Coercion as Cure: A Critical History of PsychiatryUnderstanding the history of psychiatry requires an accurate view of its function and purpose. In this provocative new study, Szasz challenges conventional beliefs about psychiatry. He asserts that, in fact, psychiatrists are not concerned with the diagnosis and treatment of bona fide illnesses. Psychiatric tradition, social expectation, and the law make it clear that coercion is the profession's determining characteristic. Psychiatrists may "diagnose" or "treat" people without their consent or even against their clearly expressed wishes, and these involuntary psychiatric interventions are as different as are sexual relations between consenting adults and the sexual violence we call "rape." But the point is not merely the difference between coerced and consensual psychiatry, but to contrast them. The term "psychiatry" ought to be applied to one or the other, but not both. As long as psychiatrists and society refuse to recognize this, there can be no real psychiatric historiography. The coercive character of psychiatry was more apparent in the past than it is now. Then, insanity was synonymous with unfitness for liberty. Toward the end of the nineteenth century, a new type of psychiatric relationship developed, when people experiencing so-called "nervous symptoms," sought help. This led to a distinction between two kinds of mental diseases: neuroses and psychoses. Persons who complained about their own behavior were classified as neurotic, whereas persons about whose behavior others complained were classified as psychotic. The legal, medical, psychiatric, and social denial of this simple distinction and its far-reaching implications undergirds the house of cards that is modern psychiatry. Coercion as Cure is the most important book by Szasz since his landmark The Myth of Mental Illness. |
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Съдържание
15 | |
Chapter 2 | 63 |
Chapter 3 | 83 |
Chapter 4 | 103 |
Chapter 5 | 117 |
Chapter 6 | 151 |
Chapter 7 | 173 |
Chapter 8 | 209 |
Conclusion | 223 |
Notes | 229 |
Bibliography | 259 |
Acknowledgments | 269 |
Index | 271 |
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American Psychiatric anosognosia asylum behavior benefit brain disease called Cameron century chemical chlorpromazine clinical coerced coercive commitment confined confinement convulsions cure David Healy declared defined definition deinstitutionalization depression diagnoses disorders doctors effective emphasis added epilepsy epileptic Ethics experience field film find first Freeman history of psychiatry human Ibid imprisonment incarcerated influence inmates insane institutions insulin involuntary Journal justified Kennedy leukotomy liberty lobotomy Macalpine mad-doctoring madhouse madness medicine mental diseases mental health mental hospitals mental illness mental patients modern Moniz moral treatment neuroleptic Nietzsche Nobel official outpatient commitment persons physicians Pinel political practice prison problem psychia psychiatric coercion psychiatric drugs psychiatric historians psychiatric treatment Psychology psychopharmacology psychosurgery psychotic psychotropic drugs punishment Quoted Rosemary Rosemary Kennedy schizophrenia scientific shock sleep therapy social society suicide Syracuse University Syracuse University Press Szasz term therapeutic Thomas Szasz tion Titicut Follies Today treat Treatment Advocacy Center York
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Страница 75 - Society cannot exist unless a controlling power upon will and appetite be placed somewhere, and the less of it there is within the more there must be without. It is ordained in the eternal constitution of things that men of intemperate minds cannot be free. Their passions forge their fetters.
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Страница 5 - The entire history of social improvement has been a series of transitions, by which one custom or institution after another, from being a supposed primary necessity of social existence, has passed into the rank of an universally stigmatized injustice and tyranny.
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Страница 103 - To die, to sleep, To sleep — perchance to dream. Aye, there's the rub, For in that sleep of death what dreams may come When we have shuffled off this mortal coil Must give us pause.