Psychiatric Puritanism

A purity culture within communities that elevate psychiatric diagnosis as the primary framework for understanding human difference and distress, where proper diagnostic thinking becomes a test of virtue and belonging. Psychiatric puritanism demands that true members understand all human variation through diagnostic categories, treat non-psychiatric frameworks as naive or unscientific, and maintain the purity of diagnostic boundaries against contamination by alternative approaches. Members compete to demonstrate their diagnostic sophistication, their ability to spot pathology everywhere, their commitment to the medical model against all challenges. The result is a community that claims to help the suffering while pathologizing all human variation and dismissing any approach that doesn't fit diagnostic categories.

Example: "They diagnosed everyone who disagreed with them—not clinically, just as a way of dismissing difference. Psychiatric Puritanism: using the language of diagnosis to police the boundaries of acceptable humanity."

Psychiatric Puritanism by Abzugal Nammugal Enkigal March 14, 2026