# Discourses leading to diagnostic excess: an ethnopsychological study in Italian schools

## TL;DR

This study explores how Italian schools and professionals frame student difficulties, often leading to over-reliance on diagnostic certifications for special educational needs.

## Contribution

The paper introduces an ethnopsychological analysis of diagnostic referral practices, revealing systemic tendencies toward medicalization in educational settings.

## Key findings

- Three child conceptualizations emerged: the needy child, the demanding child, and the child with strengths and weaknesses.
- Difficulties are often framed through peer comparisons, failure to meet didactic standards, and behavioral non-adherence.
- Certification is frequently used to manage uncertainty or delegate responsibility to specialists, highlighting communication gaps between institutions.

## Abstract

The increase in requests for certifications has created uncertainty and changes in the way minors are perceived in the school environment. The way in which schools categorize minors can influence their developmental path, facilitating or compromising their psychological and sometimes even clinical development. This article explores how teachers, parents, and child neuropsychiatry services in Italy identify and communicate a student's difficulty that may lead to a diagnostic certification of special educational needs (SEN). Drawing on an ethnopsychological perspective and employing semi-structured interviews with 46 participants, the study investigates the discursive and interactional dynamics underlying referral practices in schools. Using Critical Discourse Analysis (CDA), we examine how perceptions of nonconformity with educational norms become grounds for suspecting pathology, and how such perceptions are shaped by institutional expectations, professional uncertainty, and the search for legitimacy. The results reveal three specific conceptualizations of children: the needy child, the demanding child, and the child with strengths and weaknesses. Findings reveal that difficulties are often framed through comparisons with peers, failure to meet didactic standards, and behavioral non-adherence to school rules. Certification is frequently requested as a strategy for managing uncertainty or delegating responsibility to specialists. The results highlight a systemic inclination toward medicalising school diversity, exacerbated by communication gaps between schools, families, and health services. The study recommends clearer protocols, enhanced teacher training, and culturally sensitive approaches to promote inclusive and dialogic educational practices.