Substance, not semantics, is the issue: comments on the proposed addiction criteria for DSM-V.

摘要

The changes in terminology proposed in the draft version of DSM are significant, but the semantic alterations are cosmetic compared with the more substantive changes proposed in the underlying criteria for the core syndrome within the broader category of substance use disorders. My comments on Charles O'Brien's [1] essay will therefore focus on the substance of the changes, rather than the semantics [2]. The following points summarize my concerns and recommendations.