I became interested in writing this book approximately ten years ago when, having become established as a psychiatrist, I became increasingly impressed by the vague, capricious and generally unsatisfactory character of the widely used concept of mental illness and its corollaries, diagnosis, prognosis and treatment. Although (mental illness) might have been a useful concept in the nineteenth century, today it is scientifically worthless and socially harmful. In non-psychiatric circles mental illness all too often is considered to be whatever psychiatrists say it is. The answer to the question, Who is mentally ill? thus becomes: Those who are confined in mental hospitals or who consult psychiatrists in their private offices.
Thomas SzaszRelated topics
answer book century character concept consult diagnosis having ill illness might mental nineteenth private prognosis question say ten thus treatment vague whatever writing today years psychiatristRelated quotes
I rely on two precedents: first, to similar cases our Sages applied the verse, "It is time to do something in honour of the Lord: for they have made void thy law"... Secondly, they have said, "Let all thy acts be guided by pure intentions." ...Lastly, when I have a difficult subject before me-when I find the road narrow, and can see no other way of teaching a well established truth except by pleasing one intelligent man and displeasing ten thousand fools-I prefer to address myself to the one man, and to take no notice whatever of the condemnation of the multitude; I prefer to extricate that intelligent man from his embarrassment and show him the cause of his perplexity, so that he may attain perfection and be at peace.
Maimonides
Those who, in the nineteenth century, argued the dangers of a mass democracy in which a majority of the voters would have no stake in the country at all, had reason to be fearful. But the remedy is not to restrict the franchise to those who own property: it is to extend the ownership of property to the largest possible majority of those who have the vote. The widespread ownership of private property is crucial to the survival of freedom and democracy. It gives the citizen a vital sense of identification with the society of which he is a part. It gives him a stake in the future-and indeed, equally important, in the present. It creates a society with an inbuilt resistance to revolutionary change.
Nigel Lawson
One great state says to others, as each in effect has been saying during the ten years of armament debate: "It is true that we ask for considerable power. Perhaps, all things considered, greater power than you. But it need not disturb you in the least, for we give you our most positive assurance that that power will be used purely for defense. And by defense we mean this: that when we get into a dispute with you as to our respective rights, when, that is, the question is whether you are right or we are right, what we mean by defense is that we shall always be in a position to be sole judge of the question. And so much stronger than you, that you will have to accept our verdict without any possibility of appeal. Could anything be fairer?"
Norman Angell
The distribution of wealth is one of today's most widely discussed and controversial issues. But what do we really know about its evolution over the long term? Do the dynamics of private capital accumulation inevitably lead to the concentration of wealth in ever fewer hands, as Karl Marx believed in the nineteenth century? Or do the balancing forces of growth, competition, and technological progress lead in later stages of development to reduced inequality and greater harmony among the classes, as Simon Kuznets thought in the twentieth century? What do we really know about how wealth and income have evolved since the eighteenth century, and what lessons can we derive from that knowledge for the century now under way?
Thomas Piketty
Our adversaries are not demons, witches, fate, or mental illness. We have no enemy whom we can fight, exorcise, or dispel by "cure." What we do have are problems in living - whether these be biologic, economic, political, or sociopsychological. In this essay I was concerned only with problems belonging in the last mentioned category, and within this group mainly with those pertaining to moral values. The field to which modern psychiatry addresses itself is vast, and I made no effort to encompass it all. My argument was limited to the proposition that mental illness is a myth, whose function it is to disguise and thus render more palatable the bitter pill of moral conflicts in human relations.
Thomas Szasz
