To argue that Amy Hamm was subjected to a “public struggle session” by her professional association, we can draw on Robert Jay Lifton’s framework from *Thought Reform and the Psychology of Totalism* and apply it to her situation, based on what is publicly known and inferred about her case. Amy Hamm, a Canadian nurse and columnist, faced disciplinary action from the British Columbia College of Nurses and Midwives (BCCNM) due to her gender-critical views expressed online, particularly her support for J.K. Rowling and her stance against aspects of transgender ideology. Using Lifton’s eight criteria, here’s how the case can be constructed:

1. **Milieu Control**: The BCCNM reportedly initiated an investigation into Hamm’s off-duty social media posts and writings, extending its authority into her private life. By publicizing the complaint process and framing it as a professional misconduct issue, the association controlled the narrative. Hamm’s ability to respond was likely constrained by confidentiality rules or legal pressure, creating an environment where her voice was sidelined while the association’s perspective dominated public perception.

2. **Mystical Manipulation**: The disciplinary action was cloaked in the higher purpose of “protecting the public” or upholding “professional standards,” a common justification in totalistic systems. The BCCNM’s vague allegations of “discrimination” or “harm” (terms often cited in such cases) suggest an orchestrated effort to portray Hamm’s views as inherently dangerous, lending the process an almost ritualistic weight—her punishment serving as a warning to others.

3. **Demand for Purity**: Hamm’s gender-critical stance was treated as a moral failing, incompatible with the nursing profession’s ideological purity. The association’s standards, likely aligned with progressive orthodoxy on gender, positioned her as “impure” for questioning transgender policies or biology-based definitions of sex. This binary framing—conform or be condemned—mirrors the totalistic demand for absolute allegiance.

4. **Cult of Confession**: While no public record shows Hamm being forced to confess verbatim, the disciplinary process inherently pressured her to recant or apologize. The BCCNM’s investigation, dragging on for years (initiated around 2020 and still unresolved by late 2023 per public reports), implies a coercive intent: submit to re-education or face professional ruin. Struggle sessions thrive on this dynamic—publicly breaking the individual through prolonged scrutiny until they yield.

5. **Sacred Science**: The association’s policies on inclusivity and anti-discrimination were treated as infallible truths, beyond critique. Hamm’s dissent—rooted in biological or feminist arguments—was dismissed as unprofessional rather than engaged as a legitimate viewpoint. This reflects Lifton’s notion of an unchallengeable doctrine, where the BCCNM’s interpretation of “safe care” became a sacred, unquestionable standard.

6. **Loading the Language**: Terms like “harmful conduct,” “unprofessional behavior,” or “breach of trust” were likely deployed against Hamm, as seen in similar regulatory cases. These loaded phrases, vague yet damning, stifle debate and cast her as a villain without requiring the association to prove tangible harm. In struggle sessions, such language turns the accused into a symbol of evil, rallying collective condemnation.

7. **Doctrine Over Person**: Hamm’s individual context—her reasoned arguments, her off-duty status, her intent—was subordinated to the BCCNM’s ideological framework. Her personal experience as a nurse and mother advocating for women’s rights was irrelevant; the doctrine of mandatory alignment with transgender affirmation took precedence, erasing her humanity in favor of compliance.

8. **Dispensing of Existence**: By subjecting Hamm to a prolonged, public disciplinary process, the BCCNM effectively marked her as unfit to exist within the profession unless she conformed. The threat of license revocation or public censure (amplified by media coverage and online backlash) mirrors the totalistic expulsion of dissenters. She was symbolically “dispensed with” as a legitimate member of the nursing community.

The “public” element of the struggle session is evident in how the case played out beyond closed doors. The BCCNM’s investigation wasn’t a quiet internal matter; it drew attention from activists, media, and Hamm’s supporters, turning it into a spectacle. Public statements from the college (even if minimal) and the ensuing social media firestorm—where Hamm faced vilification from trans advocates—amplified the humiliation. This aligns with Maoist struggle sessions, where the accused is paraded before a crowd, denounced, and forced to endure collective judgment. The years-long ordeal, coupled with the lack of clear resolution, suggests not just punishment but a deliberate attempt to break her resolve, a hallmark of totalistic control.

In conclusion, the BCCNM’s actions against Amy Hamm can be framed as a modern struggle session: a public, performative exercise in ideological enforcement, leveraging Lifton’s thought-reform tactics to humiliate, isolate, and coerce her into submission. The process wasn’t just about regulating conduct—it was a ideological purge, staged to deter others and uphold a totalistic vision of professional conformity.