Medicalization is criticized as a practice that entrusts societal conflicts to the interpretive and operational methods of medicine. An example of this is the pathologization of children in connection with the diagnostic category “AD(H)D”. This essay explores the extent to which the demand for “inclusion” can halt medicalization processes. As the demand for “inclusion” advanced to a comprehensive socio-political utopia, the simplicity of the concept was also revealed and vehemently criticized. A closer look shows that while this criticism is sometimes exaggerated, it is fundamentally correct and the demand for “inclusion” can even promote medicalization. As an alternative, a consistently interpretive orientation towards the lifeworld is advocated as a utopian guiding principle for the profession of social work.