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The relationship between segregation and psychiatric diagnosis has evolved over time. Racist and colonialist-segregated psychiatric diagnosis became pharmacologically induced and under the influence of reductionism came detached from classic clinical concepts in a movement to naturalize mental illness. Then some claimed that psychiatric diagnosis opened rights legitimized by others as the right to be different and to have equal citizenship, finally rejected by antipsychiatries as stigma. Transdiagnostic factors could be used to assess discrimination. However, mental illness is still not a disease like any other and the disappearance of psychiatry is not the solution to the discrimination the patients suffer