Commentary: Are we over‐pathologising young people's mental health? Locked inside our own building – on disorderism and the need to deflate our language

At its core, pathologising is choosing the language of pathology to describe suffering. In youth mental health, the prevailing choice is to use diagnostic labels such as ADHD and autism when describing the problems young people face. A key, yet poorly visible risk of such diagnostic labelling is disorderism - a relative neglect of context introduced by the tendency to interpret peoples struggles through the lens of disorders of the individual. At the same time, diagnostic labels serve important functions. Among others, they help families access care and find information, allow researchers to compare findings, and aid policymakers organise funding. Put simply, the functions are too valuable to outright discard, yet the risks too great to ignore. We find ourselves stuck - locked inside our own language. We argue that a path forward lies in recognising the primary way diagnostic labels may cause harm: by sidelining other forms of understanding. Rather than reimagining the labels entirely, a way out of the deadlock could involve profound epistemic humility. If we deflate the labels - removing weight and certainty - we create space for other kinds of understanding.

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Publication Details

Journal
Child and Adolescent Mental Health
Published
2025-09-16
DOI
https://doi.org/10.1111/camh.70028
Citations
3
Primary Topic
Mental Health Treatment and Access
Type
article
Field-Weighted Citation Impact
7.32
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article

Commentary: Are we over‐pathologising young people's mental health? Locked inside our own building – on disorderism and the need to deflate our language

Tycho J. Dekkers, Branko M. van Hulst, Bram De Ridder, Maria M. Groen‐Blokhuis
3 citations
Child and Adolescent Mental Health
Mental Health Treatment and Access
7.32
article

Commentary: Are we over‐pathologising young people's mental health? Locked inside our own building – on disorderism and the need to deflate our language

Tycho J. Dekkers, Branko M. van Hulst, Bram De Ridder, Maria M. Groen‐Blokhuis
article en
3 citations

Abstract

At its core, pathologising is choosing the language of pathology to describe suffering. In youth mental health, the prevailing choice is to use diagnostic labels such as ADHD and autism when describing the problems young people face. A key, yet poorly visible risk of such diagnostic labelling is disorderism - a relative neglect of context introduced by the tendency to interpret peoples struggles through the lens of disorders of the individual. At the same time, diagnostic labels serve important functions. Among others, they help families access care and find information, allow researchers to compare findings, and aid policymakers organise funding. Put simply, the functions are too valuable to outright discard, yet the risks too great to ignore. We find ourselves stuck - locked inside our own language. We argue that a path forward lies in recognising the primary way diagnostic labels may cause harm: by sidelining other forms of understanding. Rather than reimagining the labels entirely, a way out of the deadlock could involve profound epistemic humility. If we deflate the labels - removing weight and certainty - we create space for other kinds of understanding.

Child and Adolescent Mental HealthVol. 30(4)
University Medical Center Groningen (NL), American Academy of Child and Adolescent Psychiatry (US), Leiden University Medical Center (NL), Combined Computer Services (Netherlands) (NL), Accare (NL), Arkin (NL)
Openalex Percentile: Top 3%
Mental Health Treatment and Access
7.32
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