During its development, two distinct definitions of “mental disorder” were drafted for the DSM-5. The first was an iteration of the previous DSM definition and took mental disorder to be a value-laden concept, i.e. it claimed that disorders are necessarily harmful. The second definition characterized mental disorder as mental dysfunction, and aimed to offer a value-free account. The working groups said that a decision between these two definitions would be made at a later date. Note that philosophers of medicine generally hold that value-laden and value-free accounts of disorder are competing accounts. To be consistent one has to opt for one or the other.