The modern penchant for transforming human problems into "diseases" and judicial sanctions into "treatments," replacing the rule of law with the rule of medical discretion, leads to a type of government social critic Thomas Szasz calls "pharmacracy." He warns that the creeping substitution of democracy for pharmacracyprivate personal concerns increasingly perceived as requiring a medical-political responseinexorably erodes personal freedom and dignity.
Responding to the controversy surrounding drug use and drug criminalization, Thomas Szasz suggests that the "therapeutic state" has overstepped its bounds in labeling certain drugs as "dangerous" substances and incarcerating drug "addicts" in order to cure them. Szasz shows that such policies scapegoat certain drugs as well as the persons who sell, buy, or use them; and 'misleadingly pathologize the "drug problem" by defining disapproved drug use as "disease" and efforts to change the behavior as "treatment." Readers will find in Szasz's arguments a cogent and committed response to a worldwide debate.
The libertarian philosophy of freedom is characterized by two fundamental beliefs: the right to be left alone and the duty to leave others alone. Psychiatric practice routinely violates both of these beliefs. It is based on the notion that self-ownership—exemplified by suicide—is a not an inherent right, but a privilege subject to the review of psychiatrists as representatives of society. In Faith in Freedom, Thomas Szasz raises fundamental questions about psychiatric practices that inhibit an individual's right to freedom. His questions are fundamental. Is suicide an exercise of rightful self-ownership or a manifestation of mental disorder? Does involuntary confinement under psychiatric auspices constitute unjust imprisonment, or is it therapeutically justified hospitalization? Should forced psychiatric drugging be interpreted as assault and battery on the person or is it medical treatment? The ethical standards of psychiatric practice mandate that psychiatrists employ coercion. Forgoing such "intervention" is considered a dereliction of the psychiatrists' "duty to protect." How should friends of freedom—especially libertarians—deal with the conflict between elementary libertarian principles and prevailing psychiatric practices? In Faith in Freedom, Thomas Szasz addresses this question more directly and more profoundly than in any of his previous works.
This collection of impassioned essays, published between 1973 and 2006, chronicles Thomas Szasz’s long campaign against the orthodoxies of “pharmacracy,” that is, the alliance of medicine and the state. From “Diagnoses Are Not Diseases” to “The Existential Identity Thief,” “Fatal Temptation,” and “Killing as Therapy,” the book delves into the complex evolution of medicalization, concluding with “Pharmacracy: The New Despotism.” In practice, society must draw a line between what counts as medical practice and what does not. Where it draws that line goes far in defining the kinds of laws its citizens live under, the kinds of medical care they receive, and the kinds of lives they are allowed to live.
"The human mind abhors the absence of explanation, but full understanding is never possible. Human understanding is likely to be incomplete at best and, more often, utterly fallacious. To make matters worse, it is likely to be supported as truth and wisdom by religious and scientific authority, intellectual fashion and social convention. In Words to the Wise, Thomas Szasz offers a compendium of thoughts, observations, and aphorisms that address our understanding of a broad range of subjects, from birth to death.In this book, Szasz tackles a problem intrinsic to the human condition. What problem? In the words of the American humorist Josh Billings: ""The trouble with people is not what they don't know but that they know so much that ain't so."" Many of Thomas Szasz's books have been devoted to exposing what ""ain't so"" about mental illness and psychiatry. Here, Szasz applies the same skeptical spirit to the larger problem of people knowing much that ""ain't so."" About addiction, Szasz observes: ""If a person ingests a drug prohibited by legislators and claims that it makes him feel better, that proves he is an addict; if he ingests a drug prescribed by a psychiatrist and claims that it makes him feel better, that proves that mental illness is a biomedical disease."" About beauty: ""Beauty is in the eye of the beholder; ugliness is in the personality of the beholden."" About libertarians: ""Libertarians regard liberty as contingent on the right to property; scientists regard disease as contingent on pathological alteration of the body. All libertarians reject the notion of 'socialist liberty,' yet many accept the notion of 'mental disease.'"" Or about power: ""Many of my critics say I am hostile to medicine and physicians. They are wrong. I am hostile only to the power of the medical profession and of physicians.""Szasz notes that despite enormous social pressure for a shared perspective on how the world works and how we ought to live, every person'saunde"
Since he published The Myth of Mental Illness in 1961, professor of psychiatry Thomas Szasz has been the scourge of the psychiatric establishment. In dozens of books and articles, he has argued passionately and knowledgeably against compulsory commitment of the mentally ill, against the war on drugs, against the insanity defense in criminal trials, against the "diseasing" of voluntary humanpractices such as addiction and homosexual behavior, against the drugging of schoolchildren with Ritalin, and for the right to suicide. Most controversial of all has been his denial that "mental illness" is a literal disease, treatable by medical practitioners. In Szasz Under Fire, psychologists, psychiatrists, and other leading experts who disagree with Szasz on specific issues explain the reasons, with no holds barred, and Szasz replies cogently and pungently to each of them. Topics debated include the nature of mental illness, the right to suicide, the insanity defense, the use and abuse of drugs, and the responsibilities of psychiatrists and therapists. These exchanges are preceded by Szasz's autobiography and followed by a bibliography of his works.
In Our Right to Drugs, Szasz shows how the present drug war started at the beginning of this century, when the US government first assumed the task of protecting people from patent medicines. By the end of World War I the free market in drugs was but a dim memory. Instead of dwelling on the familiar impracticality and unfairness of drug laws, Szasz demonstrates the deleterious effects of prescription laws, which place people under lifelong medical supervision. The result is that most Americans today prefer a coercive and corrupt command drug economy to a free market in drugs.
Cruel Compassion is the capstone of Thomas Szasz's critique of psychiatric practices. Reexamining psychiatric interventions from a cultural-historical and political-economic perspective, Szasz demonstrates that the main problem that faces mental health policy makers today is adult dependency. Millions of Americans, diagnosed as mentally ill, are drugged and confined by doctors for noncriminal conduct, go legally unpunished for the crimes they commit, and are supported by the state—not because they are sick, but because they are unproductive and unwanted. Obsessed with the twin beliefs that misbehavior is a medical disorder and that the duty of the state is to protect adults from themselves, we have replaced criminal-punitive sentences with civil-therapeutic 'programs.' The result is the relentless loss of individual liberty, erosion of personal responsibility, and destruction of the security of persons and property—symptoms of the transformation of a Constitutional Republic into a Therapeutic State, unconstrained by the rule of law. Szasz shows convincingly that not until we separate therapy from coercion—much as the founders separated theology from coercion—shall we be able to get a handle on our seemingly intractable psychiatric and social problems. No contemporary thinker has done more than Thomas Szasz to expose the myths and misconceptions surrounding insanity and the practice of psychiatry. Now, in Cruel Compassion, he gives us a sobering look at some of our most cherished notions about our humane treatment of society's unwanted, and perhaps more importantly, about ourselves as a compassionate and democratic people.
This book critically analyses how politics and power affect the ways that medicine is taught and learned. Challenging society’s historic reluctance to connect the realm of politics to the realm of medicine, Medical Education, Politics and Social Justice: The Contradiction Cure emphasizes the need for medical students to engage with social justice issues, including global health crises resulting from the climate emergency, and the health implications of widening social inequality. Arguing for an increased focus on community-based learning, rather than acute care, this innovative text maps the territory of medicine’s contradictory engagement with politics as a springboard for creative curriculum design. It demonstrates why the socially disempowered - such as political and climate refugees, the homeless, or those without health insurance should be primary subjects of attention for medical students, while exploring how political engagement can be refined, sharp, cultivated and creative, engaging imagination and demanding innovation Exploring how the medical humanities can promote engagement with politics to improve medical education, this book is a ground-breaking and inspiring contribution. It is an essential read for all those with a focus on medical education and medical humanities, as well as medical and healthcare students with an interest in the social determinants of health.
Chiropractic Insights is a collection of essays, covering a variety of topics, including philosophy, politics, education, research, and other issues of interest to the chiropractic profession.
