Evidence map›Paper›PMID 40956280›Full record

ArticleChild and adolescent mental health2025

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

Branko M van Hulst, Maria M Groen-Blokhuis, Bram de Ridder, Tycho J Dekkers

Abstract read
In one paragraph

Article in Child and adolescent mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Branko M van HulstLUMC Curium, Child and Adolescent Psychiatry, Leiden University Medical Centre, Leiden, the Netherlands.ORCID 0000-0002-0693-8054
Maria M Groen-BlokhuisMental Care Group, Woerden, the Netherlands.
Bram de RidderArkin, Amsterdam, the Netherlands.
Tycho J DekkersAccare Child Study Center, Groningen, the Netherlands.ORCID 0000-0001-8572-5606

Funding

ZonMw
6 · The paper itself

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.

Indexed as

Mental DisordersMental HealthTerminology as TopicAdolescentHumansdecontextualisationdiagnostic labelsDisorderismlanguagepathologising

Identifiers

PMID40956280
PMCPMC12573061

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.