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The Therapeutic State
by Thomas Szasz
Therapeutic State by Thomas Szasz
  • Dissident psychiatrist Thomas Szasz mercilessly exposes the pretensions of the American mental-health establishment.
  • This is a collection of seventy-four articles on mental illness, involuntary mental hospitalization, the insanity defense, psychiatry in the Soviet Union, drug laws, and sex "education" and "therapy" . . .
  • Szasz maintains that "mental illness" is not an illness but a metaphor; that involuntary mental hospitalization is incarceration of the innocent; that the insanity defense is exculpation of the guilty; that psychiatric "treatments" imposed on individuals against their wishes are tortures; that our current drug prohibitions are as absurd and counterproductive as was our "noble experiment" with alcohol; and that sex education and sex therapy are frauds and follies." (Publisher's note)
Szasz has been the most efficient debunker of the myth of mental illness (as he calls it). He likens the term and concept of "mental illness" to the metaphorical use of terms like "that was a sick joke" and "my car isn't feeling well". There are problems people have with their minds and living. The term "mental illness" describes the general concept referring to this difficulty some people have with their minds. Things called depression, anxiety and insomnia are conditions which involve the person, their mind, and reactions to life situations. Saying a mind is "sick", "ill" or "diseased" is a metaphorical usage which does not imply any actual physical ailment which is necessary to be classified as a "real" disease, but instead refers to a comparative similarity (i.e. metaphor) to the physical condition of a body illness. The term involves playing with words, and an entire generation of psychiatrists, media and the general public mistakenly take the metaphor to be a real thing referring to actual physical ailments (which they don't). Szasz makes this abundantly clear to the reader.

Mark Hendrickson - The Christian Science Monitor (Eastern edition):
The tone of Szasz's writing is often acidulous, bitter, supercilious, and seemingly devoid of compassion (as with his merciless condemnation of Patty Hearst). He is smug, opinionated, and quite often right in what he says. That can be a difficult combination to digest. Suffice it to say that Szasz writes to make one think, not to make one feel good. Although his tone is responsible for his failure to provide the optimum possible rebuttal to mainstream psychiatry, anyone interested in mental-health theories still ought to read Szasz before formulating any fixed opinions on the subject.

THOMAS SZASZ, M.D., is considered a brilliant revolutionary thinker by some - a dangerous renegade by others. In either case, the author of The Manufacture of Madness, Schizophrenia: The Sacred Symbol of Psychiatry, and Sex by Prescription is one of the most important writers in present-day psychiatry.

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