Just to be up front, I don’t particularly like your theoretical perspective, but that being said, I do agree with your view of the new DSM. The purpose of which is to provide a billing platform for insurance companies, and those that bill insurance. Couples counseling is rarely paid for by insurance, at any rate, its not considered to be therapy. It is considered to be counseling, though couples may get psychotherapy in addition to their couples counseling. There is no point in believing that the DSM people are going to change their views on this any time soon, because insurance companies are unlikely to consider relationship issues something that needs to be addressed by insurance. The DSM is oriented toward diagnosis that justifies a medication intervention. Counseling does not provide that justification.