Thomas Szasz has been challenging the very existence of "mental illness" for over twenty-five years. His advocacy of freedom of choice and the abolition of involuntary psychiatry has made him America's most controversial psychiatrist. The Therapeutic State is a unique collection of topical essays about what the author calls "one of the grandest illusions of our age, mental illness, and the quixotic crusade against it." Pivoting his analysis on news-making events, Szasz exposes the fallacies of our present penchant for interpreting the behavior of "sane" persons as goal-directed and therefore sensible, and the behavior of "insane" persons as caused by a "mental illness" and therefore senseless. In a series of diverse short pieces, originally published in newspapers and magazines, the author shows us that individual liberty and responsibility are indivisible, and that we cannot protect ourselves against coercive psychiatry's threats to liberty so long as we persist in using psychiatric ideas and interventions to evade responsibility. Szasz's recommendation is simple but radical: So-called mental patients should be treated like other people - as no more subject to loss of liberty or entitled to excuses from responsibility than anyone else. Psychiatrists should be treated like other professionals - having no more power to inculpate innocent persons or to expurgate guilty ones than, say, accountants or architects. In short, our aim should be to disarm psychiatrists, much as the Founding Fathers disarmed priests. Nothing less can free us from the "benefits" and "harms" of the Therapeutic State.

In the culminating volume of her nationalism trilogy, Greenfeld argues that we have overlooked the connection between egalitarian society and mental illness. Modern nationalism rests on principles of popular sovereignty, equality, and secularism. Citizens of the twenty-first century enjoy unprecedented freedom to become the authors of their personal destinies. Empowering as this is, it also places them under enormous psychic strain. They must constantly appraise their identities, manage their desires, and calibrate their place within society. For vulnerable individuals, this pressure is too much. Training her analytic eye on extensive case histories in manic depression and schizophrenia, Greenfeld contends that these illnesses are dysfunctions of selfhood caused by society's overburdening demands for self-realization. In her rigorous diagnosis, madness is a culturally constituted malady

The libertarian philosophy of freedom is characterized by two fundamental beliefs: the right to be left alone and the duty to leave others alone. Psychiatric practice routinely violates both of these beliefs. It is based on the notion that self-ownership--exemplified by suicide--is a not an inherent right, but a privilege subject to the review of psychiatrists as representatives of society. In Faith in Freedom, Thomas Szasz raises fundamental questions about psychiatric practices that inhibit an individual's right to freedom. His questions are fundamental. Is suicide an exercise of rightful self-ownership or a manifestation of mental disorder? Does involuntary confinement under psychiatric auspices constitute unjust imprisonment, or is it therapeutically justified hospitalization? Should forced psychiatric drugging be interpreted as assault and battery on the person or is it medical treatment? The ethical standards of psychiatric practice mandate that psychiatrists employ coercion. Forgoing such "intervention" is considered a dereliction of the psychiatrists' "duty to protect." How should friends of freedom--especially libertarians--deal with the conflict between elementary libertarian principles and prevailing psychiatric practices? In Faith in Freedom, Thomas Szasz addresses this question more directly and more profoundly than in any of his previous works.