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Short of questioning the self-proclaimed power of expertise and of generalized evaluation, mental health seems destined to become again a branch of “public hygiene” (from which psychiatry emerged). In this way, it is reduced to a biopolitical mechanism that restructures our psychological and social sensitivities, and within which we are all to become potential outcasts within the city. Such a mechanism runs the risk of becoming a mere alibi for sovereign power over what Giorgio Agamben calls the “naked life” of outcasts, in the name of “science” (somewhat abused). When there is no distinction between life and politics, there is a considerable risk of developing forms of totalitarianism. These forms consider the “biological” as fate, so that political decisions are reframed as “natural” norms.