Thing to keep forefront in mind is the purpose of DSM. That purpose is not primarily standard diagnostic protocol. (Although I would not understate potential "savings," either financial or clinical, arising from automated reference to this particular source and other physiology encyclopedia.) It is standard billing protocol. At this point in the history of medical authority and industry and regardless of motives, nefarious or noble, ascribed to the editors' summary judgments of mental illnesses and pathology, ima point to the code. Each so-called syndrome and named disease catalogued in the DSM has a (alpha)numeric code. The code is the key that unlocks insurer payments for services and treatment rendered by a health care provider. The greater the number of codes, the greater the number of revenue therapeutic plans afforded medical professionals.

Being an American invention, DSM promotion and adoption by medical practice groups around the world is no trivial matter. Adoption and rejection entail acceptance by licensed authorities of social controls. Seeing this report, I immediately thought of DrMarketTrustee of course and also news that marco, iirc, captured some months ago about resistance to American models of mental illness. I cannot as yet relocate the comment.

Diversity is the key to economic and political evolution.