The Ethics of Perceived Suffering – Reforming Mental Health Care and the Recognition of Manipulative Neuroses (ENG + FR)

This document proposes an ethical and clinical reform of contemporary mental-health practices. Zero Silent explores how current systems often confuse authentic suffering with its manipulative use — mistaking emotional pain for moral innocence. The text calls for a new framework that integrates psychological insight, relational ethics, and institutional responsibility. It identifies “instrumental suffering” as a defensive mechanism in which pain is unconsciously used to control, avoid, or dominate others. Through the introduction of concepts such as the Will to Heal, Active Neurosis, and Soft Perversion, the document outlines concrete measures for reform: training clinicians to read relational and symbolic dynamics, creating interdisciplinary ethical-supervision cells, re-establishing moral discernment within psychiatry, and redefining treatment around both emotional wounds and manipulative structures. Rather than condemning or excusing, this work advocates a living ethics of discernment — where compassion and lucidity coexist, and where true healing begins by seeing what suffering hides, not only what it shows.