Dr. Thomas Szasz on the shortcomings of commitment procedures, and the inadequacies of protections afforded patients in psychiatric institutions. He alerts us to the existing and potential abuses of human rights in mental health programs and procedures.

Law, Liberty, and Psychiatry

SZASZ, THOMAS

Syracuse University Press

Essays showing the religious aspects of various medical practices

The theology of medicine: The political-philosophical foundations of medical ethics (Harper colophon books ; CN 545)

Politics & Social Sciences

Philosophy

Harper Colophon Books

Ideology and Insanity: Essays on the Psychiatric Dehumanisation of Man (Pelican)

Health, Fitness & Dieting

Psychology & Counseling

Penguin Books, Ltd.

Social anthropology, defined operationally in terms of what social anthropologists have done in the last fifty years, is the study and comparison of tribal societies and of small fields of social life with emphasis on the role of custom. When a social anthropologist's research leads him into any field, which belongs to other disciplines, what line should he adopt? What use may he make of the results that other scholars have already achieved? Must he knowingly make naive assumptions concerning events, which they have regarded as complex? In each of the fascinating essays which in turn form the core of this book-V. W. Turner's on symbols in Ndembu ritual; F. G. Bailey's on disputes which occurred in two Orissa villages; A. L. Epstein's on urban communities in Africa; T. Lupton's and S. Cunnison's on the relationship between behaviour in three Manchester workshops and certain events which happened outside; and W. Watson's on social mobility and social class in a coalmining Scottish burgh-several social anthropologists attempt to answer these questions by discussing the problems of method that they have encountered in their own recent research; and in the searching discussion which follows Ely Devons and Max Gluckman sum up the results. To analyze one first has to circumscribe one's field, and then simplify within the area of circumscription. Both circumscription and simplification may involve procedures of absorbing, abridging, and making na´ve assumptions. The contributors draw attention to the attempt to distinguish between psychical facts (emotions, thoughts, etc.) and psychological, which we believe should apply only to statements within the science of psychology, and not to be used by the former. They similarly distinguish between social facts and sociological or social-anthropological statements. "Psychological" and "sociological" are so well established in common parlance as adjectives to categorize facts that attempts to specialize them as hopeless.

Closed Systems and Open Minds: The Limits of Naivety in Social Anthropology

History

Africa

Routledge

.In Our Right to Drugs, Thomas Szasz shows that our present drug war started at the beginning of this century, when the American government first assumed the task of protecting people from patent medicines. By the end of World War I, however, the free market in drugs was but a dim memory, if that. Instead of dwelling on the familiar impracticality or unfairness of our drug laws, Szasz demonstrates the deleterious effects of prescription laws which place people under lifelong medical tutelage. The result is that most Americans today prefer a coercive and corrupt command drug economy to a free market in drugs.
Throughout the book, Szasz stresses the consequences of the fateful transformation of the central aim of American drug prohibitions from protecting us from being fooled by misbranded drugs to protecting us from harming ourselves by self-medication--defined as drug abuse. And he reminds us that the choice between self-control and state coercion applies to all areas of our lives, drugs being but one of the theaters in which this perennial play may be staged. A free society, Szasz emphasizes, cannot endure if its citizens reject the values of self-discipline and personal responsibility and if the state treats adults as if they were naughty children. In a no-holds-barred examination of the implementation of the War on Drugs, Szasz shows that under the guise of protecting the vulnerable members of our society--especially children, blacks, and the sick--our government has persecuted and injured them. Leading politicians persuade parents to denounce their children, and encourage children to betray their parents and friends--behavior that subverts family loyalties and destroys basic human decency. And instead of protecting blacks and Hispanics from dangerous drugs, this holy war has allowed us to persecute them, not as racists but as therapists--working selflessly to bring about a drug-free America. Last but not least, to millions of sick Americans, the War on Drugs has meant being deprived of the medicines they want-- because the drugs are illegal, unapproved here though approved abroad, or require a prescription a physician may be afraid to provide. The bizarre upshot of our drug policy is that many Americans now believe they have a right to die, which they will do anyway, while few believe they have a right to drugs, even though that does not mean they have to take any. Often jolting, always stimulating, Our Right to Drugs is likely to have the same explosive effect on our ideas about drugs and drug laws as, more than thirty years ago, The Myth of Mental Illness had on our ideas about insanity and psychiatry.

Our Right to Drugs: The Case for a Free Market

Addiction & Recovery

Praeger

In this brilliantly original and highly accessible work, Thomas Szasz demonstrates the futility of analyzing the mind as a collection of brain functions. Instead of trying to unravel the riddle of a mythical entity called the mind, Szasz suggests that our task should be to understand and judge persons always as moral agents responsible for their own actions, not as victims of brain chemistry. This is Szasz's most ambitious work to date. In his best-selling book, The Myth of Mental Illness, he took psychiatry to task for misconstruing human conflict and coping as mental illness. In Our Right to Drugs, he exposed the irrationality and political opportunism that fuels the Drug War. In The Meaning of Mind, he warns that we misconstrue the dialogue within as a problem of consciousness and neuroscience, and do so at our own peril.
In The Meaning of Mind, Thomas Szasz argues that only as a verb does the word mind mean something in the real world, namely, attending or heeding. Minding is the ability to pay attention and adapt to one's environment by using language to communicate with others and oneself. Viewing the mind as a potentially infinite variety of self-conversations is the key that unlocks many of the mysteries we associate with this concept. Modern neuroscience is a misdirected effort to explain mind in terms of brain functions. The claims and conclusions of the diverse academics and scientists who engage in this enterprise undermine the concepts of moral agency and personal responsibility. Szasz shows that the cognitive function of speech is to enable us to talk not only to others but to ourselves (in short, to be our own interlocutor), and that the view that mind is brain―embraced by both the scientific community and the popular press―is not an empirical finding but a rhetorical ruse concealing humanity's unceasing struggle to control persons by controlling the vocabulary. The discourse of brain-mind, unlike the discourse of man as moral agent, protects people from the dilemmas intrinsic to holding themselves responsible for their own actions and holding others responsible for theirs. Because we live in an age blessed by the fruits of materialist science, reductionist explanations of the relationship between brain and mind are more popular today than ever, making this book an indispensible addition to the seemingly recondite debate about, simply, who we are.

The Meaning of Mind

Science & Math

Fatal Freedom is an eloquent defense of every individual's right to choose a voluntary death. The author, a renowned psychiatrist, believes that we can speak about suicide calmly and rationally, as he does in this book, and that we can ultimately accept suicide as part of the human condition. By maintaining statutes that determine that voluntary death is not legal, our society is forfeiting one of its basic freedoms and causing the psychiatric/medical establishment to treat individuals in a manner that is disturbingly inhumane according to Dr. Szasz. His important work asks and points to clear, intelligent answers to some of the most significant ethical questions of our time:
 • Is suicide a voluntary act?
 • Should physicians be permitted to prevent it?
 • Should they be authorized to abet it?
 The author's thoughtful analysis of these questions consistently holds forth patient autonomy as paramount; therefore, he argues, patients should not be prevented from exercising their free will, nor should physicians be permitted to enter the process by prescribing or providing the means for voluntary death.
Dr. Szasz predicts that we will look back at our present prohibitory policies toward suicide with the same amazed disapproval with which we regard past policies toward homosexuality, masturbation, and birth control. This comparison with other practices that started as sins, became crimes, then were regarded as mental illnesses, and are now becoming more widely accepted, opens up the discussion and understanding of suicide in a historical context. The book explores attitudes toward suicide held by the ancient Greeks and Romans, through early Christianity and the Reformation, to the advent of modern psychiatry and contemporary society as a whole. Our tendency to define disapproved behaviors as diseases has created a psychiatric establishment that exerts far too much influence over how and when we choose to die. Just as we have come to accept the individual's right to birth control, so too must we accept his right to death control before we can call our society humane or free.

Fatal Freedom: The Ethics and Politics of Suicide

Self-Help

Death & Grief

Praeger Publishers

In recent decades, American medicine has become increasingly politicized and politics has become increasingly medicalized. Behaviors previously seen as virtuous or wicked, wise or unwise are now dealt with as healthy or sick--unwanted behaviors to be controlled as if they were health issues. 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 the creation of a type of government social critic Thomas Szasz calls pharmacracy.
Medicalizing troublesome behaviors and social problems is tempting to voters and politicians alike: it panders to the people by promising to satisfy their needs for dependence on medical authority and offers easy self-aggrandizement to politicians as the dispensers of more and better health care. Thus, the people gain a convenient scapegoat, enabling them to avoid personal responsibility for their behavior. The government gains a rationale for endless and politically expedient wars against social problems defined as public health emergencies. The health care system gains prestige, funding, and bureaucratic power that only an alliance with the political system can provide.
However, Szasz warns, the creeping substitution of pharmacracy for democracy--private medical concerns increasingly perceived as requiring a political response--inexorably erodes personal freedom and dignity. Pharmacracy: Medicine and Politics in America is a clear and convincing presentation of this hidden danger, all too often ignored in our health care debates and avoided in our political contests.

Pharmacracy: Medicine and Politics in America

Ideology and Insanity: Essays on the Psychiatric Dehumanization of Man

Anchor Books

The renowned gadfly of psychiatry examines the growing practice of coercing individuals (especially adults economically dependent on others) allegedly in their own best interest. Demonstrates how moral man has been replaced by mental patient in modern society, how sin has been converted to mental illness as a way of controlling undesirables. Deals with psychiatry as a social control medium, how it disposes of those persons unwanted by society, and presents a compelling argument for limiting coercive powers of psychiatry to take away people's personal freedom and relieve them of their personal responsibility.

Cruel Compassion: Psychiatric Control of Society's Unwanted

wiley

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