000 members are mainly American but some are international. The association publishes various journals and pamphlets, as well as the Diagnostic and Statistical Manual of Mental Disorders, or DSM. The DSM codifies psychiatric conditions and is used worldwide as a key guide to diagnosing disorders. The abbreviation 'APA' is also in common and similar usage by the American Psychological Association and their 'APA style guide' for journal articles.