Contrary to Bergner, consensus exists on a definition of psychopatholo
gy. It is embodied in DSM-IV, used in this country by more than 500,00
0 mental health professionals. It is also inaccurate to Imply that DSM
-III's definition of mental disorder (reproduced in DSM-III-R and DSM-
IV) was not extensively debated and ultimately refined by many of DSM-
lll's drafters. Finally, it is risky to claim that the DSM has not bee
n successful, in view both of its widespread acceptance and the extens
ive empirical data which now support its enhanced reliability and grow
ing utility. At the same time, as a diagnostic researcher well aware o
f the DSM's shortcomings, I endorse Bergner's aspiration for a non-syn
drome-based nomenclature. Perhaps a classification system based on fun
ctional impairment will yield greater utility and validity. But, in th
e final analysis, since it's the data that count, it's clearly up to B
ergner to provide them.