The CPHC’s recommendations were submitted to the APA President and then to yet another deliberating body, the Summit Group. At the Summit Group, the views of the proposing Work Groups, Scientific Review Committee, CPHC, a forensic psychiatry review group, the chair of a committee of reviewers from the APA Assembly, several other consultants, and the Board of Trustee’s Executive Committee were carefully considered before recommendations were sent to the Board of Trustees. The Board of Trustees deliberated further before finally voting on whether to accept or reject proposed changes. With this rigorous process, each proposal was thoroughly reviewed at multiple layers of oversight. Consequently, in our view, the diagnoses and criteria sets included in DSM-5 represent the profession’s best efforts to integrate scientific reliability and validity with clinical and public health utility.