To me the conclusion is that the DSM is out of date. Not the document, or specific iteration itself but the mindset driving it. When DSM was simpler and we didn’t know as much about mental illness, then what DSM was trying to achieve wasn’t such a tall order, and it was a useful diagnostic companion. However it seems to me it’s gone from being merely useful to being considered canon, and through successive iterations has tried to fill those boots to the point where people are calling out the DSM as being entirely flawed when in fact what is going on is it’s just stepping out of its bounds.