By Andrew Klein  1^st December 2025

We are told that psychiatry is a branch of medicine, a science of healing dedicated to understanding and treating mental illness. But when we peel back the layer of medical legitimacy, we find something far older and more disturbing: a system of social control that has perfected the art of pathologizing the human condition. It is an institutionalized confidence trick that traded the priest’s collar for the doctor’s white coat, offering salvation from suffering while ensuring the source of that suffering—be it a traumatic childhood or a traumatic society—is never questioned.

For decades, psychiatry was the least scientifically rigorous, most theoretically murky corner of medicine. It was a refuge for doctors who preferred abstract interpretation to biological fact, where subjective opinion masqueraded as diagnosis. Then came the psychopharmacological revolution. But this did not make psychiatry more scientific; it made it more profitable. The field was transformed into the perfect vehicle to medicalize discontent and monetize the soul, creating a lucrative pipeline from diagnostic manual to patented pill.

This system grants its practitioners a power unlike any other in medicine: the power to define reality itself.

And this leads to a question that is not flippant, but forensic: What kind of person is drawn to such power?

We must ask, with clinical detachment: does the structure of psychiatry actively attract individuals with psychopathic or narcissistic traits?

Consider the privileges the system confers:

1. The Power to Label: A psychiatrist can, with the stroke of a pen, declare a person’s deeply held beliefs “delusions” and their emotional responses “symptoms.” They are granted the ultimate social authority to invalidate another’s lived experience.

2. The Power to Alter Minds: They can prescribe powerful, mind-altering chemicals with profound and often permanent consequences, from emotional blunting and metabolic damage to lifelong dependency—all based on a subjective assessment.

3. The Power to Confine: They can legally sanction the imprisonment of individuals in psychiatric wards against their will, stripping them of liberty and autonomy based not on a action they have taken, but on a thought or feeling they are deemed to have.

This is not the power to heal a fever or set a bone. This is the power to define sanity and enforce compliance.

Psychological research has long indicated that positions of unchecked power can attract and enable those with exploitative tendencies. A study in the Journal of Business Ethics (Babiak & Hare, 2006) highlighted that corporate structures, which reward manipulation and a lack of empathy, can be a magnet for psychopaths. Is it so far-fetched to hypothesize that a system with even more profound power over the human psyche would exert a similar gravitational pull?

The system protects itself. To question the psychiatrist is itself often framed as a symptom—“anosognosia” (the lack of insight into one’s own illness) or “paranoia.” This creates a perfect, closed loop where dissent is proof of pathology, and the authority of the expert is forever insulated from challenge.

This is not to claim that all psychiatrists are psychopaths. Many enter the field with genuine compassion. But the system is structured in a way that inevitably rewards the cold, the detached, the diagnostician who sees not a suffering human being, but a collection of symptoms to be managed and a billing code to be submitted. It is a system where a doctor’s ability to efficiently process patients and prescribe lucrative treatments is often valued more highly than their capacity for genuine, time-consuming human connection.

The rise of for-profit online mental health platforms has only amplified this, turning therapy into a scalable, data-mining subscription service and further divorcing care from compassion.

We must face the unsettling truth. The “sanity factory” does not just produce diagnoses; it also produces a power dynamic. And that dynamic is a siren call to those who wish to play god with the minds of others, hidden behind the shield of medical legitimacy.

It is a dark garden indeed. But we must look, if we ever wish to see the sun.

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Sources:

· Babiak, P., & Hare, R.D. (2006). Snakes in Suits: When Psychopaths Go to Work. Harper Business.

· Whitaker, R. (2010). Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America. Broadway Paperbacks.

· Foucault, M. (1965). Madness and Civilization: A History of Insanity in the Age of Reason. Vintage Books.

· Szasz, T. (1974). The Myth of Mental Illness: Foundations of a Theory of Personal Conduct. Harper Perennial.