Kubie directs his attack on traditionalism in psychiatry at two fronts—psychiatric classifications and psychiatric training. Our diagnostic categories, he writes, are based on terminal clusters of symptoms. The present nosological system omits the very things we wish to know about the process of illness: 'How it started, why it started, at what point intervention might have prevented its further development, how entrenched it is, whether any part of it is reversible, what its spontaneous course will be, the price that it has exacted of any patient's life on the way up, and what therefore is left of his personality and his life with which one can work therapeutically. To base a diagnosis on end-states omits all consideration of this kind.' Kubie proposes a system which might combine biochemical, physiological, pharmacological, and genetic data with psychological data in order to work toward a more meaningful system of classification.