American Psychiatric Association

professional association

American Psychiatric Association

Industry Mental Health

A national psychiatric professional association and DSM publisher that provides clinical, publishing, policy, and advocacy infrastructure for psychiatry, including formal support for involuntary outpatient commitment under specified conditions. American Psychiatric Association scores low because of documented human harm, coercive violence, and person-dependent governance, with weak accountability reinforcing the negative evaluation.

Why this matters: The psychiatric profession is not just a care field; its diagnostic and policy infrastructure helps decide when people can be labeled, detained, medicated, researched, or treated without consent.

Letter grade F Malignant High confidence (AI) Rubric gcd-rubric-v1

Final Score -11* F - Malignant

* Tentative scaffolding score. Not human-checked or final.

Base Material20
Bonus+0
Cap41Ownership <= 4 and Governance <= 4
After Cap20
Penalties-31
!Not Verified
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Evaluation Overview

F - Malignant

The score turns mainly on Ownership, with the largest penalty coming from Human Harm.

Strengths

  • Ownership3/10
  • Governance3/10
  • Extraction3/10

Penalties

  • Human Harm-10
  • Coercive Violence-8
  • Reversibility-5
  • Policy Capture-3

Evidence state

  • ConfidenceHigh confidence (AI)
  • ThoroughnessPartial (AI)
  • Linked claims15
  • Direct axis claims15
  • Coverage15/15

Scoring Axes

Axis Score Why this score
Ownership
?
Control rights: shareholder-dominated at 0, worker cooperative control at 10.
3 / 10

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 100 scored entries below, 9 tied, 117 above on Ownership.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • The American Psychiatric Association is a professional psychiatric association whose DSM and policy authority is governed by psychiatric professionals rather than psychiatric survivors or patients. [4]
Governance
?
Binding decision authority: centralized control at 0, democratic stakeholder control at 10.
3 / 10

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 94 scored entries below, 13 tied, 119 above on Governance.

Uncertainty
  • Priority page: add more axis-specific research over time to make the comparative placement harder to dispute.
Linked evidence
  • APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
Extraction
?
Surplus allocation, wage share, CEO pay ratio, margins, and structured extraction judgment.
3 / 10

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 39 scored entries below, 22 tied, 165 above on Extraction.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • APA diagnostic and treatment-policy infrastructure creates professional value, but DSM authority and support for involuntary outpatient commitment allow professional systems to extract compliance from people subject to psychiatric power. [5]
Labor Sovereignty
?
Worker power: coercive conditions at 0, co-determination or ownership at 7. Employee dissatisfaction matters only when source-backed evidence shows concrete limits on worker agency, such as coercive scheduling, retaliation, wage theft, harassment, unsafe conditions, suppression of worker voice, or extreme turnover.
2 / 7

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 8 scored entries below, 36 tied, 182 above on Labor Sovereignty.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • APA public materials show professional control over psychiatric classification and treatment policy, not worker, patient, or survivor sovereignty over coercive clinical systems. [6]
Solidarity with the Unemployed
?
Treatment of exits and nonworkers, including severance, redeployment, and non-competes.
1 / 7

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 3 scored entries below, 27 tied, 196 above on Solidarity with the Unemployed.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • APA resources can standardize psychiatric care, but the sourced record does not show structural solidarity with people made unemployed, unhoused, or excluded by psychiatric labeling and coercion. [7]
Loss-Bearing Fidelity
?
Willingness to absorb costs to preserve values, workers, users, and public obligations.
2 / 7

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 33 scored entries below, 14 tied, 179 above on Loss-Bearing Fidelity.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • APA support for involuntary outpatient commitment shifts heavy liberty and treatment risks onto patients while preserving professional authority to define the intervention as care. [8]
Market Conduct
?
Pricing fairness, switching costs, lock-in, and rent extraction.
2 / 5

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 31 scored entries below, 22 tied, 173 above on Market Conduct.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • APA’s DSM and policy infrastructure shape insurance, clinical, court, and treatment markets, so market conduct depends on professional categories that affected people cannot easily refuse. [9]
Product Integrity
?
Preservation of quality rather than degradation for monetization.
2 / 5

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 23 scored entries below, 13 tied, 190 above on Product Integrity.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • APA diagnostic publishing and practice guidance are useful to clinicians, but product integrity is weakened by DSM identity power and policy support for coercive treatment. [10]
Scale Integrity
?
Whether growth improves or degrades fairness and accountability.
2 / 5

APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Calibration notes

Comparative anchor: Column-spectrum position: 31 scored entries below, 18 tied, 177 above on Scale Integrity.

Linked evidence
  • context APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors. [1]
  • context APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
  • context APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
  • APA’s DSM and involuntary-treatment policy influence psychiatric systems nationally, so coercive or identity-capturing assumptions scale through hospitals, courts, insurers, and schools. [11]

Penalties

Penalty Applied Why this penalty
Reversibility
?
Applied when positive conduct depends on current living leaders, founders, family owners, or other person-contingent governance rather than durable structure. Range: -5 to 0.
-5

APA evidence shows professional policy and publishing authority, not locked democratic control by psychiatric survivors or affected patients; any beneficial conduct remains reversible by professional governance.

Calibration notes

Comparative anchor: Column-spectrum position: 0 scored entries below, 95 tied, 131 above on Reversibility.

Linked evidence
  • APA evidence shows professional policy and publishing authority, not locked democratic control by psychiatric survivors or affected patients; any beneficial conduct remains reversible by professional governance. [12]
Human Harm
?
Severity, scale, culpability, vulnerable targets, willful reoffense, reputation laundering, pattern escalation, and time decay. Range: -20 to 0.
-10

APA provides evidence for the relevant scoring judgmentd against WHO and UN rights guidance that treats coercive mental-health practices as serious rights risks and calls for person-centred, rights-based alternatives.

Calibration notes

Comparative anchor: Column-spectrum position: 24 scored entries below, 6 tied, 196 above on Human Harm.

Linked evidence
  • APA provides evidence for the relevant scoring judgmentd against WHO and UN rights guidance that treats coercive mental-health practices as serious rights risks and calls for person-centred, rights-based alternatives. [13]
Coercive Violence
?
Direct or institutionally enabled killing, torture, detention abuse, armed repression, forced displacement, violent domination, or nonconsensual crisis-line emergency escalation that exposes callers to confinement or force. Range: -30 to 0.
-8

APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment.

Calibration notes

Comparative anchor: Column-spectrum position: 12 scored entries below, 1 tied, 213 above on Coercive Violence.

Linked evidence
  • APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment. [3]
Policy Capture
?
Private-interest attempts to bend law, regulation, subsidies, taxes, enforcement, trade, labor, safety, competition, environmental, healthcare, housing, surveillance, civil-liberties, or consumer policy against workers, customers, citizens, affected communities, or ecological life. Public-interest advocacy is not penalized merely because it is lobbying. Range: -15 to 0.
-3

OpenLobby records AMERICAN PSYCHIATRIC ASSOCIATION lobbying on healthcare with about $160K in spending across 6 filings; the reviewed filings document private institutional lobbying over public rules rather than a public-interest advocacy role.

Linked evidence
  • OpenLobby records AMERICAN PSYCHIATRIC ASSOCIATION lobbying on healthcare with about $160K in spending across 6 filings; the reviewed filings document private institutional lobbying over public rules rather than a public-interest advocacy role. [15]
Identity Capture
?
Customer pressure, employee pressure, and pervasive identity saturation. Range: -3 to 0.
-3

APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways.

Calibration notes

Comparative anchor: Column-spectrum position: 0 scored entries below, 12 tied, 214 above on Identity Capture.

Linked evidence
  • APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways. [2]
Ideological Disavowal
?
Concealed ideology presented as neutrality, expertise, professional necessity, public-service administration, market inevitability, or non-ideological common sense while exercising power. Range: -3 to 0.
-2

American Psychiatric Association's public framing is assessed as ideological-disavowal evidence because American Psychiatric Association exercises meaningful institutional or cultural power…

Calibration notes

Comparative anchor: Ideological Disavowal 0 to -3 recalibration: 0 for explicit standpoint or no penalty-level neutrality theater; -1 for bounded softening of contested choices; -2 for strong neutrality theater by a powerful institution; -3 for major gatekeeping or coercive power presented as neutral, necessary, objective, or non-ideological.

Uncertainty
  • This recalibration uses public self-presentation and profile evidence; later review should add direct language-analysis evidence for high-impact institutions.
Linked evidence
  • American Psychiatric Association's public framing is assessed as ideological-disavowal evidence because American Psychiatric Association exercises meaningful institutional or cultural power while strongly presenting contested choices as neutral expertise, safety, objectivity, professionalism, administrative necessity, or public service. [14]

Bonus Credits

No bonus credits applied in this version.

Confidence Basis

Confidence Basis

Confidence is computed from the evidence trail and review state, not typed into the profile by hand.

High 82/100

15 verified linked claims 15 direct axis claims 0 disputed claims 15/15 components covered

This confidence label measures the source-backed evidence trail. AI-scaffolded scores remain tentative until human review.

Claim confidence 14/20

15 verified linked claims

Source quality 15/18

Best source per verified claim, weighted by institutional reliability

Direct axis-specific claims 14/18

15 direct claims across 15 active components

Dispute load 12/12

0 disputed claims on this entity

Recency 10/10

Newest accepted timestamp: May 13, 2026

Reviewer status 7/12

Human-reviewed components score higher than AI scaffolding

Component coverage 10/10

15/15 evidence-bearing components have direct support

Evidence State

Evidence State

Profile stateAI draft / human-pending
VerificationUnverified
ConfidenceHigh confidence (AI)
ThoroughnessPartial (AI)
Correction routeUse “Challenge this rating” for factual errors, missing counterevidence, source problems, or calculation mistakes.
Company responseCompany representatives can submit source-backed corrections; payment never changes scores or reviewer authority.

Claims and Sources

Claims are the evidence record. Each claim needs a source link, axis category, status, confidence level, and timestamp before it can support a score.

* Tentative scaffolding score. Not human-checked or final.
1APA is a professional psychiatric association whose policy and DSM infrastructure is governed through professional association structures rather than direct control by affected patients or psychiatric survivors.

Governance Verified Medium confidence Human-reviewed

2APA publishes the DSM-5-TR, presented by APA as the standard U.S. classification used by mental-health professionals, giving the association substantial diagnostic-category authority over patient identity and institutional treatment pathways.

Identity Capture Verified High confidence Human-reviewed

3APA official policy recognizes involuntary outpatient commitment and assisted outpatient treatment as useful tools for selected people with severe mental illness, while acknowledging the autonomy-beneficence tension of court-ordered treatment.

Coercive Violence Verified High confidence Human-reviewed

4The American Psychiatric Association is a professional psychiatric association whose DSM and policy authority is governed by psychiatric professionals rather than psychiatric survivors or patients.
5APA diagnostic and treatment-policy infrastructure creates professional value, but DSM authority and support for involuntary outpatient commitment allow professional systems to extract compliance from people subject to psychiatric power.
6APA public materials show professional control over psychiatric classification and treatment policy, not worker, patient, or survivor sovereignty over coercive clinical systems.
7APA resources can standardize psychiatric care, but the sourced record does not show structural solidarity with people made unemployed, unhoused, or excluded by psychiatric labeling and coercion.
8APA support for involuntary outpatient commitment shifts heavy liberty and treatment risks onto patients while preserving professional authority to define the intervention as care.
9APA’s DSM and policy infrastructure shape insurance, clinical, court, and treatment markets, so market conduct depends on professional categories that affected people cannot easily refuse.
10APA diagnostic publishing and practice guidance are useful to clinicians, but product integrity is weakened by DSM identity power and policy support for coercive treatment.
11APA’s DSM and involuntary-treatment policy influence psychiatric systems nationally, so coercive or identity-capturing assumptions scale through hospitals, courts, insurers, and schools.
12APA evidence shows professional policy and publishing authority, not locked democratic control by psychiatric survivors or affected patients; any beneficial conduct remains reversible by professional governance.

Reversibility Verified Medium confidence Human-reviewed

13APA provides evidence for the relevant scoring judgmentd against WHO and UN rights guidance that treats coercive mental-health practices as serious rights risks and calls for person-centred, rights-based alternatives.
14American Psychiatric Association's public framing is assessed as ideological-disavowal evidence because American Psychiatric Association exercises meaningful institutional or cultural power while strongly presenting contested choices as neutral expertise, safety, objectivity, professionalism, administrative necessity, or public service.

Ideological Disavowal Verified Medium confidence AI-generated / human-pending

AI scaffold

15OpenLobby records AMERICAN PSYCHIATRIC ASSOCIATION lobbying on healthcare with about $160K in spending across 6 filings; the reviewed filings document private institutional lobbying over public rules rather than a public-interest advocacy role.

Policy Capture Verified Medium confidence AI-generated / human-pending

AI scaffold

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