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Madpessimism: A Manifesto.

¹Faculty of Health, School of Nursing, York University, Toronto, Ontario, Canada.

Nursing Inquiry

|July 2, 2026

Summary

Contemporary psychiatry faces a crisis due to posthuman critiques challenging its core assumptions. This paper introduces Madpessimism, arguing psychiatry

Area of Science:

Philosophy of Psychiatry
Critical Theory
Posthuman Studies

Background:

Contemporary psychiatry is challenged by posthuman critiques questioning its foundational assumptions.
Psychiatry is viewed not as neutral but as an ontological apparatus within control regimes.
Humanism's normative figure of the 'Human' underpins psychiatric classification and governance.

Purpose of the Study:

To theorize psychiatry as a structural component of modern governance, not merely a flawed institution.
To introduce the concept of 'Madpessimism' as a critique of psychiatry's inherent violences.
To propose an abolitionist reorientation beyond reformist approaches.

Main Methods:

Drawing on posthuman philosophy and Afropessimist thought.

Keywords:

Afropessimism abolition mad studies, mental health madness posthumanism

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Interrogating developments like biomarker integration in psychiatric classification.

Critiquing reformist calls for 'Humanizing' psychiatry.

Main Results:

Psychiatry's violences are structurally necessary, not incidental, to a Humanist-centric world.
Biomarker integration extends surveillance and biological inscription of mental illness.
Reformist efforts often recalibrate rather than dismantle psychiatric power.

Conclusions:

Madpessimism names a refusal of psychiatric systems and the Humanist ontology sustaining them.
Practices of opacity, refusal, and alternative care offer modes of survival.
An abolitionist approach seeks to erode psychiatry's necessity and its underlying metaphysics.