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Thomas Szasz

Thomas Stephen Szasz (/sɑːs/ SAHSS; Hungarian: Szász Tamás István [saːs]; 15 April 1920 – 8 September 2012) was a Hungarian-American academic and psychiatrist. He served for most of his career as professor of psychiatry at the State University of New York Upstate Medical University in Syracuse, New York.[4] A distinguished lifetime fellow of the American Psychiatric Association and a life member of the American Psychoanalytic Association, he was best known as a social critic of the moral and scientific foundations of psychiatry, as what he saw as the social control aims of medicine in modern society, as well as scientism.

Thomas Szasz
Szász Tamás István
Born
Thomas Stephen Szasz

(1920-04-15)April 15, 1920
DiedSeptember 8, 2012(2012-09-08) (aged 92)
CitizenshipHungary, United States
Alma materUniversity of Cincinnati
Known forCriticism of psychiatry
SpouseRosine Loshkajian (m. 1951; died 1971)
Children2
AwardsAward for Greatest Public Service Benefiting the Disadvantaged (1974),[1] Martin Buber Award (1974), Humanist Laureate Award (1995), Great Lake Association of Clinical Medicine Patients' Rights Advocate Award (1995), American Psychological Association Rollo May Award (1998)[2]
Scientific career
FieldsPsychiatry
InstitutionsState University of New York Upstate Medical University
Websitewww.szasz.com

His books The Myth of Mental Illness (1961) and The Manufacture of Madness (1970) set out some of the arguments most associated with him.[5]

Szasz argued throughout his career that mental illness is a metaphor for human problems in living, and that mental illnesses are not "illnesses" in the sense that physical illnesses are, and that except for a few identifiable brain diseases, there are "neither biological or chemical tests nor biopsy or necropsy findings for verifying DSM diagnoses."[6]

Szasz maintained throughout his career that he was not anti-psychiatry but rather that he opposed coercive psychiatry. He was a staunch opponent of civil commitment and involuntary psychiatric treatment, but he believed in and practiced psychiatry and psychotherapy between consenting adults.

Life edit

Szasz was born to Jewish parents Gyula and Lily Szász on April 15, 1920, in Budapest, Hungary. In 1938, Szasz moved to the United States, where he attended the University of Cincinnati for his Bachelor of Science in physics, and received his M.D. from the same university in 1944.[7] Szasz completed his residency requirement at the Cincinnati General Hospital, then worked at the Chicago Institute for Psychoanalysis from 1951 to 1956, and then for the next five years was a member of its staff – taking 24 months out for duty with the U.S. Naval Reserve.[8]

In 1962, Szasz received a tenured position in medicine at the State University of New York.[9] Szasz had first joined SUNY in 1956.

Szasz had two daughters. His wife, Rosine, died in 1971.[3] Szasz's colleague Jeff Schaler described her death as a suicide.[10]

Szasz's views of psychiatry were influenced by the writings of Frigyes Karinthy.[11][12]

Death edit

Thomas Szasz ended his own life on September 8, 2012. He had previously suffered a fall and would have had to live in chronic pain otherwise. Szasz argued for the right to suicide in his writings.[10]

Rise of Szasz's arguments edit

Szasz first presented his attack on "mental illness" as a legal term in 1958 in the Columbia Law Review. In his article he argued that mental illness was no more a fact bearing on a suspect's guilt than is possession by the devil.[9][13]

In 1961, Szasz testified before a United States Senate Committee, arguing that using mental hospitals to incarcerate people defined as insane violated the general assumptions of the patient-doctor relationship, and turned the doctor into a warden and keeper of a prison.[9]

Szasz's main arguments edit

Szasz was convinced there was a metaphorical character to mental disorders, and its uses in psychiatry were frequently injurious. He set himself a task to delegitimize legitimating agencies and authorities, and what he saw as their vast powers, enforced by psychiatrists and other mental health professionals, mental health laws, mental health courts, and mental health sentences.[14]: 22 

Szasz was a critic of the influence of modern medicine on society, which he considered to be the secularization of religion's hold on humankind. Criticizing scientism, he targeted psychiatry in particular, underscoring its campaigns against masturbation at the end of the 19th century, its use of medical imagery and language to describe misbehavior, its reliance on involuntary mental hospitalization to protect society, and the use of lobotomy and other interventions to treat psychosis. To sum up his description of the political influence of medicine in modern societies imbued by faith in science, he declared:

Since theocracy is the rule of God or its priests, and democracy the rule of the people or of the majority, pharmacracy is therefore the rule of medicine or of doctors.[15][page needed]

Szasz consistently paid attention to the power of language in the establishment and maintenance of the social order, both in small interpersonal and in wider social, economic, and/or political spheres:

The struggle for definition is veritably the struggle for life itself. In the typical Western two men fight desperately for the possession of a gun that has been thrown to the ground: whoever reaches the weapon first shoots and lives; his adversary is shot and dies. In ordinary life, the struggle is not for guns but for words; whoever first defines the situation is the victor; his adversary, the victim. For example, in the family, husband and wife, mother and child do not get along; who defines whom as troublesome or mentally sick?... [the one] who first seizes the word imposes reality on the other; [the one] who defines thus dominates and lives; and [the one] who is defined is subjugated and may be killed.[16]: 85 

His main arguments can be summarized as follows:

"Myth of mental illness" edit

"Mental illness" is an expression, a metaphor that describes an offending, disturbing, shocking, or vexing conduct, action, or pattern of behavior, such as packaged under the wide-ranging term schizophrenia, as an "illness" or "disease". Szasz wrote: "If you talk to God, you are praying; If God talks to you, you have schizophrenia. If the dead talk to you, you are a spiritualist; If you talk to the dead, you are a schizophrenic."[16]: 85  He maintained that, while people behave and think in disturbing ways, and those ways may resemble a disease process (pain, deterioration, response to various interventions), this does not mean they actually have a disease. To Szasz, disease can only mean something people "have", while behavior is what people "do". Diseases are "malfunctions of the human body, of the heart, the liver, the kidney, the brain" while "no behavior or misbehavior is a disease or can be a disease. That's not what diseases are." Szasz cited drapetomania as an example of a behavior that many in society did not approve of, being labeled and widely cited as a disease. Likewise, women who did not bend to a man's will were said to have hysteria.[17] He thought that psychiatry actively obscures the difference between behavior and disease in its quest to help or harm parties in conflicts. He maintained that, by calling people diseased, psychiatry attempts to deny them responsibility as moral agents in order to better control them.

In Szasz's view, people who are said by themselves or others to have a mental illness can only have, at best, "problems in living". Diagnoses of "mental illness" or "mental disorder" (the latter expression called by Szasz a "weasel term" for mental illness) are passed off as "scientific categories" but they remain merely judgments (judgments of disdain) to support certain uses of power by psychiatric authorities. In that line of thinking, schizophrenia becomes not the name of a disease entity but a judgment of extreme psychiatric and social disapprobation. Szasz called schizophrenia "the sacred symbol of psychiatry" because those so labeled have long provided and continue to provide justification for psychiatric theories, treatments, abuses, and reforms.

The figure of the psychotic or schizophrenic person to psychiatric experts and authorities, according to Szasz, is analogous with the figure of the heretic or blasphemer to theological experts and authorities. According to Szasz, to understand the metaphorical nature of the term "disease" in psychiatry, one must first understand its literal meaning in the rest of medicine. To be a true disease, the entity must first somehow be capable of being approached, measured, or tested in scientific fashion. Second, to be confirmed as a disease, a condition must demonstrate pathology at the cellular or molecular level.

A genuine disease must also be found on the autopsy table (not merely in the living person) and meet pathological definition instead of being voted into existence by members of the American Psychiatric Association. "Mental illnesses" are really problems in living. They are often "like a" disease, argued Szasz, which makes the medical metaphor understandable, but in no way validates it as an accurate description or explanation. Psychiatry is a pseudoscience that parodies medicine by using medical-sounding words invented especially over the last one hundred years. To be clear, heart break and heart attack, or spring fever and typhoid fever belong to two completely different logical categories, and treating one as the other constitutes a category error. Psychiatrists are the successors of "soul doctors", priests who dealt and deal with the spiritual conundrums, dilemmas, and vexations – the "problems in living" – that have troubled people forever.

Psychiatry's main methods are assessment, medication, conversation or rhetoric and incarceration. To the extent that psychiatry presents these problems as "medical diseases", its methods as "medical treatments", and its clients – especially involuntary – as medically ill patients, it embodies a lie and therefore constitutes a fundamental threat to freedom and dignity. Psychiatry, supported by the state through various Mental Health Acts, has become a modern secular state religion according to Szasz. It is a vastly elaborate social control system, using both brute force and subtle indoctrination, which disguises itself under the claims of being rational, systematic and therefore scientific.

"Patient" as malingerer edit

According to Szasz, many people fake their presentation of mental illness, i.e., they are malingering. They do so for gain, for example, in order to escape a burden like evading the draft, or to gain access to drugs or financial support, or for some other personally meaningful reason. By definition, the malingerer is knowingly deceitful (although malingering itself has also been called a mental illness or disorder). Szasz mentions malingering in many of his works, but it is not what he has in mind to explain many other manifestations of so-called "mental illness". In those cases, so-called "patients" have something personally significant to communicate – their "problems in living" – but unable to express this via conventional means they resort to illness-imitation behaviour, a somatic protolanguage or "body language", which psychiatrists and psychologists have misguidedly interpreted as the signs/symptoms of real illness.[18] So, for example, "analyzing the origin of the hysterical protolanguage Szasz states that it has a double origin: – the first root is in the somatic structure of human being. The human body is subject to illnesses and disabilities expressed through somatic signs (like paralysis, convulsions, etc.) and somatic sensations (like pain, tiredness, etc.); – the second root can be found into cultural factors."[19]

Separation of psychiatry and the state edit

Szasz believed that if we accept that "mental illness" is a euphemism for behaviors that are disapproved of, then the state has no right to force psychiatric "treatment" on these individuals. Similarly, the state should not be able to interfere in mental health practices between consenting adults (for example, by legally controlling the supply of psychotropic drugs or psychiatric medication). The medicalization of government produces a "therapeutic state", designating someone as, for example, "insane" or as a "drug addict".

In Ceremonial Chemistry (1973), he argued that the same persecution that targeted witches, Jews, gypsies, and homosexuals now targets "drug addicts" and "insane" people. Szasz argued that all these categories of people were taken as scapegoats of the community in ritual ceremonies. To underscore this continuation of religion through medicine, he even takes as an example obesity: instead of concentrating on junk food (ill-nutrition), physicians denounced hypernutrition. According to Szasz, despite their scientific appearance, the diets imposed were a moral substitute to the former fasts, and the social injunction not to be overweight is to be considered as a moral order, not as scientific advice as it claims to be. As with those thought bad (insane people), and those who took the wrong drugs (drug addicts), medicine created a category for those who had the wrong weight (obesity).

Szasz argued that psychiatrics were created in the 17th century to study and control those who erred from the medical norms of social behavior; a new specialization, drogophobia, was created in the 20th century to study and control those who erred from the medical norms of drug consumption; and then, in the 1960s, another specialization, bariatrics (from the Greek βάρος baros, for "weight"), was created to deal with those who erred from the medical norms concerning the weight the body should have. Thus, he underscores that in 1970, the American Society of Bariatric Physicians had 30 members, and already 450 two years later.[citation needed]

Presumption of competence and death control edit

Just as legal systems work on the presumption that a person is innocent until proven guilty, individuals accused of crimes should not be presumed incompetent simply because a doctor or psychiatrist labels them as such. Mental incompetence should be assessed like any other form of incompetence, i.e., by purely legal and judicial means with the right of representation and appeal by the accused.

In an analogy to birth control, Szasz argued that individuals should be able to choose when to die without interference from medicine or the state, just as they are able to choose when to conceive without outside interference. He considered suicide to be among the most fundamental rights, but he opposed state-sanctioned euthanasia.

In his 2006 book about Virginia Woolf he stated that she put an end to her life by a conscious and deliberate act, her suicide being an expression of her freedom of choice.[20][21]

Abolition of the insanity defense and involuntary hospitalization edit

Szasz believed that testimony about the mental competence of a defendant should not be admissible in trials. Psychiatrists testifying about the mental state of an accused person's mind have about as much business as a priest testifying about the religious state of a person's soul in our courts. Insanity was a legal tactic invented to circumvent the punishments of the Church, which at the time included confiscation of the property of those who committed suicide, often leaving widows and orphans destitute. Only an insane person would do such a thing to his widow and children, it was successfully argued. This is legal mercy masquerading as medicine, according to Szasz.[22]

No one should be deprived of liberty unless he is found guilty of a criminal offense. Depriving a person of liberty for what is said to be his own good is immoral. Just as a person suffering from terminal cancer may refuse treatment, so should a person be able to refuse psychiatric treatment.

The right to drugs edit

Drug addiction is not a "disease" to be cured through legal drugs but a social habit. Szasz also argues in favor of a free market for drugs. He criticized the war on drugs, arguing that using drugs is in fact a victimless crime. Prohibition itself constituted the crime. He argued that the war on drugs leads states to do things that would have never been considered half a century before, such as prohibiting a person from ingesting certain substances or interfering in other countries to impede the production of certain plants, e.g. coca eradication plans, or the campaigns against opium; both are traditional plants opposed by the Western world. Although Szasz was skeptical about the merits of psychotropic medications, he favored the repeal of drug prohibition.[23]

Szasz also drew analogies between the persecution of the drug-using minority and the persecution of Jewish and homosexual minorities.

The Nazis spoke of having a "Jewish problem". We now speak of having a drug-abuse problem. Actually, "Jewish problem" was the name the Germans gave to their persecution of the Jews; "drug-abuse problem" is the name we give to the persecution of people who use certain drugs.[16]: 64 

Szasz cites former U.S. Representative James M. Hanley's reference to drug users as "vermin", using "the same metaphor for condemning persons who use or sell illegal drugs that the Nazis used to justify murdering Jews by poison gas – namely, that the persecuted persons are not human beings, but 'vermin.'"[24]

Therapeutic state edit

The "therapeutic state" is a phrase coined by Szasz in 1963.[25] The collaboration between psychiatry and government leads to what Szasz calls the therapeutic state, a system in which disapproved actions, thoughts, and emotions are repressed ("cured") through pseudomedical interventions.[26][27]: 17  Thus suicide, unconventional religious beliefs, racial bigotry, unhappiness, anxiety, shyness, sexual promiscuity, shoplifting, gambling, overeating, smoking, and illegal drug use are all considered symptoms or illnesses that need to be cured.[27]: 17  When faced with demands for measures to curtail smoking in public, binge-drinking, gambling or obesity, ministers say that "we must guard against charges of nanny statism."[28] The "nanny state" has turned into the "therapeutic state" where nanny has given way to counselor.[28] Nanny just told people what to do; counselors also tell them what to think and what to feel.[28] The "nanny state" was punitive, austere, and authoritarian, the therapeutic state is touchy-feely, supportive – and even more authoritarian.[28]

According to Szasz, "the therapeutic state swallows up everything human on the seemingly rational ground that nothing falls outside the province of health and medicine, just as the theological state had swallowed up everything human on the perfectly rational ground that nothing falls outside the province of God and religion."[29]: 515  Faced with the problem of "madness", Western individualism proved to be ill-prepared to defend the rights of the individual: modern man has no more right to be a madman than medieval man had a right to be a heretic because if once people agree that they have identified the one true God, or Good, it brings about that they have to guard members and nonmembers of the group from the temptation to worship false gods or goods.[29]: 496  A secularization of God and the medicalization of good resulted in the post-Enlightenment version of this view: once people agree that they have identified the one true reason, it brings about that they have to guard against the temptation to worship unreason – that is, madness.[29]: 496 

Civil libertarians warn that the marriage of the state with psychiatry could have catastrophic consequences for civilization.[30] In the same vein as the separation of church and state, Szasz believes that a solid wall must exist between psychiatry and the state.[29]

American Association for the Abolition of Involuntary Mental Hospitalization edit

Believing that psychiatric hospitals are like prisons not hospitals and that psychiatrists who subject others to coercion function as judges and jailers not physicians,[31] Szasz made efforts to abolish involuntary psychiatric hospitalization for over two decades, and in 1970 took a part in founding the American Association for the Abolition of Involuntary Mental Hospitalization (AAAIMH).[32] Its founding was announced by Szasz in 1971 in the American Journal of Psychiatry[33] and American Journal of Public Health.[34] The association provided legal help to psychiatric patients and published a journal, The Abolitionist.[35]

Relationship to Citizens Commission on Human Rights edit

In 1969, Szasz and the Church of Scientology co-founded the Citizens Commission on Human Rights (CCHR) to oppose involuntary psychiatric treatments. Szasz served on CCHR's Board of Advisors as Founding Commissioner.[36] In the keynote address at the 25th anniversary of CCHR, Szasz stated, "We should all honor CCHR because it is really the organization that for the first time in human history has organized a politically, socially, internationally significant voice to combat psychiatry. This has never been done in human history before."[37]

In a 2009 interview aired by the Australian Broadcasting Corporation, Szasz explained his reason for collaborating with CCHR and lack of involvement with Scientology:

Well I got affiliated with an organisation long after I was established as a critic of psychiatry, called Citizens Commission for Human Rights, because they were then the only organisation and they still are the only organisation who had money and had some access to lawyers and were active in trying to free mental patients who were incarcerated in mental hospitals with whom there was nothing wrong, who had committed no crimes, who wanted to get out of the hospital. And that to me was a very worthwhile cause; it's still a very worthwhile cause. I no more believe in their religion or their beliefs than I believe in the beliefs of any other religion. I am an atheist, I don't believe in Christianity, in Judaism, in Islam, in Buddhism and I don't believe in Scientology. I have nothing to do with Scientology.[38]

Russell Tribunal edit

In the summer of 2001, Szasz took part in a Russell Tribunal on human rights in psychiatry held in Berlin between June 30 and July 2, 2001.[39] The tribunal brought in the two following verdicts: the majority verdict claimed that there was "serious abuse of human rights in psychiatry" and that psychiatry was "guilty of the combination of force and unaccountability"; the minority verdict, signed by the Israeli Law Professor Alon Harel and Brazilian novelist Paulo Coelho, called for "public critical examination of the role of psychiatry".[39]

Responses and reactions edit

Szasz was a strong critic of institutional psychiatry and his publications were very widely read. He argued that so-called mental illnesses had no underlying physiological basis, but were unwanted and unpleasant behaviors. Mental illness, he said, was only a metaphor that described problems that people faced in their daily lives, labeled as if they were medical diseases. Szasz's ideas had little influence on mainstream psychiatry, but were supported by some behavioral and social scientists. Sociologist Erving Goffman, who wrote Asylums: Essays on the Condition of the Social Situation of Mental Patients and Other Inmates, was skeptical about psychiatric practices. He was concerned that the stigma and social rejection associated with psychiatric treatment might harm people. Thomas Scheff, also a sociologist, had similar reservations.[40]

Kendell's views edit

Robert Evan Kendell presents (in Schaler, 2005[41]) a critique of Szasz's conception of disease and the contention that mental illness is "mythical" as presented in The Myth of Mental Illness. Kendell's arguments include the following:

  1. Szasz's conception of disease exclusively in terms of "lesion", i.e. morphological abnormality, is arbitrary and his conclusions based on this idea represent special pleading. There are non-psychiatric conditions that remain defined solely in terms of syndrome, e.g. migraine, torticollis, essential tremor, blepharospasm, torsion dystonia. Szasz's scepticism regarding syndromally defined diseases – only in relation to psychiatry – is entirely arbitrary. Many diseases that are outside the purview of psychiatry are defined purely in terms of the constellation of the symptoms, signs and natural history they present yet Szasz has not expressed any doubt regarding their existence. Is syndrome-based diagnosis only problematic for psychiatry but without issue for the remaining branches of medicine? If syndrome-based diagnosis is unsound on account of its absence of objectivity then it must be generally unsound and not only for psychiatry.
  2. Szasz's ostensibly exclusive criterion of disease as morphological abnormality – i.e., a lesion made evident "by post-mortem examination of organs and tissues" – is unsound because it inadvertently includes many conditions that are not considered to be diseases by virtue of the fact that they don't produce suffering or disability, e.g., functionally inconsequential chromosomal translocations and deletions, fused second and third toes, dextrocardia. Szasz's conception of disease does not distinguish between necessary versus sufficient conditions in relation to diagnostic criteria. In branches of medicine other than psychiatry, morphological abnormality per se is not considered sufficient cause to make a diagnosis of disease; functional abnormality is the necessary condition.
  3. Szasz's criticism of syndrome-based diagnoses is divorced from a consideration of the history of medicine. In medicine (in general) diseases are defined in terms of a multitude of criteria, these include: (a) morbid anatomy, e.g., mitral stenosis, cholecystitis; (b) histologically, e.g., most cancers, Alzheimer's disease; (c) infective organism, e.g. Tuberculosis, Measles; (d) physiologically, e.g. myasthenia gravis; (e) biochemically, e.g. aminoaciduria; (e) chromosomally, e.g. trisomy 21, Turner's syndrome; (f) molecularly, e.g. thalassemia; (g) genetically, e.g. Huntington's disease, cystic fibrosis; and (h) syndrome, e.g. migraine, torticollis, essential tremor, blepharospasm, torsion dystonia and most (so-called) mental disorders. The more objective definitions of disease – specified as (a) through (g) – became possible through the accumulation of scientific knowledge and the development of relevant technology. Initially the underlying pathology of some diseases was unknown and they were diagnosed only in terms of syndrome – no lesion could be demonstrated "by post-mortem examination of organs and tissues" (as Szasz requires) until later in history, e.g. malaria was diagnosed solely on the basis of syndrome until the advent of microbiology. A strict application of Szasz's criterion necessitates the conclusion that diseases such as malaria were "mythical" until medical microbiology arrived, at which point they became "real". In this regard Szasz's criterion of disease is unsound by virtue of its contradictory results.
  4. Szasz's contention that mental illness is not associated with any morphological abnormality is uninformed by genetics, biochemistry, and current research results on the etiology of mental illness. Genes are essentially instructions for the synthesis of proteins. Hence, any condition that is even partly hereditary necessarily manifests structural abnormality at the molecular level. Regardless of whether the actual morphological abnormality can be identified, if a condition has a hereditary component then it has a biological basis. Twin and adoption studies have strongly demonstrated that heredity is a major factor in the etiology of schizophrenia; thus there must be some biological difference between schizophrenics and non-schizophrenics. In relation to major depressive disorder a difference of response between euthymic and depressed individuals to antidepressant drugs and to tryptophan depletion has been demonstrated. These results in addition to twin and adoption studies provide evidence of an underlying molecular – hence structural – abnormality to depression.
  5. Szasz contends that, "Strictly speaking, disease or illness can affect only the body; hence, there can be no mental illness" and this idea is foundational to Szasz's position. In actuality, there are no physical or mental illnesses per se; there are only diseases of organisms, of persons. The bifurcation of organisms into minds and bodies is the product of the Cartesian dualism that became dominant in the late 18th century and it was at this time that the notion of insanity as something qualitatively different from other illnesses became entrenched. In actuality, brain and body comprise one integrated and indivisible system and no illness "respects" the abstraction of mind vs. body upon which Szasz's argument rests. There are no illnesses that are purely mental or purely physical. Somatic pain is itself a mental phenomenon as is the subjective distress produced by the acute phase response at the onset of illness or immediately after trauma. Similarly, conditions such as schizophrenia and major depressive disorder produce somatic symptoms. Any illness lies somewhere within a continuum between the poles of mind and body; the extrema are purely theoretical abstractions and are unoccupied by any real affliction. The mind/body division persists purely for pragmatic reasons and forms no real part of modern biomedical science.

Shorter's views edit

Edward Shorter[42] replied to Szasz's essay "The myth of mental illness: 50 years later",[43] which was published in the journal The Psychiatrist (and delivered as a plenary address at the International Congress of the Royal College of Psychiatrists in Edinburgh on 24 June 2010) – in recognition of the 50th anniversary of The Myth of Mental Illness – with the following principal criticisms:

  1. Szasz's critique is implicitly premised on a conception of mind drawn from the psychiatry of the early-mid 20th century – namely psychoanalytic psychiatry – and Szasz has not updated his critique in light of later developments in psychiatry. The referent of Szasz's critique – Freud's mind – is to be found only in the historical record and some isolated islands of psychoanalytic practice. To this extent, Szasz's critique does not address contemporary biologically-oriented psychiatry and is irrelevant. Certainly the phrase mental illness occurs in the contemporary psychiatric lexicon, but that is merely a legacy of the earlier psychoanalytic influence upon psychiatry; the term does not reflect a real belief that psychiatric disease – Shorter's preferred term – originates in the mind, an abstraction as Szasz rightly explains.
  2. Szasz concedes that some so-called mental illnesses may have a neurological basis – but adds that were such a biological basis discovered for these so-called mental illnesses, they would have to be reclassified from mental illnesses to brain diseases, which would vindicate his position. Shorter explains that the problem with Szasz's argument here is that it is the contention of biological psychiatry that so-called mental illnesses are actually brain diseases. Modern psychiatry has de facto dispensed with the idea of mental illness, i.e. the notion that psychiatric disease is mainly or entirely psychogenic is not a part of biological psychiatry.
  3. There exists at least prima facie evidence that psychiatric illness has a biological basis and Szasz either ignores this evidence or attempts to insulate his argument from such evidence by effectively claiming that "no true mental illness has a biological basis." Shorter cites hypothalamic–pituitary–adrenal axis (HPA) dysregulation, a positive dexamethasone suppression test result, and shortened rapid eye movement sleep latency in those with melancholic depression as examples of this evidence. Further examples cited by Shorter include the responsiveness of catatonia to barbiturates and benzodiazepines.

Awards edit

Szasz was honored with over fifty awards including:[2]

Thomas S. Szasz Award edit

The Center for Independent Thought established the Thomas S. Szasz Award for Outstanding Contributions to the Cause of Civil Liberties.

Notable recipients edit

See also edit

Writings edit

Books edit

  • Pain and Pleasure: A Study of Bodily Feelings. Syracuse, New York: Syracuse University Press. 1988 [1957]. ISBN 978-0-8156-0230-9.
  • The Myth of Mental Illness: Foundations of a Theory of Personal Conduct. Harper & Row. 1974 [1961]. ISBN 978-0-06-014196-7.
  • Law, Liberty, and Psychiatry: An Inquiry into the Social Uses of Mental Health Practices. Syracuse, New York: Syracuse University Press. 1989 [1963]. ISBN 978-0-8156-0242-2.
  • Psychiatric Justice. Syracuse, New York: Syracuse University Press. 1988 [1965]. ISBN 978-0-8156-0231-6.
  • The Ethics of Psychoanalysis: The Theory and Method of Autonomous Psychotherapy. Syracuse, New York: Syracuse University Press. 1988 [1965]. ISBN 978-0-8156-0229-3.
  • Ideology and Insanity: Essays on the Psychiatric Dehumanization of Man. Syracuse, New York: Syracuse University Press. 1991 [1970]. ISBN 978-0-8156-0256-9.
  • The Manufacture of Madness: A Comparative Study of the Inquisition and the Mental Health Movement. Syracuse, New York: Syracuse University Press. 1997 [1970]. ISBN 978-0-8156-0461-7.
  • The Second Sin. Doubleday. 1974 [1973]. ISBN 978-0-7100-7757-8.
  • The Age of Madness: A History of Involuntary Mental Hospitalization Presented in Selected Texts (editor). London: Routledge & Kegan Paul Ltd. 1975 [1973]. ISBN 978-0-7100-7993-0.
  • Ceremonial Chemistry: The Ritual Persecution of Drugs, Addicts, and Pushers. Syracuse, New York: Syracuse University Press. 2003 [1974]. ISBN 978-0-8156-0768-7.
  • Schizophrenia: The Sacred Symbol of Psychiatry. Syracuse, New York: Syracuse University Press. 1988 [1976]. ISBN 978-0-8156-0224-8.
  • Anti-Freud: Karl Kraus and His Criticism of Psychoanalysis and Psychiatry. Syracuse, New York: Syracuse University Press. 1990 [1976]. ISBN 978-0-8156-0247-7. (First published in 1976 under the name: Karl Kraus and the Soul-Doctors: A Pioneer Critic and His Criticism of Psychiatry and Psychoanalysis – Louisiana State University Press, 1976.)
  • Heresies. Doubleday Anchor. 1976. ISBN 978-0-385-11162-1.
  • The Theology of Medicine: The Political-Philosophical Foundations of Medical Ethics. Syracuse, New York: Syracuse University Press. 1988 [1977]. ISBN 978-0-8156-0225-5.
  • Psychiatric Slavery. Syracuse, New York: Syracuse University Press. 1977. ISBN 978-0-8156-0511-9.
  • The Myth of Psychotherapy: Mental Healing as Religion, Rhetoric, and Repression. Syracuse, New York: Syracuse University Press. 1988 [1978]. ISBN 978-0-8156-0223-1.
  • Sex by Prescription: The Startling Truth about Today's Sex Therapy. Syracuse, New York: Syracuse University Press. 1990 [1980]. ISBN 978-0-8156-0250-7.
  • The Therapeutic State: Psychiatry in the Mirror of Current Events. Buffalo NY: Prometheus Books. 1984. ISBN 978-0879752392.
  • Insanity: The Idea and Its Consequences. Syracuse, New York: Syracuse University Press. 1997 [1987]. ISBN 978-0-8156-0460-0.
  • The Untamed Tongue: A Dissenting Dictionary. Lasalle, IL: Open Court. 1990. ISBN 978-0812691030.
  • Our Right to Drugs: The Case for a Free Market. Syracuse, New York: Syracuse University Press. 1996 [1992]. ISBN 978-0-8156-0333-7.
  • A Lexicon of Lunacy: Metaphoric Malady, Moral Responsibility, and Psychiatry. New Brunswick, New Jersey: Transaction Publishers. 2003 [1993]. ISBN 978-1-56000-065-5.
  • Cruel Compassion: Psychiatric Control of Society's Unwanted. Syracuse, New York: Syracuse University Press. 1998 [1994]. ISBN 978-0-8156-0510-2.
  • The Meaning of Mind: Language, Morality, and Neuroscience. Westport CT: Praeger Publishers. 1996. ISBN 978-0-275-95603-5.
  • Fatal Freedom: The Ethics and Politics of Suicide. Westport CT: Praeger Publishers. 1999. ISBN 978-0-275-96646-1.
  • Pharmacracy: Medicine and Politics in America. Westport CT: Praeger Publishers. 2001. ISBN 978-0-275-97196-0.
  • Liberation by Oppression: A Comparative Study of Slavery and Psychiatry. New Brunswick, New Jersey: Transaction Publishers. 2002. ISBN 978-0-7658-0145-6.
  • Faith in Freedom: Libertarian Principles and Psychiatric Practices. New Brunswick, New Jersey: Transaction Publishers. 2004. ISBN 978-0-7658-0244-6.
  • Words to the Wise: A Medical-Philosophical Dictionary. New Brunswick, New Jersey: Transaction Publishers. 2004. ISBN 978-0-7658-0217-0.
  • My Madness Saved Me: The Madness and Marriage of Virginia Woolf. New Brunswick, New Jersey: Transaction Publishers. 2006. ISBN 978-0-7658-0321-4.
  • Coercion as Cure: A Critical History of Psychiatry. New Brunswick, New Jersey: Transaction Publishers. 2007. ISBN 978-0-7658-0379-5.
  • The Medicalization of Everyday Life: Selected Essays. Syracuse, New York: Syracuse University Press. 2007. ISBN 978-0-8156-0867-7.
  • Psychiatry: The Science of Lies. Syracuse, New York: Syracuse University Press. 2008. ISBN 978-0-8156-0910-0.
  • Antipsychiatry: Quackery Squared. Syracuse, New York: Syracuse University Press. 2009. ISBN 978-0-8156-0943-8.
  • Suicide Prohibition: The Shame of Medicine. Syracuse, New York: Syracuse University Press. 2011. ISBN 978-0-8156-0990-2.
  • Nurbakhsh, Javad; Szasz, Thomas; Jahangiri, Hamideh (2019). Handbook of Psychiatry volume 1. Germany: Lap Lambert. ISBN 978-3-330-34637-6.

Selected scholarly papers edit

  • Szasz, T. (3 September 1988). "Koryagin and psychiatric coercion". The Lancet. 332 (8610): 573. doi:10.1016/S0140-6736(88)92700-6. PMID 2900959. S2CID 5176787.
  • Szasz, T S (16 December 1971). "More cruel than the gas chamber". New Society: 1213–1215.
  • Szasz, T. (28 December 1991). "Diagnoses are not diseases". The Lancet. 338 (8782–8783): 1574–1576. doi:10.1016/0140-6736(91)92387-H. PMID 1683983. S2CID 35351783.
  • Szasz, Thomas (June 1993). "Curing, coercing, and claims-making: a reply to critics". The British Journal of Psychiatry. 162 (6): 797–800. doi:10.1192/bjp.162.6.797. PMID 8330111. S2CID 2282452.
  • Szasz, Thomas (June 2008). "Debunking antipsychiatry: Laing, law, and Largactil". Current Psychology. 27 (2): 79–101. doi:10.1007/s12144-008-9024-z. S2CID 145618728.
  • Szasz, Thomas S. (August 1975). "Medical metaphorology". American Psychologist. 30 (8): 859–8561. doi:10.1037/0003-066X.30.8.859.
  • Szasz, T. S. (October 1975). "The danger of coercive psychiatry". American Bar Association Journal. 61: 1246–1248. PMID 11664493.
  • Szasz, Thomas S. (May–June 1981). "Power and psychiatry". Society. 18 (4): 16–18. doi:10.1007/BF02701339. S2CID 143684254.
  • Szasz, Thomas (March–April 2004). "Protecting patients against psychiatric intervention". Society. 41 (3): 7–9. doi:10.1007/BF02690175. S2CID 144199897.
  • Szasz, Thomas (July–August 2004). "Pharmacracy in America". Society. 41 (5): 54–58. doi:10.1007/BF02688218. S2CID 145162903.
  • Szasz, Thomas (1976). "The Myth of Mental Illness". In Humber, James; Almeder, Robert (eds.). Biomedical Ethics and the Law. Vol. Part II. Springer US. pp. 113–122. doi:10.1007/978-1-4684-2223-8_10. ISBN 978-1-4684-2225-2.
  • Szasz, Thomas (1978). "The Concept of Mental Illness: Explanation or Justification?". In Engelhardt, Tristam; Spicker, Stuart (eds.). Mental Health: Philosophical Perspectives. Philosophy and Medicine. Vol. 4. Springer Netherlands. pp. 235–250. doi:10.1007/978-94-015-6909-5_17. ISBN 978-94-015-6911-8.
  • Szasz, Thomas (May–June 1994). "Mental illness is still a myth". Society. 31 (4): 34–39. doi:10.1007/BF02693245. S2CID 145520286.
  • Szasz, Thomas (September 2012). "Varieties of psychiatric criticism" (PDF). History of Psychiatry. 23 (3): 349–355. CiteSeerX 10.1.1.674.8694. doi:10.1177/0957154X12450236. S2CID 143972152.
  • Szasz, Thomas (Spring 1998). "The healing word: its past, present, and future". Journal of Humanistic Psychology. 38 (2): 8–20. doi:10.1177/00221678980382002. S2CID 144504646.
  • Szasz T (September 1994). "Psychiatric diagnosis, psychiatric power and psychiatric abuse". Journal of Medical Ethics. 20 (3): 135–138. doi:10.1136/jme.20.3.135. PMC 1376496. PMID 7996558.
  • Szasz, T. (February 2003). "The cure of souls in the therapeutic state". The Psychoanalytic Review. 90 (1): 45–62. doi:10.1521/prev.90.1.45.22089. PMID 12898787.
  • Szasz, Thomas (27 April 2011). "The myth of mental illness: 50 years later". The Psychiatrist. 35 (5): 179–182. doi:10.1192/pb.bp.110.031310.
  • Szasz T (August 2003). "Psychiatry and the control of dangerousness: on the apotropaic function of the term "mental illness"". Journal of Medical Ethics. 29 (4): 227–230. doi:10.1136/jme.29.4.227. PMC 1733760. PMID 12930856.
  • Szasz TS (4 March 1978). . The Spectator. 240 (7809): 12–13. PMID 11665013. Archived from the original on February 23, 2014.
  • "The politics of mental illness". The Spectator: 9. 31 March 1978.
  • Szasz T (25 April 2006). "Secular humanism and "scientific psychiatry"". Philosophy, Ethics, and Humanities in Medicine. 1 (1): E5. doi:10.1186/1747-5341-1-5. PMC 1483825. PMID 16759353.
  • "Law and psychiatry: The problems that will not go away". Journal of Mind and Behavior. 11 (3–4): 557–563. 1990.
  • "Soviet psychiatry: the historical background". Inquiry: 4–5. 5 December 1977.
  • "Soviet psychiatry: its supporters in the West". Inquiry: 4–5. 2 January 1978.
  • "Soviet psychiatry: winking at psychiatric terror". Inquiry: 3–4. 6 February 1987.
  • "The therapeutic state: the tyranny of pharmacracy" (PDF). The Independent Review. V (4): 485–521. Spring 2001. ISSN 1086-1653. Retrieved 20 January 2012.
  • "Toward the therapeutic state". The New Republic. 11 December 1965. pp. 26–29.
  • Szasz, T. (March 1993). "Crazy talk: Thought disorder or psychiatric arrogance?". British Journal of Medical Psychology. 66 (4): 61–67. doi:10.1111/j.2044-8341.1993.tb01726.x. PMID 8485078.
  • "Psychiatry, anti-psychiatry, critical psychiatry: what do these terms mean?". Philosophy, Psychiatry, & Psychology. 17 (3): 229–232. September 2010.

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  21. ^ "The Nazis sought to prevent Jewish suicides. Wherever Jews tried to kill themselves – in their homes, in hospitals, on the deportation trains, in the concentration camps – the Nazi authorities would invariably intervene in order to save the Jews' lives, wait for them to recover, and then send them to their prescribed deaths." [1] 2016-04-08 at the Wayback Machine quotation from Kwiet, K.: "Suicide in the Jewish Community", in Leo Baeck Yearbook, vol. 38. 1993.
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Further reading edit

  • Bentall, Richard; Pilgrim, David (March 1993). "Thomas Szasz, crazy talk and the myth of mental illness". British Journal of Medical Psychology. 66 (1): 69–76. doi:10.1111/j.2044-8341.1993.tb01727.x. PMID 8485079.
  • Bracken, Pat; Thomas, Philip (September 2010). "From Szasz to Foucault: On the Role of Critical Psychiatry" (PDF). Philosophy, Psychiatry, & Psychology. 17 (3): 219–228.
  • Buchanan-Barker, P.; Barker, P. (February 2009). "The convenient myth of Thomas Szasz". Journal of Psychiatric and Mental Health Nursing. 16 (1): 87–95. doi:10.1111/j.1365-2850.2008.01310.x. PMID 19192090.
  • Evans, Rod (2008). "Szasz, Thomas (1920–)". In Hamowy, Ronald (ed.). Szasz, Thomas. The Encyclopedia of Libertarianism. Thousand Oaks, CA: Sage; Cato Institute. pp. 497–498. doi:10.4135/9781412965811.n304. ISBN 978-1-4129-6580-4. LCCN 2008009151. OCLC 750831024.
  • Fontaine, Michael (2014). "On Religious and Psychiatric Atheism: The Success of Epicurus, the Failure of Thomas Szasz".
  • Pols, Jan (2005). The Politics of Mental Illness: Myth and Power in the Work of Thomas S. Szasz (PDF). ISBN 978-90-805136-4-8. The book in full is available online by click
  • Powell, Jim (2000). The triumph of liberty: a 2,000-year history, told through the lives of freedom's greatest champions. Free Press. ISBN 978-0-684-85967-5.
  • Schaler, Jeffrey, ed. (2004). Szasz Under Fire: A Psychiatric Abolitionist Faces His Critics. Open Court Publishing Company. ISBN 978-0-8126-9568-7.
  • Schaler, Jeffrey A.; Lothane, Henry Zvi; Vatz, Richard E., eds. (2017). Thomas S. Szasz: The Man and His Ideas. Routledge. ISBN 978-1412865142.
  • Vatz, Richard; Weinberg, Lee, eds. (1983). Thomas Szasz, primary values and major contentions. Prometheus Books. ISBN 978-0-87975-187-6.
  • Vatz, Richard (Fall 2006). "Rhetoric and psychiatry: A Szaszian perspective on a political case study". Current Psychology. 25 (1): 173–181. doi:10.1007/s12144-006-1001-9. S2CID 143487239.
  • Vatz, Richard (Summer 1973). "The myth of the rhetorical situation". Philosophy & Rhetoric. 6 (3): 154–161. JSTOR 40236848.
  • Watts, Geoff (20 October 2012). "Thomas Stephen Szasz". The Lancet. 380 (9851): 1380. doi:10.1016/S0140-6736(12)61790-5. S2CID 54276109.
  • Williams, Arthur; Caplanemail, Arthur (20 October 2012). "Thomas Szasz: rebel with a questionable cause". The Lancet. 380 (9851): 1378–1379. doi:10.1016/S0140-6736(12)61789-9. PMID 23091833. S2CID 5065659.

External links edit

  • Bibliography of Szasz's writings.
  • Thomas Szasz Papers at Syracuse University
  • The Thomas S. Szasz Cybercenter for Liberty and Responsibility
  • Concepts and Controversies in Modern Medicine: Psychiatry and Law: How are They Related? pt. 1 Video discussion of forensic psychiatry by Szasz and Bernard Diamond.
  • Concepts and Controversies in Modern Medicine: Psychiatry and Law: How are They Related? pt. 2

thomas, szasz, thomas, stephen, szasz, ɑː, sahss, hungarian, szász, tamás, istván, saːs, april, 1920, september, 2012, hungarian, american, academic, psychiatrist, served, most, career, professor, psychiatry, state, university, york, upstate, medical, universi. Thomas Stephen Szasz s ɑː s SAHSS Hungarian Szasz Tamas Istvan saːs 15 April 1920 8 September 2012 was a Hungarian American academic and psychiatrist He served for most of his career as professor of psychiatry at the State University of New York Upstate Medical University in Syracuse New York 4 A distinguished lifetime fellow of the American Psychiatric Association and a life member of the American Psychoanalytic Association he was best known as a social critic of the moral and scientific foundations of psychiatry as what he saw as the social control aims of medicine in modern society as well as scientism Thomas SzaszSzasz Tamas IstvanBornThomas Stephen Szasz 1920 04 15 April 15 1920Budapest Kingdom of HungaryDiedSeptember 8 2012 2012 09 08 aged 92 Manlius New York U S 3 CitizenshipHungary United StatesAlma materUniversity of CincinnatiKnown forCriticism of psychiatrySpouseRosine Loshkajian m 1951 died 1971 Children2AwardsAward for Greatest Public Service Benefiting the Disadvantaged 1974 1 Martin Buber Award 1974 Humanist Laureate Award 1995 Great Lake Association of Clinical Medicine Patients Rights Advocate Award 1995 American Psychological Association Rollo May Award 1998 2 Scientific careerFieldsPsychiatryInstitutionsState University of New York Upstate Medical UniversityWebsitewww wbr szasz wbr comHis books The Myth of Mental Illness 1961 and The Manufacture of Madness 1970 set out some of the arguments most associated with him 5 Szasz argued throughout his career that mental illness is a metaphor for human problems in living and that mental illnesses are not illnesses in the sense that physical illnesses are and that except for a few identifiable brain diseases there are neither biological or chemical tests nor biopsy or necropsy findings for verifying DSM diagnoses 6 Szasz maintained throughout his career that he was not anti psychiatry but rather that he opposed coercive psychiatry He was a staunch opponent of civil commitment and involuntary psychiatric treatment but he believed in and practiced psychiatry and psychotherapy between consenting adults Contents 1 Life 2 Death 3 Rise of Szasz s arguments 4 Szasz s main arguments 4 1 Myth of mental illness 4 2 Patient as malingerer 4 3 Separation of psychiatry and the state 4 4 Presumption of competence and death control 4 5 Abolition of the insanity defense and involuntary hospitalization 4 6 The right to drugs 5 Therapeutic state 6 American Association for the Abolition of Involuntary Mental Hospitalization 7 Relationship to Citizens Commission on Human Rights 8 Russell Tribunal 9 Responses and reactions 9 1 Kendell s views 9 2 Shorter s views 10 Awards 11 Thomas S Szasz Award 11 1 Notable recipients 12 See also 13 Writings 13 1 Books 13 2 Selected scholarly papers 14 References 15 Further reading 16 External linksLife editSzasz was born to Jewish parents Gyula and Lily Szasz on April 15 1920 in Budapest Hungary In 1938 Szasz moved to the United States where he attended the University of Cincinnati for his Bachelor of Science in physics and received his M D from the same university in 1944 7 Szasz completed his residency requirement at the Cincinnati General Hospital then worked at the Chicago Institute for Psychoanalysis from 1951 to 1956 and then for the next five years was a member of its staff taking 24 months out for duty with the U S Naval Reserve 8 In 1962 Szasz received a tenured position in medicine at the State University of New York 9 Szasz had first joined SUNY in 1956 Szasz had two daughters His wife Rosine died in 1971 3 Szasz s colleague Jeff Schaler described her death as a suicide 10 Szasz s views of psychiatry were influenced by the writings of Frigyes Karinthy 11 12 Death editThomas Szasz ended his own life on September 8 2012 He had previously suffered a fall and would have had to live in chronic pain otherwise Szasz argued for the right to suicide in his writings 10 Rise of Szasz s arguments editSzasz first presented his attack on mental illness as a legal term in 1958 in the Columbia Law Review In his article he argued that mental illness was no more a fact bearing on a suspect s guilt than is possession by the devil 9 13 In 1961 Szasz testified before a United States Senate Committee arguing that using mental hospitals to incarcerate people defined as insane violated the general assumptions of the patient doctor relationship and turned the doctor into a warden and keeper of a prison 9 Szasz s main arguments editSzasz was convinced there was a metaphorical character to mental disorders and its uses in psychiatry were frequently injurious He set himself a task to delegitimize legitimating agencies and authorities and what he saw as their vast powers enforced by psychiatrists and other mental health professionals mental health laws mental health courts and mental health sentences 14 22 Szasz was a critic of the influence of modern medicine on society which he considered to be the secularization of religion s hold on humankind Criticizing scientism he targeted psychiatry in particular underscoring its campaigns against masturbation at the end of the 19th century its use of medical imagery and language to describe misbehavior its reliance on involuntary mental hospitalization to protect society and the use of lobotomy and other interventions to treat psychosis To sum up his description of the political influence of medicine in modern societies imbued by faith in science he declared Since theocracy is the rule of God or its priests and democracy the rule of the people or of the majority pharmacracy is therefore the rule of medicine or of doctors 15 page needed Szasz consistently paid attention to the power of language in the establishment and maintenance of the social order both in small interpersonal and in wider social economic and or political spheres The struggle for definition is veritably the struggle for life itself In the typical Western two men fight desperately for the possession of a gun that has been thrown to the ground whoever reaches the weapon first shoots and lives his adversary is shot and dies In ordinary life the struggle is not for guns but for words whoever first defines the situation is the victor his adversary the victim For example in the family husband and wife mother and child do not get along who defines whom as troublesome or mentally sick the one who first seizes the word imposes reality on the other the one who defines thus dominates and lives and the one who is defined is subjugated and may be killed 16 85 His main arguments can be summarized as follows Myth of mental illness edit Mental illness is an expression a metaphor that describes an offending disturbing shocking or vexing conduct action or pattern of behavior such as packaged under the wide ranging term schizophrenia as an illness or disease Szasz wrote If you talk to God you are praying If God talks to you you have schizophrenia If the dead talk to you you are a spiritualist If you talk to the dead you are a schizophrenic 16 85 He maintained that while people behave and think in disturbing ways and those ways may resemble a disease process pain deterioration response to various interventions this does not mean they actually have a disease To Szasz disease can only mean something people have while behavior is what people do Diseases are malfunctions of the human body of the heart the liver the kidney the brain while no behavior or misbehavior is a disease or can be a disease That s not what diseases are Szasz cited drapetomania as an example of a behavior that many in society did not approve of being labeled and widely cited as a disease Likewise women who did not bend to a man s will were said to have hysteria 17 He thought that psychiatry actively obscures the difference between behavior and disease in its quest to help or harm parties in conflicts He maintained that by calling people diseased psychiatry attempts to deny them responsibility as moral agents in order to better control them In Szasz s view people who are said by themselves or others to have a mental illness can only have at best problems in living Diagnoses of mental illness or mental disorder the latter expression called by Szasz a weasel term for mental illness are passed off as scientific categories but they remain merely judgments judgments of disdain to support certain uses of power by psychiatric authorities In that line of thinking schizophrenia becomes not the name of a disease entity but a judgment of extreme psychiatric and social disapprobation Szasz called schizophrenia the sacred symbol of psychiatry because those so labeled have long provided and continue to provide justification for psychiatric theories treatments abuses and reforms The figure of the psychotic or schizophrenic person to psychiatric experts and authorities according to Szasz is analogous with the figure of the heretic or blasphemer to theological experts and authorities According to Szasz to understand the metaphorical nature of the term disease in psychiatry one must first understand its literal meaning in the rest of medicine To be a true disease the entity must first somehow be capable of being approached measured or tested in scientific fashion Second to be confirmed as a disease a condition must demonstrate pathology at the cellular or molecular level A genuine disease must also be found on the autopsy table not merely in the living person and meet pathological definition instead of being voted into existence by members of the American Psychiatric Association Mental illnesses are really problems in living They are often like a disease argued Szasz which makes the medical metaphor understandable but in no way validates it as an accurate description or explanation Psychiatry is a pseudoscience that parodies medicine by using medical sounding words invented especially over the last one hundred years To be clear heart break and heart attack or spring fever and typhoid fever belong to two completely different logical categories and treating one as the other constitutes a category error Psychiatrists are the successors of soul doctors priests who dealt and deal with the spiritual conundrums dilemmas and vexations the problems in living that have troubled people forever Psychiatry s main methods are assessment medication conversation or rhetoric and incarceration To the extent that psychiatry presents these problems as medical diseases its methods as medical treatments and its clients especially involuntary as medically ill patients it embodies a lie and therefore constitutes a fundamental threat to freedom and dignity Psychiatry supported by the state through various Mental Health Acts has become a modern secular state religion according to Szasz It is a vastly elaborate social control system using both brute force and subtle indoctrination which disguises itself under the claims of being rational systematic and therefore scientific Patient as malingerer edit According to Szasz many people fake their presentation of mental illness i e they are malingering They do so for gain for example in order to escape a burden like evading the draft or to gain access to drugs or financial support or for some other personally meaningful reason By definition the malingerer is knowingly deceitful although malingering itself has also been called a mental illness or disorder Szasz mentions malingering in many of his works but it is not what he has in mind to explain many other manifestations of so called mental illness In those cases so called patients have something personally significant to communicate their problems in living but unable to express this via conventional means they resort to illness imitation behaviour a somatic protolanguage or body language which psychiatrists and psychologists have misguidedly interpreted as the signs symptoms of real illness 18 So for example analyzing the origin of the hysterical protolanguage Szasz states that it has a double origin the first root is in the somatic structure of human being The human body is subject to illnesses and disabilities expressed through somatic signs like paralysis convulsions etc and somatic sensations like pain tiredness etc the second root can be found into cultural factors 19 Separation of psychiatry and the state edit Szasz believed that if we accept that mental illness is a euphemism for behaviors that are disapproved of then the state has no right to force psychiatric treatment on these individuals Similarly the state should not be able to interfere in mental health practices between consenting adults for example by legally controlling the supply of psychotropic drugs or psychiatric medication The medicalization of government produces a therapeutic state designating someone as for example insane or as a drug addict In Ceremonial Chemistry 1973 he argued that the same persecution that targeted witches Jews gypsies and homosexuals now targets drug addicts and insane people Szasz argued that all these categories of people were taken as scapegoats of the community in ritual ceremonies To underscore this continuation of religion through medicine he even takes as an example obesity instead of concentrating on junk food ill nutrition physicians denounced hypernutrition According to Szasz despite their scientific appearance the diets imposed were a moral substitute to the former fasts and the social injunction not to be overweight is to be considered as a moral order not as scientific advice as it claims to be As with those thought bad insane people and those who took the wrong drugs drug addicts medicine created a category for those who had the wrong weight obesity Szasz argued that psychiatrics were created in the 17th century to study and control those who erred from the medical norms of social behavior a new specialization drogophobia was created in the 20th century to study and control those who erred from the medical norms of drug consumption and then in the 1960s another specialization bariatrics from the Greek baros baros for weight was created to deal with those who erred from the medical norms concerning the weight the body should have Thus he underscores that in 1970 the American Society of Bariatric Physicians had 30 members and already 450 two years later citation needed Presumption of competence and death control edit Just as legal systems work on the presumption that a person is innocent until proven guilty individuals accused of crimes should not be presumed incompetent simply because a doctor or psychiatrist labels them as such Mental incompetence should be assessed like any other form of incompetence i e by purely legal and judicial means with the right of representation and appeal by the accused In an analogy to birth control Szasz argued that individuals should be able to choose when to die without interference from medicine or the state just as they are able to choose when to conceive without outside interference He considered suicide to be among the most fundamental rights but he opposed state sanctioned euthanasia In his 2006 book about Virginia Woolf he stated that she put an end to her life by a conscious and deliberate act her suicide being an expression of her freedom of choice 20 21 Abolition of the insanity defense and involuntary hospitalization edit Szasz believed that testimony about the mental competence of a defendant should not be admissible in trials Psychiatrists testifying about the mental state of an accused person s mind have about as much business as a priest testifying about the religious state of a person s soul in our courts Insanity was a legal tactic invented to circumvent the punishments of the Church which at the time included confiscation of the property of those who committed suicide often leaving widows and orphans destitute Only an insane person would do such a thing to his widow and children it was successfully argued This is legal mercy masquerading as medicine according to Szasz 22 No one should be deprived of liberty unless he is found guilty of a criminal offense Depriving a person of liberty for what is said to be his own good is immoral Just as a person suffering from terminal cancer may refuse treatment so should a person be able to refuse psychiatric treatment The right to drugs edit Drug addiction is not a disease to be cured through legal drugs but a social habit Szasz also argues in favor of a free market for drugs He criticized the war on drugs arguing that using drugs is in fact a victimless crime Prohibition itself constituted the crime He argued that the war on drugs leads states to do things that would have never been considered half a century before such as prohibiting a person from ingesting certain substances or interfering in other countries to impede the production of certain plants e g coca eradication plans or the campaigns against opium both are traditional plants opposed by the Western world Although Szasz was skeptical about the merits of psychotropic medications he favored the repeal of drug prohibition 23 Szasz also drew analogies between the persecution of the drug using minority and the persecution of Jewish and homosexual minorities The Nazis spoke of having a Jewish problem We now speak of having a drug abuse problem Actually Jewish problem was the name the Germans gave to their persecution of the Jews drug abuse problem is the name we give to the persecution of people who use certain drugs 16 64 Szasz cites former U S Representative James M Hanley s reference to drug users as vermin using the same metaphor for condemning persons who use or sell illegal drugs that the Nazis used to justify murdering Jews by poison gas namely that the persecuted persons are not human beings but vermin 24 Therapeutic state editThe therapeutic state is a phrase coined by Szasz in 1963 25 The collaboration between psychiatry and government leads to what Szasz calls the therapeutic state a system in which disapproved actions thoughts and emotions are repressed cured through pseudomedical interventions 26 27 17 Thus suicide unconventional religious beliefs racial bigotry unhappiness anxiety shyness sexual promiscuity shoplifting gambling overeating smoking and illegal drug use are all considered symptoms or illnesses that need to be cured 27 17 When faced with demands for measures to curtail smoking in public binge drinking gambling or obesity ministers say that we must guard against charges of nanny statism 28 The nanny state has turned into the therapeutic state where nanny has given way to counselor 28 Nanny just told people what to do counselors also tell them what to think and what to feel 28 The nanny state was punitive austere and authoritarian the therapeutic state is touchy feely supportive and even more authoritarian 28 According to Szasz the therapeutic state swallows up everything human on the seemingly rational ground that nothing falls outside the province of health and medicine just as the theological state had swallowed up everything human on the perfectly rational ground that nothing falls outside the province of God and religion 29 515 Faced with the problem of madness Western individualism proved to be ill prepared to defend the rights of the individual modern man has no more right to be a madman than medieval man had a right to be a heretic because if once people agree that they have identified the one true God or Good it brings about that they have to guard members and nonmembers of the group from the temptation to worship false gods or goods 29 496 A secularization of God and the medicalization of good resulted in the post Enlightenment version of this view once people agree that they have identified the one true reason it brings about that they have to guard against the temptation to worship unreason that is madness 29 496 Civil libertarians warn that the marriage of the state with psychiatry could have catastrophic consequences for civilization 30 In the same vein as the separation of church and state Szasz believes that a solid wall must exist between psychiatry and the state 29 American Association for the Abolition of Involuntary Mental Hospitalization editBelieving that psychiatric hospitals are like prisons not hospitals and that psychiatrists who subject others to coercion function as judges and jailers not physicians 31 Szasz made efforts to abolish involuntary psychiatric hospitalization for over two decades and in 1970 took a part in founding the American Association for the Abolition of Involuntary Mental Hospitalization AAAIMH 32 Its founding was announced by Szasz in 1971 in the American Journal of Psychiatry 33 and American Journal of Public Health 34 The association provided legal help to psychiatric patients and published a journal The Abolitionist 35 Relationship to Citizens Commission on Human Rights editIn 1969 Szasz and the Church of Scientology co founded the Citizens Commission on Human Rights CCHR to oppose involuntary psychiatric treatments Szasz served on CCHR s Board of Advisors as Founding Commissioner 36 In the keynote address at the 25th anniversary of CCHR Szasz stated We should all honor CCHR because it is really the organization that for the first time in human history has organized a politically socially internationally significant voice to combat psychiatry This has never been done in human history before 37 In a 2009 interview aired by the Australian Broadcasting Corporation Szasz explained his reason for collaborating with CCHR and lack of involvement with Scientology Well I got affiliated with an organisation long after I was established as a critic of psychiatry called Citizens Commission for Human Rights because they were then the only organisation and they still are the only organisation who had money and had some access to lawyers and were active in trying to free mental patients who were incarcerated in mental hospitals with whom there was nothing wrong who had committed no crimes who wanted to get out of the hospital And that to me was a very worthwhile cause it s still a very worthwhile cause I no more believe in their religion or their beliefs than I believe in the beliefs of any other religion I am an atheist I don t believe in Christianity in Judaism in Islam in Buddhism and I don t believe in Scientology I have nothing to do with Scientology 38 Russell Tribunal editIn the summer of 2001 Szasz took part in a Russell Tribunal on human rights in psychiatry held in Berlin between June 30 and July 2 2001 39 The tribunal brought in the two following verdicts the majority verdict claimed that there was serious abuse of human rights in psychiatry and that psychiatry was guilty of the combination of force and unaccountability the minority verdict signed by the Israeli Law Professor Alon Harel and Brazilian novelist Paulo Coelho called for public critical examination of the role of psychiatry 39 Responses and reactions editSzasz was a strong critic of institutional psychiatry and his publications were very widely read He argued that so called mental illnesses had no underlying physiological basis but were unwanted and unpleasant behaviors Mental illness he said was only a metaphor that described problems that people faced in their daily lives labeled as if they were medical diseases Szasz s ideas had little influence on mainstream psychiatry but were supported by some behavioral and social scientists Sociologist Erving Goffman who wrote Asylums Essays on the Condition of the Social Situation of Mental Patients and Other Inmates was skeptical about psychiatric practices He was concerned that the stigma and social rejection associated with psychiatric treatment might harm people Thomas Scheff also a sociologist had similar reservations 40 Kendell s views edit Robert Evan Kendell presents in Schaler 2005 41 a critique of Szasz s conception of disease and the contention that mental illness is mythical as presented in The Myth of Mental Illness Kendell s arguments include the following Szasz s conception of disease exclusively in terms of lesion i e morphological abnormality is arbitrary and his conclusions based on this idea represent special pleading There are non psychiatric conditions that remain defined solely in terms of syndrome e g migraine torticollis essential tremor blepharospasm torsion dystonia Szasz s scepticism regarding syndromally defined diseases only in relation to psychiatry is entirely arbitrary Many diseases that are outside the purview of psychiatry are defined purely in terms of the constellation of the symptoms signs and natural history they present yet Szasz has not expressed any doubt regarding their existence Is syndrome based diagnosis only problematic for psychiatry but without issue for the remaining branches of medicine If syndrome based diagnosis is unsound on account of its absence of objectivity then it must be generally unsound and not only for psychiatry Szasz s ostensibly exclusive criterion of disease as morphological abnormality i e a lesion made evident by post mortem examination of organs and tissues is unsound because it inadvertently includes many conditions that are not considered to be diseases by virtue of the fact that they don t produce suffering or disability e g functionally inconsequential chromosomal translocations and deletions fused second and third toes dextrocardia Szasz s conception of disease does not distinguish between necessary versus sufficient conditions in relation to diagnostic criteria In branches of medicine other than psychiatry morphological abnormality per se is not considered sufficient cause to make a diagnosis of disease functional abnormality is the necessary condition Szasz s criticism of syndrome based diagnoses is divorced from a consideration of the history of medicine In medicine in general diseases are defined in terms of a multitude of criteria these include a morbid anatomy e g mitral stenosis cholecystitis b histologically e g most cancers Alzheimer s disease c infective organism e g Tuberculosis Measles d physiologically e g myasthenia gravis e biochemically e g aminoaciduria e chromosomally e g trisomy 21 Turner s syndrome f molecularly e g thalassemia g genetically e g Huntington s disease cystic fibrosis and h syndrome e g migraine torticollis essential tremor blepharospasm torsion dystonia and most so called mental disorders The more objective definitions of disease specified as a through g became possible through the accumulation of scientific knowledge and the development of relevant technology Initially the underlying pathology of some diseases was unknown and they were diagnosed only in terms of syndrome no lesion could be demonstrated by post mortem examination of organs and tissues as Szasz requires until later in history e g malaria was diagnosed solely on the basis of syndrome until the advent of microbiology A strict application of Szasz s criterion necessitates the conclusion that diseases such as malaria were mythical until medical microbiology arrived at which point they became real In this regard Szasz s criterion of disease is unsound by virtue of its contradictory results Szasz s contention that mental illness is not associated with any morphological abnormality is uninformed by genetics biochemistry and current research results on the etiology of mental illness Genes are essentially instructions for the synthesis of proteins Hence any condition that is even partly hereditary necessarily manifests structural abnormality at the molecular level Regardless of whether the actual morphological abnormality can be identified if a condition has a hereditary component then it has a biological basis Twin and adoption studies have strongly demonstrated that heredity is a major factor in the etiology of schizophrenia thus there must be some biological difference between schizophrenics and non schizophrenics In relation to major depressive disorder a difference of response between euthymic and depressed individuals to antidepressant drugs and to tryptophan depletion has been demonstrated These results in addition to twin and adoption studies provide evidence of an underlying molecular hence structural abnormality to depression Szasz contends that Strictly speaking disease or illness can affect only the body hence there can be no mental illness and this idea is foundational to Szasz s position In actuality there are no physical or mental illnesses per se there are only diseases of organisms of persons The bifurcation of organisms into minds and bodies is the product of the Cartesian dualism that became dominant in the late 18th century and it was at this time that the notion of insanity as something qualitatively different from other illnesses became entrenched In actuality brain and body comprise one integrated and indivisible system and no illness respects the abstraction of mind vs body upon which Szasz s argument rests There are no illnesses that are purely mental or purely physical Somatic pain is itself a mental phenomenon as is the subjective distress produced by the acute phase response at the onset of illness or immediately after trauma Similarly conditions such as schizophrenia and major depressive disorder produce somatic symptoms Any illness lies somewhere within a continuum between the poles of mind and body the extrema are purely theoretical abstractions and are unoccupied by any real affliction The mind body division persists purely for pragmatic reasons and forms no real part of modern biomedical science Shorter s views edit Edward Shorter 42 replied to Szasz s essay The myth of mental illness 50 years later 43 which was published in the journal The Psychiatrist and delivered as a plenary address at the International Congress of the Royal College of Psychiatrists in Edinburgh on 24 June 2010 in recognition of the 50th anniversary of The Myth of Mental Illness with the following principal criticisms Szasz s critique is implicitly premised on a conception of mind drawn from the psychiatry of the early mid 20th century namely psychoanalytic psychiatry and Szasz has not updated his critique in light of later developments in psychiatry The referent of Szasz s critique Freud s mind is to be found only in the historical record and some isolated islands of psychoanalytic practice To this extent Szasz s critique does not address contemporary biologically oriented psychiatry and is irrelevant Certainly the phrase mental illness occurs in the contemporary psychiatric lexicon but that is merely a legacy of the earlier psychoanalytic influence upon psychiatry the term does not reflect a real belief that psychiatric disease Shorter s preferred term originates in the mind an abstraction as Szasz rightly explains Szasz concedes that some so called mental illnesses may have a neurological basis but adds that were such a biological basis discovered for these so called mental illnesses they would have to be reclassified from mental illnesses to brain diseases which would vindicate his position Shorter explains that the problem with Szasz s argument here is that it is the contention of biological psychiatry that so called mental illnesses are actually brain diseases Modern psychiatry has de facto dispensed with the idea of mental illness i e the notion that psychiatric disease is mainly or entirely psychogenic is not a part of biological psychiatry There exists at least prima facie evidence that psychiatric illness has a biological basis and Szasz either ignores this evidence or attempts to insulate his argument from such evidence by effectively claiming that no true mental illness has a biological basis Shorter cites hypothalamic pituitary adrenal axis HPA dysregulation a positive dexamethasone suppression test result and shortened rapid eye movement sleep latency in those with melancholic depression as examples of this evidence Further examples cited by Shorter include the responsiveness of catatonia to barbiturates and benzodiazepines Awards editSzasz was honored with over fifty awards including 2 American Humanist Association named him Humanist of the Year 1973 44 Award for Greatest Public Service Benefiting the Disadvantaged an award given out annually by Jefferson Awards 1974 1 Martin Buber Award 1974 2 He was honored with an honorary doctorate in behavioral science at Universidad Francisco Marroquin 1979 45 Humanist Laureate Award 1995 2 Great Lake Association of Clinical Medicine Patients Rights Advocate Award 1995 2 American Psychological Association Rollo May Award 1998 2 Thomas S Szasz Award editThe Center for Independent Thought established the Thomas S Szasz Award for Outstanding Contributions to the Cause of Civil Liberties Notable recipients edit Giorgio Antonucci Vladimir Bukovsky Henry Zvi Lothane Jeffrey Schaler Edward Snowden Jacob Sullum Phil Zimmermann Richard E VatzSee also editWrongful involuntary commitment Scientology front groups List of Scientology organizationsWritings editBooks edit Pain and Pleasure A Study of Bodily Feelings Syracuse New York Syracuse University Press 1988 1957 ISBN 978 0 8156 0230 9 The Myth of Mental Illness Foundations of a Theory of Personal Conduct Harper amp Row 1974 1961 ISBN 978 0 06 014196 7 Law Liberty and Psychiatry An Inquiry into the Social Uses of Mental Health Practices Syracuse New York Syracuse University Press 1989 1963 ISBN 978 0 8156 0242 2 Psychiatric Justice Syracuse New York Syracuse University Press 1988 1965 ISBN 978 0 8156 0231 6 The Ethics of Psychoanalysis The Theory and Method of Autonomous Psychotherapy Syracuse New York Syracuse University Press 1988 1965 ISBN 978 0 8156 0229 3 Ideology and Insanity Essays on the Psychiatric Dehumanization of Man Syracuse New York Syracuse University Press 1991 1970 ISBN 978 0 8156 0256 9 The Manufacture of Madness A Comparative Study of the Inquisition and the Mental Health Movement Syracuse New York Syracuse University Press 1997 1970 ISBN 978 0 8156 0461 7 The Second Sin Doubleday 1974 1973 ISBN 978 0 7100 7757 8 The Age of Madness A History of Involuntary Mental Hospitalization Presented in Selected Texts editor London Routledge amp Kegan Paul Ltd 1975 1973 ISBN 978 0 7100 7993 0 Ceremonial Chemistry The Ritual Persecution of Drugs Addicts and Pushers Syracuse New York Syracuse University Press 2003 1974 ISBN 978 0 8156 0768 7 Schizophrenia The Sacred Symbol of Psychiatry Syracuse New York Syracuse University Press 1988 1976 ISBN 978 0 8156 0224 8 Anti Freud Karl Kraus and His Criticism of Psychoanalysis and Psychiatry Syracuse New York Syracuse University Press 1990 1976 ISBN 978 0 8156 0247 7 First published in 1976 under the name Karl Kraus and the Soul Doctors A Pioneer Critic and His Criticism of Psychiatry and Psychoanalysis Louisiana State University Press 1976 Heresies Doubleday Anchor 1976 ISBN 978 0 385 11162 1 The Theology of Medicine The Political Philosophical Foundations of Medical Ethics Syracuse New York Syracuse University Press 1988 1977 ISBN 978 0 8156 0225 5 Psychiatric Slavery Syracuse New York Syracuse University Press 1977 ISBN 978 0 8156 0511 9 The Myth of Psychotherapy Mental Healing as Religion Rhetoric and Repression Syracuse New York Syracuse University Press 1988 1978 ISBN 978 0 8156 0223 1 Sex by Prescription The Startling Truth about Today s Sex Therapy Syracuse New York Syracuse University Press 1990 1980 ISBN 978 0 8156 0250 7 The Therapeutic State Psychiatry in the Mirror of Current Events Buffalo NY Prometheus Books 1984 ISBN 978 0879752392 Insanity The Idea and Its Consequences Syracuse New York Syracuse University Press 1997 1987 ISBN 978 0 8156 0460 0 The Untamed Tongue A Dissenting Dictionary Lasalle IL Open Court 1990 ISBN 978 0812691030 Our Right to Drugs The Case for a Free Market Syracuse New York Syracuse University Press 1996 1992 ISBN 978 0 8156 0333 7 A Lexicon of Lunacy Metaphoric Malady Moral Responsibility and Psychiatry New Brunswick New Jersey Transaction Publishers 2003 1993 ISBN 978 1 56000 065 5 Cruel Compassion Psychiatric Control of Society s Unwanted Syracuse New York Syracuse University Press 1998 1994 ISBN 978 0 8156 0510 2 The Meaning of Mind Language Morality and Neuroscience Westport CT Praeger Publishers 1996 ISBN 978 0 275 95603 5 Fatal Freedom The Ethics and Politics of Suicide Westport CT Praeger Publishers 1999 ISBN 978 0 275 96646 1 Pharmacracy Medicine and Politics in America Westport CT Praeger Publishers 2001 ISBN 978 0 275 97196 0 Liberation by Oppression A Comparative Study of Slavery and Psychiatry New Brunswick New Jersey Transaction Publishers 2002 ISBN 978 0 7658 0145 6 Faith in Freedom Libertarian Principles and Psychiatric Practices New Brunswick New Jersey Transaction Publishers 2004 ISBN 978 0 7658 0244 6 Words to the Wise A Medical Philosophical Dictionary New Brunswick New Jersey Transaction Publishers 2004 ISBN 978 0 7658 0217 0 My Madness Saved Me The Madness and Marriage of Virginia Woolf New Brunswick New Jersey Transaction Publishers 2006 ISBN 978 0 7658 0321 4 Coercion as Cure A Critical History of Psychiatry New Brunswick New Jersey Transaction Publishers 2007 ISBN 978 0 7658 0379 5 The Medicalization of Everyday Life Selected Essays Syracuse New York Syracuse University Press 2007 ISBN 978 0 8156 0867 7 Psychiatry The Science of Lies Syracuse New York Syracuse University Press 2008 ISBN 978 0 8156 0910 0 Antipsychiatry Quackery Squared Syracuse New York Syracuse University Press 2009 ISBN 978 0 8156 0943 8 Suicide Prohibition The Shame of Medicine Syracuse New York Syracuse University Press 2011 ISBN 978 0 8156 0990 2 Nurbakhsh Javad Szasz Thomas Jahangiri Hamideh 2019 Handbook of Psychiatry volume 1 Germany Lap Lambert ISBN 978 3 330 34637 6 Selected scholarly papers edit Szasz T 3 September 1988 Koryagin and psychiatric coercion The Lancet 332 8610 573 doi 10 1016 S0140 6736 88 92700 6 PMID 2900959 S2CID 5176787 Szasz T S 16 December 1971 More cruel than the gas chamber New Society 1213 1215 Szasz T 28 December 1991 Diagnoses are not diseases The Lancet 338 8782 8783 1574 1576 doi 10 1016 0140 6736 91 92387 H PMID 1683983 S2CID 35351783 Szasz Thomas June 1993 Curing coercing and claims making a reply to critics The British Journal of Psychiatry 162 6 797 800 doi 10 1192 bjp 162 6 797 PMID 8330111 S2CID 2282452 Szasz Thomas June 2008 Debunking antipsychiatry Laing law and Largactil Current Psychology 27 2 79 101 doi 10 1007 s12144 008 9024 z S2CID 145618728 Szasz Thomas S August 1975 Medical metaphorology American Psychologist 30 8 859 8561 doi 10 1037 0003 066X 30 8 859 Szasz T S October 1975 The danger of coercive psychiatry American Bar Association Journal 61 1246 1248 PMID 11664493 Szasz Thomas S May June 1981 Power and psychiatry Society 18 4 16 18 doi 10 1007 BF02701339 S2CID 143684254 Szasz Thomas March April 2004 Protecting patients against psychiatric intervention Society 41 3 7 9 doi 10 1007 BF02690175 S2CID 144199897 Szasz Thomas July August 2004 Pharmacracy in America Society 41 5 54 58 doi 10 1007 BF02688218 S2CID 145162903 Szasz Thomas 1976 The Myth of Mental Illness In Humber James Almeder Robert eds Biomedical Ethics and the Law Vol Part II Springer US pp 113 122 doi 10 1007 978 1 4684 2223 8 10 ISBN 978 1 4684 2225 2 Szasz Thomas 1978 The Concept of Mental Illness Explanation or Justification In Engelhardt Tristam Spicker Stuart eds Mental Health Philosophical Perspectives Philosophy and Medicine Vol 4 Springer Netherlands pp 235 250 doi 10 1007 978 94 015 6909 5 17 ISBN 978 94 015 6911 8 Szasz Thomas May June 1994 Mental illness is still a myth Society 31 4 34 39 doi 10 1007 BF02693245 S2CID 145520286 Szasz Thomas September 2012 Varieties of psychiatric criticism PDF History of Psychiatry 23 3 349 355 CiteSeerX 10 1 1 674 8694 doi 10 1177 0957154X12450236 S2CID 143972152 Szasz Thomas Spring 1998 The healing word its past present and future Journal of Humanistic Psychology 38 2 8 20 doi 10 1177 00221678980382002 S2CID 144504646 Szasz T September 1994 Psychiatric diagnosis psychiatric power and psychiatric abuse Journal of Medical Ethics 20 3 135 138 doi 10 1136 jme 20 3 135 PMC 1376496 PMID 7996558 Szasz T February 2003 The cure of souls in the therapeutic state The Psychoanalytic Review 90 1 45 62 doi 10 1521 prev 90 1 45 22089 PMID 12898787 Szasz Thomas 27 April 2011 The myth of mental illness 50 years later The Psychiatrist 35 5 179 182 doi 10 1192 pb bp 110 031310 Szasz T August 2003 Psychiatry and the control of dangerousness on the apotropaic function of the term mental illness Journal of Medical Ethics 29 4 227 230 doi 10 1136 jme 29 4 227 PMC 1733760 PMID 12930856 Szasz TS 4 March 1978 Psychiatry and dissent The Spectator 240 7809 12 13 PMID 11665013 Archived from the original on February 23 2014 The politics of mental illness The Spectator 9 31 March 1978 Szasz T 25 April 2006 Secular humanism and scientific psychiatry Philosophy Ethics and Humanities in Medicine 1 1 E5 doi 10 1186 1747 5341 1 5 PMC 1483825 PMID 16759353 Law and psychiatry The problems that will not go away Journal of Mind and Behavior 11 3 4 557 563 1990 Soviet psychiatry the historical background Inquiry 4 5 5 December 1977 Soviet psychiatry its supporters in the West Inquiry 4 5 2 January 1978 Soviet psychiatry winking at psychiatric terror Inquiry 3 4 6 February 1987 The therapeutic state the tyranny of pharmacracy PDF The Independent Review V 4 485 521 Spring 2001 ISSN 1086 1653 Retrieved 20 January 2012 Toward the therapeutic state The New Republic 11 December 1965 pp 26 29 Szasz T March 1993 Crazy talk Thought disorder or psychiatric arrogance British Journal of Medical Psychology 66 4 61 67 doi 10 1111 j 2044 8341 1993 tb01726 x PMID 8485078 Psychiatry anti psychiatry critical psychiatry what do these terms mean Philosophy Psychiatry amp Psychology 17 3 229 232 September 2010 References edit a b Greatest Public Service Benefiting the Disadvantaged Jefferson Awards for Public Service Archived from the original on 24 November 2010 Retrieved 2 August 2013 a b c d e f Buchanan Barker P Barker P February 2009 The convenient myth of Thomas Szasz Journal of Psychiatric and Mental Health Nursing 16 1 87 95 doi 10 1111 j 1365 2850 2008 01310 x PMID 19192090 a b Carey Benedict 12 September 2012 Dr Thomas Szasz Psychiatrist who led movement against his field dies at 92 The New York Times Archived from the original on 27 February 2017 Retrieved 28 February 2017 Knoll James 13 September 2012 In Memoriam Thomas Stephen Szasz MD Psychiatric Times Archived from the original on 15 June 2015 Retrieved 26 July 2014 Rosen Jonathan 2023 07 19 Quadruplets With Schizophrenia Researchers Were Confounded The New York Times ISSN 0362 4331 Retrieved 2023 09 19 Szasz Thomas 2008 Psychiatry the science of lies Syracuse University Press pp 2 5 ISBN 978 0815609100 Archived from the original on 2016 05 16 Retrieved 2015 06 20 Thomas Stephen Szasz biography psychiatrist libertarian renegade to psychiatry FTR books October 19 1951 Archived from the original on August 15 2002 Retrieved September 26 2011 Introduction Szasz Archived from the original on September 27 2011 Retrieved September 26 2011 a b c Oliver Jeffrey Summer 2006 The Myth of Thomas Szasz The New Atlantis 13 13 68 84 PMID 17152134 Archived from the original on 2009 12 06 Retrieved 2009 12 03 a b Thomas Stephen Szasz April 15 1920 to September 8 2012 szasz com Archived from the original on 14 December 2019 Retrieved 2 December 2019 Szasz Thomas 1988 12 01 The Ethics of Psychoanalysis The Theory and Method of Autonomous Psychotherapy Syracuse University Press ISBN 978 0 8156 0229 3 Spillane Robert 2021 01 01 Thomas Szasz From social behaviourist to dramaturgic existentialist Existential Analysis 32 1 139 153 Szasz Thomas February 1958 Psychiatry Ethics and the Criminal Law Columbia Law Review 58 2 183 198 doi 10 2307 1119827 JSTOR 1119827 Archived from the original on 2019 03 27 Retrieved 2020 07 14 Phillips James et al January 13 2012 The Six Most Essential Questions in Psychiatric Diagnosis A Pluralogue Part 1 Conceptual and Definitional Issues in Psychiatric Diagnosis Philosophy Ethics and Humanities in Medicine 7 3 3 doi 10 1186 1747 5341 7 3 PMC 3305603 PMID 22243994 T Szasz Ceremonial Chemistry 1974 a b c Szasz Thomas Stephen 1973 The second sin Anchor Press ISBN 978 0385045131 Psychiatry REVEALED on YouTube Szasz Thomas S 1974 7 Language and Protolanguage The Myth of Mental Illness Foundations of a Theory of Personal Conduct revised ed New York Harper amp Row Publishers pp 117 119 ISBN 978 0060911515 The significance of the affective use of body language or generally of the language of illness can hardly be exaggerated It is part of our social ethic that we ought to feel sorry for sick people and should try to be helpful to them Communications by means of body signs may therefore be intended mainly to induce the following sorts of feelings in the recipient Aren t you sorry for me now You should be ashamed of yourself for having hurt me so You should be sad seeing how I suffer and so forth T he flamboyant schizophrenic body feelings encountered today represent communications in the contexts of specific social situations Their aim is to induce mood rather than to convey information They thus make the recipient of the message feel as if he had been told Pay attention to me Pity me Scold me and so forth C hildren and women often can get their way with tears where their words would fall on deaf ears and so can patients with symptoms The point is that when some persons in some situations cannot make themselves heard by means of ordinary language for example speech or writing they may try to make themselves heard by means of protolanguage for example weeping or symptoms We have come thus to speak of all these silent and not so silent cries and commands pleas and reproaches that is of all these endlessly diverse utterances as so many different mental illnesses Lelli Valeria 2011 The body language a semiotic reading of Szasz Anti psychiatry PDF Dialogues in Philosophy Mental and Neuro Sciences 4 2 34 36 Archived PDF from the original on 2016 03 05 Retrieved 2017 03 02 My Madness Saved Me The Madness and Marriage of Virginia Woolf Archived from the original on 2006 09 04 Retrieved 2006 10 11 The Nazis sought to prevent Jewish suicides Wherever Jews tried to kill themselves in their homes in hospitals on the deportation trains in the concentration camps the Nazi authorities would invariably intervene in order to save the Jews lives wait for them to recover and then send them to their prescribed deaths 1 Archived 2016 04 08 at the Wayback Machine quotation from Kwiet K Suicide in the Jewish Community in Leo Baeck Yearbook vol 38 1993 Thomas Szasz the myth of mental illness Klein Daniel B 1993 Book Review Our Right to Drugs A Case for a Free Market PDF Southern Economic Journal 59 3 552 553 doi 10 2307 1060304 JSTOR 1060304 Archived from the original PDF on December 25 2016 Ceremonial Chemistry 1974 p 15 Baker Robert Winter 2003 Psychiatry s Gentleman Abolitionist PDF The Independent Review VII 3 455 460 ISSN 1086 1653 Archived PDF from the original on April 10 2019 Retrieved February 12 2012 Jacob Sullum July 2000 Curing the Therapeutic State Thomas Szasz interviewed by Jacob Sullum Reason Magazine 28 et seq Archived from the original on 2014 01 14 Retrieved 2015 07 15 a b Costigan Lucy 2004 Social Awareness in Counseling iUniverse p 17 ISBN 978 0 595 75523 3 Archived from the original on 2014 01 01 Retrieved 2015 06 20 a b c d Fitzpatrick Mike August 2004 From nanny state to therapeutic state The British Journal of General Practice 1 54 505 645 PMC 1324868 PMID 15517694 a b c d Szasz Thomas Spring 2001 The Therapeutic State The Tyranny of Pharmacracy PDF The Independent Review V 4 485 521 ISSN 1086 1653 Archived PDF from the original on February 14 2012 Retrieved January 20 2012 Bush s Brave New World Archived from the original on January 15 2006 Szasz Thomas 2011 The myth of mental illness 50 years later PDF The Psychiatrist 35 5 179 182 doi 10 1192 pb bp 110 031310 Archived PDF from the original on June 20 2012 Retrieved April 27 2012 Fuller Torrey Edwin 1988 Surviving schizophrenia a family manual Perennial Library p 315 ISBN 978 0 06 055119 3 Archived from the original on 2016 08 04 Retrieved 2015 06 20 Szasz Thomas June 1 1971 American Association for the Abolition of Involuntary Mental Hospitalization American Journal of Psychiatry 127 12 1698 doi 10 1176 ajp 127 12 1698 PMID 5565860 Archived from the original on February 3 2014 Retrieved June 1 2014 Szasz Thomas 1971 To the editor American Journal of Public Health 61 6 1076 doi 10 2105 AJPH 61 6 1076 a PMC 1529883 PMID 18008426 Archived from the original on 2015 03 18 Retrieved 2015 06 20 Schaler Jeffrey ed 2004 Szasz Under Fire A Psychiatric Abolitionist Faces His Critics Open Court Publishing p xiv ISBN 978 0 8126 9568 7 Archived from the original on 2020 01 28 Retrieved 2015 06 20 CCHR s Board of Advisors Citizens Commission on Human Rights CCHR Archived from the original on November 28 2005 Retrieved July 29 2006 Scientology Church of Scientology Official Site Archived from the original on 2003 07 14 Thomas Szasz speaks Part 2 of 2 All in the Mind 11 April 2009 Archived from the original on 22 December 2012 Retrieved 2 January 2013 a b Parker Ian 2001 Russell Tribunal on Human rights in Psychiatry amp Geist Gegen Genes June 30 July 2 2001 Berlin Psychology in Society 27 120 122 ISSN 1015 6046 Kirk S A Gomory T amp Cohen D 2013 Mad Science Psychiatric Coercion Diagnosis and Drugs Transaction Publishers pp 134 135 a href Template Cite book html title Template Cite book cite book a CS1 maint multiple names authors list link R E Kendell 2005 The Myth of Mental Illness In Schaler Jeffrey ed Szasz Under Fire The Psychiatric Abolitionist Faces His Critics 1st ed Illinois Open Court pp 29 48 ISBN 978 0812695687 Shorter Edward May 2011 Still tilting at windmills Commentary on The myth of mental illness The Psychiatrist 35 5 183 184 doi 10 1192 pb bp 111 034108 Szasz Thomas May 2011 The myth of mental illness 50 years later The Psychiatrist 35 5 179 182 doi 10 1192 pb bp 110 031310 The Humanist of the Year American Humanist Association Archived from the original on January 14 2013 Retrieved May 1 2012 Honorary doctoral degrees Universidad Francisco Marroquin Archived from the original on January 12 2013 Retrieved May 1 2012 Further reading editBentall Richard Pilgrim David March 1993 Thomas Szasz crazy talk and the myth of mental illness British Journal of Medical Psychology 66 1 69 76 doi 10 1111 j 2044 8341 1993 tb01727 x PMID 8485079 Bracken Pat Thomas Philip September 2010 From Szasz to Foucault On the Role of Critical Psychiatry PDF Philosophy Psychiatry amp Psychology 17 3 219 228 Buchanan Barker P Barker P February 2009 The convenient myth of Thomas Szasz Journal of Psychiatric and Mental Health Nursing 16 1 87 95 doi 10 1111 j 1365 2850 2008 01310 x PMID 19192090 Evans Rod 2008 Szasz Thomas 1920 In Hamowy Ronald ed Szasz Thomas The Encyclopedia of Libertarianism Thousand Oaks CA Sage Cato Institute pp 497 498 doi 10 4135 9781412965811 n304 ISBN 978 1 4129 6580 4 LCCN 2008009151 OCLC 750831024 Fontaine Michael 2014 On Religious and Psychiatric Atheism The Success of Epicurus the Failure of Thomas Szasz Pols Jan 2005 The Politics of Mental Illness Myth and Power in the Work of Thomas S Szasz PDF ISBN 978 90 805136 4 8 The book in full is available online by click Powell Jim 2000 The triumph of liberty a 2 000 year history told through the lives of freedom s greatest champions Free Press ISBN 978 0 684 85967 5 Schaler Jeffrey ed 2004 Szasz Under Fire A Psychiatric Abolitionist Faces His Critics Open Court Publishing Company ISBN 978 0 8126 9568 7 Schaler Jeffrey A Lothane Henry Zvi Vatz Richard E eds 2017 Thomas S Szasz The Man and His Ideas Routledge ISBN 978 1412865142 Vatz Richard Weinberg Lee eds 1983 Thomas Szasz primary values and major contentions Prometheus Books ISBN 978 0 87975 187 6 Vatz Richard Fall 2006 Rhetoric and psychiatry A Szaszian perspective on a political case study Current Psychology 25 1 173 181 doi 10 1007 s12144 006 1001 9 S2CID 143487239 Vatz Richard Summer 1973 The myth of the rhetorical situation Philosophy amp Rhetoric 6 3 154 161 JSTOR 40236848 Watts Geoff 20 October 2012 Thomas Stephen Szasz The Lancet 380 9851 1380 doi 10 1016 S0140 6736 12 61790 5 S2CID 54276109 Williams Arthur Caplanemail Arthur 20 October 2012 Thomas Szasz rebel with a questionable cause The Lancet 380 9851 1378 1379 doi 10 1016 S0140 6736 12 61789 9 PMID 23091833 S2CID 5065659 External links editThomas Szasz at Wikipedia s sister projects nbsp Media from Commons nbsp Quotations from Wikiquote nbsp Resources from Wikiversity nbsp Data from Wikidata Bibliography of Szasz s writings Thomas Szasz Papers at Syracuse University The Thomas S Szasz Cybercenter for Liberty and Responsibility Concepts and Controversies in Modern Medicine Psychiatry and Law How are They Related pt 1 Video discussion of forensic psychiatry by Szasz and Bernard Diamond Concepts and Controversies in Modern Medicine Psychiatry and Law How are They Related pt 2 Retrieved from https en wikipedia org w index php title Thomas Szasz amp oldid 1180675755, wikipedia, wiki, book, books, library,

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