Abstract

This distinctions embodied in official psychiatric diagnoses represent arbitrary and subjective views of patients' problems. Historically, individual psychiatrists were free to superimpose their own distinctions and categories. In recent decades, a uniform set of concepts has been negotiated, promoted, and enforced. The uniform diagnoses improve descriptive communication and meet administrative needs. However, they remain arbitrary. This essay argues that a descriptive theory of psychiatric problems should distinguish the objective pattern of correlation among the thoughts, feelings, and behaviors in question from the subjective view of them embodied in diagnoses. A map of correlations among psychiatric symptoms reveals a graded circular spectrum, analogous to a color wheel. The psychiatric types are not empirical islands in correlational space. They are subjective points of reference on a circular continuum. Problems that appear to be of one type shade into those that appear to be of another. Salient locations on the circle correspond to the following labels, in the following order: schizophrenia, alcoholism, autonomic arousal, sleep problems, emotional distress, fear and panic, paranoia, and back to schizophrenia