With the addition of gambling disorder to the chapter, a change in the title was necessary. The Board of Trustees assigned the title “Substance-Related and Addictive Disorders,” despite the DSM-5 Substance-Related Disorders Work Group having previously approved a title (by majority but not consensus) that did not include the term addiction. This lack of agreement over the title reflects an overall tension in the field over the terms addiction and dependence, as seen in editorials (2, 208) advocating addiction as a general term, reserving dependence specifically for tolerance and/or withdrawal, and the more than 80 comments on these editorials that debated the pros and cons of these terms.
