It must mean at least in part that they view psychiatry as being very limited and unchallenging. DSM-IV is the fabrication upon which psychiatry seeks acceptance by medicine in general. Insiders know it is more a political than scientific document. It confines and defines practice, some take it seriously, others more realistically. It is the way to get paid.
Diagnostic reliability is easy to attain for research projects.
They don't, and can't, because there are no external validating criteria for psychiatric diagnoses. There is neither a blood test nor specific anatomic lesions for any major psychiatric disorder. Unforunately, the answer is mostly yes. To begin with, let us be ourselves. Stop taking on unholy alliances without the members permission.