Evidence map›Paper›PMID 42487764›Full record

ReviewFrontiers in psychiatry2026

Power without limits: exploring emotional regulation, moral authority, and psychiatric overreach through the

Julio Torales, Gladys Estigarribia, Iván Barrios, Marcelo O'Higgins, Alcides de Jesús Sosa Gamarra, Fernando Ismael Da Silva Sánchez, João Mauricio Castaldelli-Maia, Antonio Ventriglio

Abstract readReview
In one paragraph

Review in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Julio ToralesFacultad de Medicina, Grupo de Investigación en Salud Mental, Universidad Santa Clara de Asís, Caaguazú, Paraguay.
Gladys EstigarribiaFacultad de Medicina, Grupo de Investigación en Salud Mental, Universidad Santa Clara de Asís, Caaguazú, Paraguay.
Iván BarriosFacultad de Ciencias Médicas, Grupo de Investigación sobre Epidemiología de los Trastornos Mentales, Psicopatología y Neurociencias, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Marcelo O'HigginsFacultad de Ciencias Médicas, Grupo de Investigación sobre Epidemiología de los Trastornos Mentales, Psicopatología y Neurociencias, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Alcides de Jesús Sosa GamarraFacultad de Medicina, Grupo de Investigación en Salud Mental, Universidad Santa Clara de Asís, Caaguazú, Paraguay.
Fernando Ismael Da Silva SánchezFacultad de Medicina, Grupo de Investigación en Salud Mental, Universidad Santa Clara de Asís, Caaguazú, Paraguay.
João Mauricio Castaldelli-MaiaDepartment of Psychiatry, University of São Paulo, São Paulo, Brazil.
Antonio VentriglioDepartment of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychiatry has never had more tools to relieve psychological suffering. Psychopharmacology, neuromodulation, early intervention, digital monitoring, and preventive approaches have expanded what clinicians can do. Yet this growing technical capacity also raises an uneasy question: when does care become control? Cultural narratives can offer spaces for examining such tensions, particularly when they dramatize power, vulnerability, suffering, and moral authority. Aim: This narrative review uses the Methods: A theory-informed narrative review was conducted using a concept-focused analytic framework and structured conceptual synthesis. Literature was identified through focused searches in PubMed, PsycINFO, Scopus, and Google Scholar from database inception to June 2026, complemented by backward reference tracking. Sources covered Results: Two pathways to psychiatric overreach and an intermediate zone of proportionate care were identified. The first, represented by Voldemort, involves destructive domination, emotional suppression, denial of vulnerability, instrumental use of others, and coercive authority. The second, represented by Isidora Morganach, involves hyper-compassionate control, intolerance of suffering, elimination of negative affect, moral certainty, and paternalistic intervention. Between these extremes, the intermediate zone emphasizes emotional integration, psychological flexibility, shared decision-making, contextual judgment, ethical proportionality, and clinical humility. Although one pathway is cruel and the other compassionate, both illustrate power exercised without sufficient emotional integration or ethical restraint. Conclusion: By exploring psychiatric questions through the

Indexed as

emotional regulationHarry Potternarrative medicinepsychiatric ethicspsychiatric overreach

Identifiers

PMID42487764
PMCPMC13388311

What OpenQuestion holds

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LicenceCC BY
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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.