The theory of psychological reversals holds that individuals are inherently inconsistent and that they reverse between metamotivational states. Four pair states have been identified: telic/paratelic; negativistic/conformist; mastery/sympathy; autocentric/allocentric. 2. Individuals interpret motivational variables in different ways depending on the metamotivational states in effect at the time. 3. Health-care providers should recognize that reversals between states are necessary for mental health and they should make allowances for such reversals in their health-care recommendations.