How Activism Is Replacing Clinical Judgment in Psychology - JD Haltigan (#6)

27 March 2025

With J.D. Haltigan

Global

Developmental psychologist J.D. Haltigan offers a forensic account of what happens when activist ideology displaces clinical judgment inside psychology. His analysis — covering diagnostic confusion, the blurring of pathology and identity, and the effects of social media on children's developing minds — speaks directly to European clinicians who are navigating identical pressures, and to the countries already trying to correct the consequences.

J.D. Haltigan is a developmental psychologist who left academic life and, in doing so, recovered the freedom to say plainly what he observed from within it. That clarity is precisely what makes this conversation valuable. He is not speaking from a political position but from years of close familiarity with how psychological research is conducted, reviewed, published and eventually translated into clinical practice — and with how each of those stages has been quietly reshaped. The transformation Haltigan describes did not creep in unnoticed. Around 2016, he argues, something accelerated. Political pressures began openly influencing research priorities, hiring decisions, peer review and — with the most direct consequences — the clinical standards used to assess and treat patients. A longer-running structural shift, the feminisation of the profession, had already cultivated a culture in which empathy became a terminal value and diagnostic challenge a form of harm. Rigour gave way. The result is a discipline that increasingly confirms patients in their self-understanding rather than holding that understanding up to scrutiny. A distinction Haltigan draws carefully is the difference between destigmatisation and normalisation. Reducing shame around a condition is not the same as dissolving its clinical reality. When that line disappears, clinicians lose the conceptual tools to assess distress, to distinguish illness from identity, or to think clearly about what treatment — if any — is indicated. This is not an abstract problem. It shapes what happens in consulting rooms across Germany, Sweden, the Netherlands and France, where psychologists and psychiatrists face exactly the same institutional pressure to affirm rather than explore. The episode's passages on children and social media are among its most urgent. Haltigan describes how online environments actively reward the construction of multiple, audience-specific identities in young people who have not yet developed stable senses of self. This is not neutral experimentation; it carries measurable risks for identity coherence and mental health. European regulators have reached for instruments like the Digital Services Act, but legal frameworks cannot replace clinical understanding of what online immersion actually does to a developing mind — and that understanding is now contaminated by the same ideological pressures distorting the rest of the field. For European listeners, the episode echoes something already visible on this continent. Sweden and Finland revised their approaches to youth gender medicine because enough clinicians retained the professional independence to read the evidence honestly. The Netherlands is now conducting a painful reckoning with how its own foundational research was used internationally. France's Académie Nationale de Médecine has issued formal cautions about medical transition for minors. In each case it was not a political reversal but a clinical one — professionals insisting that judgment is not the same as prejudice. Haltigan's own trajectory — out of institutional academia and into collaborations that do not require institutional permission — points toward something European clinicians may find both recognisable and unnerving. The implication is not that all institutions should be abandoned, but that the ones still capable of honest inquiry may be fewer than they appear, and that the professionals keeping the standards alive increasingly do so at personal cost.

More episodes about Europe