 A number of authors have made even more extreme claims, arguing that seeking concepts of disease is bound to be a failed effort. For instance, Peter Schwartz (2007) claims that there is not an underlying general concept of disease within the biomedical sciences that is coherent enough to be analyzed, and that different concepts of disease might be useful within different contexts. Some philosophers have argued that to seek correct definitions for “disease” and “health” is distracting and irrelevant when it comes to clinical decisions: as Germund Hesslow puts it, “the health/disease distinction is irrelevant for most decisions and represents a conceptual straightjacket [sic]” (1993: 1). The key is whether or not a particular state is desirable to its bearer, and not whether the person actually has a disease or defect. For instance, the term “malady” has been proposed as a more appropriate alternative to “disease” (Clouser, Culver, and Gert 1981), and which should be extended to include all illnesses, injuries, handicaps, dysfunctions, and even asymptomatic conditions. A malady is present when there is something wrong with a person; regardless of the cause (mental or physical), to be a malady, the condition must be part of its bearer and not distinct or external to him or her. The clear advantage of this approach is that it unifies a range of phenomena and descriptions that seem intuitively to be related. The disadvantages include that it relies in part on an objectivist approach to disease, and hence suffers from some of the difficulties detailed above that plague some versions of naturalism (for a provocative reaction to this debate, see Worrall and Worrall 2001).