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The article critically examines psychotherapy’s sociopolitical role through the concept of psychotherapism , seen as both an analytical tool and a set of effects related to the expansion of the psychotherapy apparatus . Drawing on Castel’s psychoanalysm, critical theory, and liberation psychology, it identifies four main, though non-exhaustive, iatrogenic outcomes: clinical harm, social stratification, symbolic individualization, and erosion of collective bonds. The analysis exposes psychotherapy’s alignment with neoliberal governance and challenges its presumed neutrality. It advocates for a decolonial, justice-oriented praxis that reclaims non-commodified, community-based care.
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Bessone et al. (2026) studied this question.
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