You make some good points.
However, I'm not speaking about whether someone's action is worthy or unworthy, but rather, the specific reaction of judgement itself as a form of conscious energy. When examined energetically, the intention of judging itself is often a form of social aggression, usually in reaction to aversion.
Aversion is a natural instinct when we come across something that is toxic, or more precisely, perceived as toxic to our bodies. Toxins get expelled. This is very natural, at least for human bodies.
The thing is that Consciousness spans more than being human, and it persists beyond the our given lifetime as a human. We trade roles and act out this theatre where, sometimes you are the one judging, and sometimes you are the one being judged for the same actions. What is toxic at some level of teaching is not toxic at other levels of teaching. The teaching that an individual needs is specific to that moment, in that setting.
Also, 'harm' and 'potential harm' is not so simple. There are physical, emotional, and mental damage that can be inflicted, both accidentally and deliberately. However, it's been my experience that people generally confuse pain with suffering, and conflate the two. Pain can be measured and compared, but suffering cannot. Suffering does not result from pain so much as it results from going against the natural flow of consciousness. So when we speak of "harm" in the conventional sense, we measure it in terms of pain, but we are often really speaking of "suffering" in the subtext, or subconsciously.
When people are reacting to freakouts, they are not usually reacting to the potential danger so much as the suffering from the arising fear of that danger. The aversion to suffering is so strong, there's this spiraling effect as the fear in participants start resonating, and then compound out of control. From this perspective, judgement is a kind of immune response to toxic energies, and while it might be appropriate outside of ceremony space, it isn't necessarily helping you as a participant if you focus too much on judging others within the ceremony. This is, after all, gaining insight about yourself. A good question to be asking at that point is, "What am I learning from this experience of me judging someone else?"
To come back to your points though: what I said above comes out in groups that act responsibly, and can provide a reasonably safe place to explore dangerous aspects of life like that. They don't spike the brew. I've been with groups where there are EMT or an MD on hand. There are sufficient facilities to isolate someone going through an intense journey (which always look like freakouts). There are sober helpers to make sure people get what they need ... and keep the knives hidden away. The shamans know how to deal with the really nasty stuff that will pop up once in a while.
While the nature of medicine is such that many will experience a safe way to explore some very dangerous stuff, one of the things people explore is life, and the inherent dangers and risks of life. At some point in someone's journey, they learn by taking falls and getting back up.