For more than half a century, Thomas Szasz has devoted much of his career to a radical critique of psychiatry. His latest work, Psychiatry: The Science of Lies, is a culmination of his life’s work: to portray the integral role of deception in the history and practice of psychiatry. Szasz argues that the diagnosis and treatment of mental illness stands in the same relationship to the diagnosis and treatment of bodily illness that the forgery of a painting does to the original masterpiece. Art historians and the legal system seek to distinguish forgeries from originals. Those concerned with medicine, on the other hand—physicians, patients, politicians, health insurance providers, and legal professionals—take the opposite stance when faced with the challenge of distinguishing everyday problems in living from bodily diseases, systematically authenticating nondiseases as diseases. The boundary between disease and nondisease—genuine and imitation, truth and falsehood—thus becomes arbitrary and uncertain. There is neither glory nor profit in correctly demarcating what counts as medical illness and medical healing from what does not. Individuals and families wishing to protect themselves from medically and politically authenticated charlatanry are left to their own intellectual and moral resources to make critical decisions about human dilemmas miscategorized as “mental diseases” and about medicalized responses misidentified as “psychiatric treatments.” Delivering his sophisticated analysis in lucid prose and with a sharp wit, Szasz continues to engage and challenge readers of all backgrounds.

Understanding the history of psychiatry requires an accurate view of its function and purpose. In this provocative new study of this nominal medical specialty, Szasz challenges conventional beliefs about psychiatry. He asserts that, in fact, psychiatrists are not concerned with the diagnosis and treatment of bonafide illnesses. He contends that the truth about psychiatry, its self-evident ends, and the means used to achieve them is socially unacceptable. Psychiatric tradition, social expectation, and the law make it clear that coercion is the profession's determining characteristi

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'saunderstanding, not only of himself, but of the world about him, is different from every other person's. This volume shows how the quest for truth is a never-ending challenge, and must presuppose an honest acceptance of questions, problems, and uncertainty.

"The book is readable and challenging; readers will never see psychiatry in the same way again." -- Choice Reviews Originally called mad-doctoring, psychiatry began in the seventeenth century with the establishing of madhouses and the legal empowering of doctors to incarcerate persons denominated as insane. Until the end of the nineteenth century, every relationship between psychiatrist and patient was based on domination and coercion, as between master and slave. Psychiatry, its emblem the state mental hospital, was a part of the public sphere, the sphere of coercion. The advent of private psychotherapy, at the end of the nineteenth century, split psychiatry in two: some patients continued to be the involuntary inmates of state hospitals; others became the voluntary patients of privately practicing psychotherapists. Psychotherapy was officially defined as a type of medical treatment, but actually was a secular-medical version of the cure of souls. Relationships between therapist and patient, Thomas Szasz argues, was based on cooperation and contract, as is relationships between employer and employee, or, between clergyman and parishioner. Psychotherapy, its emblem the therapist's office, was a part of the private sphere, the contract. Through most of the twentieth century, psychiatry was a house divided-half-slave, and half-free. During the past few decades, psychiatry became united again: all relations between psychiatrists and patients, regardless of the nature of the interaction between them, are now based on actual or potential coercion. This situation is the result of two major "reforms" that deprive therapist and patient alike of the freedom to contract with one another: Therapists now have a double duty: they must protect all mental patients-involuntary and voluntary, hospitalized or outpatient, incompetent or competent-from themselves. They must also protect the public from all patients. Persons designated as mental patients may be exempted from responsibility for the deleterious consequences of their own behavior if it is attributed to mental illness. The radical differences between the coercive character of mental hospital practices in the public sphere, and the consensual character of psychotherapeutic practices in the private sphere, are thus destroyed. At the same time, as the scope of psychiatric coercion expands from the mental hospital to the psychiatrist's office, its reach extends into every part of society, from early childhood to old age. Thomas Szasz is professor of psychiatry emeritus at the State University of New York Health Science Center in Syracuse, New York and Adjunct Scholar at the Cato Institute, Washington, DC. He is the author of over two dozen books in fifteen languages, including The Myth of Mental Illness and most recently, Pharmacracy: Medicine and Politics in America . "The book is readable and challenging; readers will never see psychiatry in the same way again."-- Choice "Szasz now appears to have been transformed into an ally rather than an enemy of the National Health Service general adult psychiatrist. Szasz's project has always been to argue passionately for a boundry of demarcation around the responsibility and power of psychiatry....But what saves this book from being just another mugging of psychiatry is that Szasz does raise a fundamental question at the core of our discipline. If we restricted our attention only to those clients who wanted to see a psychiatrist, and disengaged from all those who really didn't, how different might our professional practice and experience be?"-- The British Journal of Psychiatry