[bbor]

That's just a blatant misunderstanding of what diagnostic criteria are. They don't Actually ("ontologically") exist, they're Virtual constructs made for a purpose.

   In particular, over half a century of personality research had supported the concept of personality “traits” or dimensions, rather than “disorders” or categories.

That is antithetical to the basic idea of a diagnosis. "You seem like an angry person" is not helpful for deciding which treatments to try.

  Where does this leave us?  We have to accept DSM-5 definitions from a legal and practical perspective. We have to use them for insurance forms, and to protect ourselves against lawsuits.  But we don't have to believe in them.

Yes, that's the whole point of the book. I'm confident that it's covered in the intro.

[XorNot]

I mean the first and foremost principle of the DSM is that if the patient is not reporting or experiencing a debilitating ability to live a functional life, and is otherwise happy with their own lived experience, then whatever symptoms they have aren't a problem.

There's obviously a gulf of potential argument in that definition, but a unique form would be people who report hearing voices, but they're not hostile or angry..so actually it's not a problem.

[bbor]

Well put, very true! I think (?) the technical term is “distress”. This is also their out for not getting rid of “transvestic disorder” yet, which they swear is totally unrelated to trans people, it’s just for men who feel compelled to wear dresses and are sad about it…