I am kind of out of the reality-show loop, so I hadn't heard about this new awful flavor before this post, but ugh. How does one 'win' the OCD reality show? By doing more 'wacky' rituals than anybody else? By pandering to a studio audience? That is just horrible, playing off peoples' lived experiences for spectacle and let's not forget, profit.

Have you read Eli Clare's Exile & Pride? There's a chapter near the end of the book on people with disabilities and, especially, people with non-normative bodies taking advantage of that spectacle for personal profit, and CLare working through the personal and political implications of hijacking the dominant gaze. It's a lot of food for thought, and I'm not sure Clare works quite through it in the book, but it is what immediately came to mind when I read your comment.