Why shrinks diagnose anti-authoritarians with mental illness

Bruce Levine, a clinical psychologist, has written on Mad in America about his colleagues' propensity for diagnosing anti-authoritarians with mental illness. Levine says diagnoses like oppositional defiant disorder, attention deficit hyperactive disorder and anxiety disorder are applied to people who question authority's legitimacy by mental health practitioners who are, themselves, unconsciously deferential to authority.

Gaining acceptance into graduate school or medical school and achieving a PhD or MD and becoming a psychologist or psychiatrist means jumping through many hoops, all of which require much behavioral and attentional compliance to authorities, even to those authorities that one lacks respect for. The selection and socialization of mental health professionals tends to breed out many anti-authoritarians. Having steered the higher-education terrain for a decade of my life, I know that degrees and credentials are primarily badges of compliance. Those with extended schooling have lived for many years in a world where one routinely conforms to the demands of authorities. Thus for many MDs and PhDs, people different from them who reject this attentional and behavioral compliance appear to be from another world—a diagnosable one.

I have found that most psychologists, psychiatrists, and other mental health professionals are not only extraordinarily compliant with authorities but also unaware of the magnitude of their obedience. And it also has become clear to me that the anti-authoritarianism of their patients creates enormous anxiety for these professionals, and their anxiety fuels diagnoses and treatments.

In graduate school, I discovered that all it took to be labeled as having "issues with authority" was to not kiss up to a director of clinical training whose personality was a combination of Donald Trump, Newt Gingrich, and Howard Cosell. When I was told by some faculty that I had "issues with authority," I had mixed feelings about being so labeled. On the one hand, I found it quite amusing, because among the working-class kids whom I had grown up with, I was considered relatively compliant with authorities. After all, I had done my homework, studied, and received good grades. However, while my new "issues with authority" label made me grin because I was now being seen as a "bad boy," it also very much concerned me about just what kind of a profession that I had entered. Specifically, if somebody such as myself was being labeled with "issues with authority," what were they calling the kids I grew up with who paid attention to many things that they cared about but didn't care enough about school to comply there? Well, the answer soon became clear.


Why Anti-Authoritarians are Diagnosed as Mentally Ill