I should make nannying a theme of this blog. I get fed up with the constant attempts to treat people's legitimate choices as pathological. These proposed, guidelines would reclassify as alcoholics very large numbers of people (especially young people in university or college) who choose to get drunk now and then. Bloody ridiculous!
The longer term implication of these kinds of changes to diagnostic manuals could be very illiberal. Potentially, many choices could come to be regarded as illegitimate on the basis that someone making those choices must suffer from a mental disorder. A diagnostic manual of mental disorders can end up being used to do an end run around people's political freedom - all sorts of behavioral choices could be stigmatised as revealing mental disorder. It's not as if we lack historical experience with this. Think of how homosexuality has been treated in the past, not to mention any interest in sex on the part of women. If we're not careful "mental disorders" can become, as they sometimes have become in the past, mere political constructs.
How, exactly, we fight back against ubiquitous paternalism by the medical profession and others I don't know. But we can at least protest.