ReviewBJPsych bulletin2022
Magical thinking and moral injury: exclusion culture in psychiatry.
Review in BJPsych bulletin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Experience of compassionate care in mental health and community-based services for children and young people: facilitators of, and barriers to compassionate care- a systematic review.European child & adolescent psychiatry · 2025Pooled it
- Ignorance culture and eating disorders: lived experience analysis of alarms being ignored.BJPsych bulletin · 2026Review
- Iatrogenic harm and premature treatment discontinuation in eating disorders: a lived experience response to Wade and Schmidt (2026).Journal of eating disorders · 2026Article
- Do new labels solve old problems? Conceptual, ethical, and clinical challenges of constructing restrictive eating behaviours as "self-harm".Journal of eating disorders · 2026Article
- "We need to keep in mind that battle fatigue": A commentary on moral injury among substance use treatment and community service providers.Journal of substance use and addiction treatment · 2026Article
- Dismantling the Diagnostic Construct of Borderline Personality Disorder: A Critical Discourse Analysis.International journal of mental health nursing · 2026Article
- Review
- 'Diagnostic terms are consequential'.BJPsych bulletin · 2026Article
- When psychiatry does not learn: Epistemic humility, ignorance culture, exclusion culture and diagnostic weaponisation.PLOS mental health · 2026Article
- Wicked Labels, and the Power of Narrative in Mental Health Nursing.Journal of psychiatric and mental health nursing · 2025Article
- Engage? Disengage? Discharge? Ethical approaches to fraught questions.BJPsych bulletin · 2025Review
- Rethinking youth emergency mental healthcare in the UK: insights from Australian service models.BJPsych bulletin · 2025Article
- Exploring the ruling relations of eating disorder treatment in Ontario.Journal of eating disorders · 2025Article
- Attachment-informed mental healthcare systems as 'organisational caregivers': ideas for the future.BJPsych bulletin · 2025Article
- Whose trauma is it anyway? Creating more equitable mental healthcare in a system that harms.BJPsych bulletin · 2025Article
- Autistic psychiatrists' experiences of recognising themselves and others as autistic: a qualitative study.BJPsych open · 2024Article
- Decolonising our minds: what UK psychiatry needs to (un)learn.BJPsych bulletin · 2024Article
- Identifying, understanding and responding to domestic abuse in the perinatal period.BJPsych bulletin · 2024Article
- Psychiatry as a vocation: Moral injury, COVID-19, and the phenomenology of clinical practice.Clinical ethics · 2024Article
- Re-imagining crisis care: experiences of delivering and receiving the Assured brief psychological intervention for people presenting to Emergency Departments with self-harm.Frontiers in psychiatry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
summaryThis is an article about exclusion. We might not like to admit it - even fail to realise it - but National Health Service (NHS) mental health service structures have become increasingly focused on how to deny people care instead of help them to access it. Clinicians learn the art of self-delusion, convincing ourselves we are not letting patients down but, instead, doing the clinically appropriate thing. Well-meant initiatives become misappropriated to justify neglect. Are we trying to protect ourselves against the knowledge that we're failing our patients, or is collusion simply the easiest option? Problematic language endemic in psychiatry reveals a deeper issue: a culture of fear and falsehood, leading to iatrogenic harm. An excessively risk-averse and under-resourced system may drain its clinicians of compassion, losing sight of the human being behind each 'protected' bed and rejected referral.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.