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Overall, Martin’s take on the pattern is “avoid it when possible”, which is sound (if conservative) advice. My take is that everyone’s doing it anyway, so we should formalize it. I’ve used it as the central data model for my 500,000-line multiplayer game for 10 years, and I assert that the benefits vastly outweigh the problems. I also witnessed the pattern’s use in Amazon’s Customer Service Tools database for some 5 years, and again, the benefits vastly outweighed the downsides.

You just have to know what you’re getting into before you dive in, which is sort of the point of my article.

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Stevey’s Blog Rants: The Universal Design Pattern