Various theorists are sceptical about many existing psychiatric diagnoses, and not just on empirical grounds; they see diagnoses as collections of symptoms rather seeing them as medicine understands diseases—in terms of destructive processes realized in bodily tissues.
Genuine mental illnesses, on this view, are not just sets of co-occurring symptoms but destructive processes taking place in biological systems
a minimal interpretation of the medical model thinks of mental disorders as collections of symptoms that occur together and unfold in characteristic ways, but it makes no commitments about the underlying causes of mental illness.
a disease is a physical process—“its essence is conceptual and inferential”
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