Horowitz, L. M., & Malle, B. F. (1993). Fuzzy concepts in psychotherapy research. Psychotherapy Research, 3, 131-148.
Describes the instability or unreliability of global subjective state concepts, such as anxiety, or depression, and proposes a procedure for identifying and removing ambiguous instances of the concept to increase interjudge agreement. Concepts that lack external referents and denote subjective, psychological states may be termed fuzzy concepts. The concept of depression is examined to clarify its origin as a fuzzy concept and to explore implications for psychotherapy. Distinctions are made between a person's subjective experience on a specific occasion, a person's representation across occasions (schema), and the modal schema across persons (prototype).

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