“it became clear really quickly that the diagnoses were not connected to the physiology, that they were just descriptive, and that there were hundreds of physiological routes to somebody having an attention problem, for example. And yet the profession acted as if these descriptive labels were really a thing . . . I knew that if we were doing ‘research,’ if we were using these hollow descriptors which we call ‘diagnoses’ and then study interventions and outcomes, we would just get garbage.