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It's from

http://www.newscientist.com/blogs/shortsharpscience/2010/11/pain-brain-regions-also-active.html

Consequently, the concept of dysfunction is systemically hostage to political dynamics and social power

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  • Note that the comment seems to come from an essentially Marxist viewpoint, insisting that this study of female sexuality must be interpreted, or rather, invalidated, within the framework of Marxist ideas of oppression and liberation—specifically the oppression of women by men.
    – Brian Hitchcock
    Apr 13, 2015 at 5:08

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It means that people who are in power can decide what is called bad or disordered.

hostage
n.
3. One [or something] that is under the constraining control of another: "In becoming a mother one becomes a hostage to fortune" (Janna Malamud Smith).

https://www.ahdictionary.com/word/search.html?q=hostage

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