This essay relies on a positivistic/scientific perspective to define p
sychiatric phenomena. However, it draws a distinction between a biomed
ical versus a social science approach. The aim is to review some of th
e theoretical and empirical considerations that pertain to psychiatric
phenomena that need to be addressed in order to develop a social theo
ry about them. The object of the theory is to explain how psychiatric
phenomena are labeled, interpreted, and handled across societies that
differ in terms of social structure and culture. Some of the kinds of
variables and questions that would allow for cross-cultural analyses a
re identified. In addition, two topics that a social theory could addr
ess-that of the medicalization and stigmatization of psychiatric pheno
mena-are introduced. These topics are elaborated by developing proposi
tions that substantively illustrate the questions/hypotheses of a soci
al theory of psychiatric phenomena. The essay illustrates that a socia
l theory constitutes a complex enterprise that requires dealing with p
hilosophical, methodological and empirical issues.