The Soviet system used psychiatry as a weapon by diagnosing political opponents as mentally ill in order to confine them as patients instead of trying them in court. Anyone who challenged the state such as dissidents, writers, would-be emigrants, religious believers, or human rights activists could be branded with fabricated disorders like sluggish schizophrenia. This turned normal political disagreement into supposed medical pathology and allowed the state to present dissent as insanity.
Once labeled in this way, people were placed in psychiatric hospitals where they could be held for long periods without legal protections. Harsh treatments were often used to break their resolve. The collaboration between state security organs and compliant psychiatrists created a system where political imprisonment was disguised as medical care, letting the Soviet regime suppress opposition while pretending it was addressing illness rather than silencing critics.



You seem to make the mistake of subsuming the whole of anarchist Ukraine under Makhno. While he was vital for the civil war, he hardly was the architect of what happend in Ukraine.
The factory councils sure didn’t rely on him leading all of a sudden.
I don’t think that’s a mistake I made, because it was wrapped up long before I was born. But the Anarcho-Communists of the Ukraine failed to reconcile with their neighbors in Russia, despite having a host of overlapping priorities. There were clearly more Red Guards than Makhnovists. And so they lost to a numbers game long before a shot was fired.
Didn’t they? We saw what happened to organically constituted Workers Soviets without an armed defense in Shanghai and Paris. Makhno was pivotal in defeating the Whites when they came knocking. So his army was definitely instrumental to the movement lasting as long as it did. And there was even a generous overlap between membership of the Bolsheviks and Makhnovists, given how easily guys like Peter Arshinov changed sides.
How many Ukrainian factory councils slide effortlessly into USSR colors when Lenin came knocking?