Abstract

There is a Long-Standing concern that psychiatrists have the task of fitting a square peg into a round hole: the empirical generalizations upon which diagnoses are made have seemed too many to overlook something essential about the individual person who is the subject of the diagnosis. This concern prompted a World Psychiatric Association (WPA) workgroup to suggest that a personalized component should be added to patients’ diagnostic assessment (IDGA Workgroup 2003). One might have the following worry about the WPA workgroup’s suggestion: if this personalized component is merely tagged on to the existing diagnostic framework, and diagnoses still rest primarily on empirical generalizations, which are left untouched ..