This is exactly what O' Sullivan and the rest of the 'overdiagnosis' gang don't seem to understand.
I think it's worse and they do understand it, it's just that they're wrong, that they align with the facts, but in defiant opposition of what they mean, parallel, but completely backwards. This is a core feature of modern psychosomatic ideology, they even borrow a lot of the language we use for this reason. The speak of giving patients the power of knowledge, of being able to do something with that knowledge, all the time. They also speak a lot about hope, which we pin on science, something they criticize us for, absurdly insane as it is.
Just like they make the patient community being silenced, which they do against us, and stigmatized, while being the main source of both. They understand those things, but they use them as weapons because they have beliefs and opinions that reject reality. Which is something they also accuse us of, having the privilege of abusing power that way.
I see them the same way as religious fanatics. They are smart enough to understand those things, and to use them in the pursuit of their goals. It normally shouldn't work, but the religion they force onto us happens to be their divine superiority, and that's just too appealing an excuse in a context of disastrous failure. It says, to themselves: you are not failing them, they are failing themselves, you are doing great, you are capable, you are perfect and all-knowing.