Episode notes
1. Historical Misuse of Psychiatry
- Psychiatry repeatedly functioned as a tool of social control rather than science.
- Drapetomania exemplifies fabricated diagnoses used to enforce domination.
- Similar patterns reappear in racialized overdiagnosis, pathologizing dissent, and moralizing nonconformity.
2. Core Epistemic Failure: Black‑Box Classification
- Psychiatry lacks a mechanistic, white‑box substrate equivalent to DNA in biology.
- DSM categories are symptom clusters, not causal explanations.
- Without mechanistic grounding, categories drift with culture, power, and incentives.
- Many diagnoses are non‑portable — they exist only within specific rule systems.
3. Institutional Incentives and Diagnostic Inflation
- Diagnostic systems shape reimbursement, liability, and prof ...