Thomas Szasz (1920 – 2012)
Professor Emeritus in Psychiatry at the State University of New York Health Science Center in Syracuse, New York, and a noted critic of the moral and scientific foundations of psychiatry.
We speak of a person being “under the influence” of alcohol, or heroin, or amphetamine, and believe that these substances affect him so profoundly as to render him utterly helpless in their grip. We thus consider it scientifically justified to take the most stringent precautions against these things and often prohibit their nonmedical, or even their medical, use. But a person may be under the influence not only of material substances but also of spiritual ideas and sentiments, such as patriotism, Catholicism, or Communism. But we are not afraid of these influences, and believe that each person is, or ought to be, capable of fending for himself.
This connection, at once semantic and conceptual, between unorthodoxy and sodomy, was firmly established during the late Middle Ages, and has never been severed. It is as strong today as it was six hundred years ago. To be stigmatized as a heretic or bugger in the fourteenth century was to cast out of society. Since the dominant ideology was theological, religious deviance was considered so grave an offense as to render the individual a nonperson. Whatever redeeming qualities he might have had counted for naught. The sin of heresy eclipsed all contradictory, personal characteristics, just as the teachings of God and the Church eclipsed all contradictory empirical observations. The disease called “mental illness”—and its subspecies “homosexuality”—plays the same role today.
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.
There is a fundamental similarity between the persecution of individuals who engage in consenting homosexual activity in private, or who ingest, inject, or smoke various substances that alter their feelings and thoughts—and the traditional persecution of men for their religion. ... What all of these persecutions have in common is that the victims are harassed by the majority not because they engage in overtly aggressive or destructive acts, ... but because their conduct or appearance offends a group intolerant to and threatened by human differences.
The crime [homosexuality] was subject to punishment by both secular and ecclesiastical courts—just as now it is subject to punishment by both penal and psychiatric sanctions.
In the animal kingdom, the rule is, eat or be eaten; in the human kingdom, define or be defined.
As the base rhetorician uses language to increase his own power, to produce converts to his own cause, and to create loyal followers of his own person—so the noble rhetorician uses language to wean men away from their inclination to depend on authority, to encourage them to think and speak clearly, and to teach them to be their own masters.
The episode in Sodom is undoubtedly the earliest account in human history of the entrapment of homosexuals, a strategy widely practiced by the law enforcement agencies of modern Western countries, especially those of the United States. In effect, the men of Sodom were entrapped by two strangers, who in truth were not travelers but angels, that is to say, God’s plain-clothesmen. These agents of the Biblical vice-squad wasted no time punishing the offenders.
Boredom is the feeling that everything is a waste of time; serenity, that nothing is.
In the past, men created witches: now they create mental patients.
The passion to interpret as madness that with which we disagree seems to have infected the best of contemporary minds.
Judges and prosecutors, lawyers and psychiatrists, all protest their passionate desire to know why a person accused of a crime did what he did. But their actions completely belie their words: their efforts are now directed toward letting everyone speak in court but the defendant himself -- especially if he is accused of a political or psychiatric crime.
Psychiatrists look for twisted molecules and defective genes as the causes of schizophrenia, because schizophrenia is the name of a disease. If Christianity or Communism were called diseases, would they then look for the chemical and genetic “causes” of these “conditions”?
In the natural sciences, language (mathematics) is a useful tool: like the microscope or telescope, it enables us to see what is otherwise invisible. In the social sciences, language (literalized metaphor) is an impediment: like a distorting mirror, it prevents us from seeing the obvious.
That is why in the natural sciences, knowledge can be gained only with the mastery of their special languages; whereas in human affairs, knowledge can be gained only by rejecting the pretentious jargons of the social sciences.
The Christian ethic did not raise the worth of female life much above the Jewish: nor did the clinical ethic raise it much above the clerical. This is why most of those identified as witches by male inquisitors were women; and why most of those diagnosed as hysterics by male psychiatrists were also women.
So long as men denounce each other as mentally sick (homosexual, addicted, insane, and so forth)—so that the madman can always be considered the Other, never the Self—mental illness will remain an easily exploitable concept, and Coercive Psychiatry a flourishing institution.
Over the past thirty years, we have replaced the medical-political persecution of illegal sex users ("perverts" and "psychopaths") with the even more ferocious medical-political persecution of illegal drug users.
The concept of disease is fast replacing the concept of responsibility. With increasing zeal Americans use and interpret the assertion "I am sick" as equivalent to the assertion "I am not responsible": Smokers say they are not responsible for smoking, drinkers that they are not responsible for drinking, gamblers that they are not responsible for gambling, and mothers who murder their infants that they are not responsible for killing. To prove their point — and to capitalize on their self-destructive and destructive behavior — smokers, drinkers, gamblers, and insanity acquitees are suing tobacco companies, liquor companies, gambling casinos, and physicians.
Can American society survive this legal-psychiatric assault on its moral and political foundations?
It becomes logical to ask where the idea originates that the rules of the game of life ought to be such that those who are weak, disabled or ill should be helped?
One answer is obvious: this is the game typically played in childhood. Every one of us was, at one time, a weak and helpless child, cared for by adults: without such help we would not have survived and become adults.
Another, almost equally obvious answer is that the prescription of a help-giving attitude toward the weak is embodied in the dominant religions of Western man.
Judaism, and especially Christianity, teach these rules by means of parable and prohibition, example and exhortation, and by every other means available to their representatives.
I started to work on this book in 1954, when, having been called to active duty in the Navy, I was relieved of the burdens of a full-time psychoanalytic practice... Within a year of its publication, the Commissioner of the New York State Department of Mental Hygiene demanded, in a letter citing specifically 'The Myth Of Mental Illness', that I be dismissed from my university position because I did not "believe" in mental illness.