The Second Sin is a biting collection of aphorisms, witticisms, and thoughts on life from Thomas Szasz. Reading Szasz’s collection of witty quotes is the closest most of us will get to asking Szasz questions about life’s vicissitudes.

There is so much wisdom in these pages that, although the book is short, it is difficult to digest in one sitting. Page after page filled me with laughter and insight into the human condition. Reading Szasz’s aphorisms is like reading the wisdom of a great philosopher.

The original sin was the understanding of good and evil, “the second sin: speaking clearly! … Knowing and doing good and evil, thinking and speaking clearly – these are man’s fundamental affronts against God, the child’s against the parent, the citizen against the state”, says Szasz

For Szasz, the best way to combat the dehumanizing ideas of psychiatry is to poke fun at it. Laughter is a great way to demystify degrading jargon and psychobabble. Szasz follows Orwell’s example of using clear speech to undermine the medicalization of human problems and human stupidity.

In The Second Sin, Szasz says, “Understanding language is thus the key to understanding man; and the control of language, to the control of man…For to control the Word is to be the Definer: God, king, pope, president, legislator, scientist, psychiatrist, madman – you and me…But even the most modest and powerless of men defines something no one else can: his own dreams”.

Below, I have included a few of notable aphorisms from the book.

Table of Contents

Childhood

Childhood is a prison sentence of twenty-one years.

〰️

If a child is well treated, he may grow up to expect to get something for nothing; if ill-treated, to have to give something for nothing. To steer a middle course between the Scylla of “psychopathy” and the Charybdis of “masochism” is the difficult task, first of the parent, and then of the developing child himself.

〰️

A child becomes an adult when he realizes that he has a right not only to be right but also to be wrong.

Family

In the modern family, the psychological problems of its members are not Oedipus and Electra complexes, but, more often, competitions for care, attention, and freedom. For example, in a family with young children, the father and the children often compete for the mother, and the mother might have to protect the children from the father’s efforts to deprive them of maternal affection; whereas in a family with children on the verge of maturity, the mother and the children often compete for the father and the father might have to protect the children from the mother’s efforts to infantilize them.

〰️

A mother (or father) says: “I wanted to give my children what I didn’t have myself as a child.” The upshot is that she exhausts herself in the effort, becomes envious of her own child, and ends by withdrawing and giving her child even less than her parents had given her. The moral: consider yourself lucky if you take as good care of your children as your parents have of you. You might even do a little better, provided you don’t aim too high.

Marriage

Marriage is a gift a man gives to a woman for which she never forgives him.

〰️

The marriage certificate is proof of heterosexual normality. Many young people need it, to convince themselves and others that they are OK.

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The most powerful contemporary symbol of the “sale” of women, and even more of their own “sellout,” is not prostitution, nor the Playmate of the Month, nor any of the numerous discriminations women complain about; instead, I think it is the bridal section of the Sunday newspapers. This journalistic institution confirms and legitimates that just as the proper way for a child to be defined is through his association with his family of origin, so the proper way for a young woman to be defined is through her association with her husband-to-be.

〰️

Psychiatrists construct elaborate explanations for why people marry and divorce. But the meaning of these acts is fairly self-evident. What requires explanation is why individuals stay married.

〰️

Modern marriage is so difficult an arrangement because it is neither a truly contractual relationship nor a truly status relationship. Hence it is that neither husband nor wife can be sure exactly what each can expect of the other, and that both so often feel subjected to each other’s whims. In short, contemporary marriage often combines the constraints of contract and the caprices of status.

〰️

If men and women about to be married were truly equal, why would they marry? Instead of a formal contract, an informal agreement would serve their purposes just as well. But since they are not equal, marriage now serves the bride to deceive the groom and vice versa: each thinks he or she will get the better of the bargain. Frequently, each soon concludes that he or she got the worst of it. In the language of game theory, then, contemporary marriage is often a negative-sum game: it is a game with two players both of whom can, and often do, lose simultaneously.

Modern marriage may, however, be a transitional stage, between the past arrangement, based on domination and subordination, which was a clear-cut zero-sum game-usually the man winning what the woman was losing; and a future arrangement, based on true economic and legal equality, which would be a clear-cut non-zero-sum game each partner winning something as a result of the cooperation between them.

Love

We often speak of love when we really should be speaking of the drive to dominate or to master, so as to confirm ourselves as active agents, in control of our own destinies and worthy of respect from others.

〰️

Love is admiration or awe; compassion or pity. One might thus speak of the human tragedy of the improbability of love between equals. But perhaps the tragedy lies elsewhere, namely, in the spirit of modernity that has put love above dignity, the desire to be loved above the desire to be respected.

Sex

Competence in heterosexuality, or at least the appearance or pretense of such competence, is as much a public affair as a private one. Thus, going steady is a high school diploma in heterosexuality; engagement a B.A.; marriage an M.A.; and children a Ph.D.

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Masturbation: the primary sexual activity of mankind. In the nineteenth century, it was a disease; in the twentieth, it’s a cure.

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The preferred mode of sexual gratification for those who prefer the imaginary to the real.

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Masturbation is more a matter of self-control than of self-love.

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Perversion: sexual practice disapproved by the speaker.

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The modern erotic ideal: man and woman in a loving sexual embrace experiencing simultaneous orgasm through genital intercourse. This is a psychiatric-sexual myth useful for fostering feelings of sexual inadequacy and personal inferiority. It is also a rich source of “psychiatric patients.”

Women

It is more difficult for a woman, especially for an attractive woman, to live an independent and active life than it is for a man, because young women are easily diverted from the patient pursuit of competence by a premature, but inauthentic, pseudo-competence. It actually takes very little to perform the “service” of sexually satisfying a young man, but young women are generally “rewarded” for it through marriage and participation in the economic and social status of their husbands. When women later discover that they can do little, that they lack competence in many areas, and are, in a way, ”good for nothing,” it is too late. Indeed, the more intensely they realize and articulate their predicament, the more likely they are to be diagnosed as mentally ill—that is, as suffering from hysteria, depression, or schizophrenia; and the more loudly they complain of their predicament, the more likely they are to be psychiatrically punished for it–that is, by toxic chemicals, by involuntary mental hospitalization, and by electroshock and lobotomy.

〰️

Women Like the Jews waiting for their Messiah, women wait for their man-each for her own “savior.” Somewhere, deep in their hearts, women expect, hope against hope, for happiness with the ”right” man, with the man whose love will give meaning to their lives. This expectancy-passive and yet demanding, patient and yet angry-is perhaps a characteristic expression of the oppressed person’s basic life experience; that is, of a helplessness vis-à-vis the demands of life, together with a hopelessness to overcome it unaided by an all-powerful ally, a “savior.”

Ethics

Ethics: obsolete; superseded by the diagnosis and treatment of disease.

Good: obsolete; superseded by sane, mentally healthy, healthy.

Bad: obsolete; superseded by insane, mentally ill, sick.

〰️

There are only three major ethical modes of conduct.

The Golden Rule: doing unto others as we would want them to do unto us.

The Rule of Respect: doing unto others as they want us to do unto them.

The Rule of Paternalism: doing unto others as we, in our superior wisdom, know ought to be done unto them in their own best interests.

Education

Every act of conscious learning requires the willingness to suffer an injury to one’s self-esteem. That is why young children, before they are aware of their own self-importance, learn so easily; and why older persons, especially if vain or important, cannot learn at all.

Anatole France was right when he observed that: “Les savants ne sont pas curieux.” (“The savants are not curious.”) They can’t afford to be: their lofty status depends on their knowing, and is undermined, or so they (and others) often feel, by their not knowing but trying to find out.

Pride and vanity can thus be greater obstacles to learning than stupidity. Psychoanalysis is an effort to teach the “patient” something about himself without humiliating him in the process; often, he could learn what the analyst teaches him from his wife (or husband), friends, children, or himself; but this would entail a loss of face which, he feels, he cannot afford.

Similarly, the person who cannot stop talking, who rambles on instead of listening, displays his fear of being found inadequate: he talks not to say something but to stop the other from exposing his weakness.

〰️

Compulsory education is the chink in the armor of capitalist societies: they try to teach children the values of contract and initiative, but base their educational system on compulsion and conformity. Communist societies suffer from no such inconsistency: they try to teach children the values of command and obedience, and their educational system is consistent with inculcating this ethic.

Language

In the animal kingdom, the rule is, eat or be eaten; in the human kingdom, define or be defined.

〰️

Mystification is the principal semantic tool of the would-be leader; demystification, of the man who wants to be his own master. Rousseau, Marx, Freud mystified; Emerson, Mill, Adler demystified. It is perhaps one of the immutable tragedies of the human condition that while the demystifier influences individuals, the mystifier moves multitudes.

〰️

A Hungarian proverb warns: “Tell the truth, and you will get your head bashed in.” Only in free and egalitarian situations can people be truthful. Because such situations are rare, speaking the truth is a luxury few people can afford.

〰️

When we couch behavior in the language of religion, we legitimize it; when we couch it in the language of psychiatry, we illegitimize it.

We say that Catholics who do not eat meat on Fridays and Jews who do not eat pork at all are devoutly religious; we do not say that Catholics suffer from recurrent attacks of meat phobia, or that Jews are afflicted with a fixed phobia of pork.

On the other hand, we say that women who do not leave their homes suffer from agoraphobia and men who do not fly in airplanes suffer from a pathological fear of dying; we do not say that these men and women are devout cowards.

〰️

To the institutional psychiatrist, lies are delusions. In abolishing the lie, he abolishes language; and in abolishing language, he abolishes—as C. S. Lewis warned that he would -man.

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To concepts like suicide, homicide, and genocide, we should add “semanticide”-the murder of language. The deliberate (or quasi-deliberate) misuse of language through hidden metaphor and professional mystification, breaks the basic contract between people, namely the tacit agreement on the proper use of words. Thus it is that the ”great” philosophers and politicians whose aim was to control man, from Rousseau to Stalin and Hitler, have preached and practiced semanticide; whereas those who have tried to set language man free to be his own master, from Emerson to Kraus and Orwell, have preached and practiced respect for language.

〰️

Definers (that is, persons who insist on defining others) are like pathogenic microorganisms: each invades, parasitizes, and often destroys his victim; and, in each case, those whose resistance is low are the most susceptible to attack. Hence, those whose immunological defenses are weak are most likely to contract infectious diseases, and those whose social defenses are weak-that is, the young and the old, the sick and the poor, and so forth-are most likely to contract invidious definitions of themselves.

〰️

The rhetoricians of race are not content with repudiating the oppression of the Negro but acclaim that “black is beautiful”; the rhetoricians of drugs are not content with rejecting false claims about the harmfulness of certain drugs but assert that toxic chemicals ”expand the mind”; the rhetoricians of madness are not content with opposing the psychiatric violence inflicted on persons labeled mentally ill but claim that schizophrenia is not a “breakdown“ but a “breakthrough.” In short, ours is an age in which partial truths are tirelessly transformed into total falsehoods and then acclaimed as revolutionary revelations.

〰️

If the essence of conversion hysteria is that it is an indirect, ambiguous sort of communication, then professional jargon may be regarded as semantic hysteria. When a person speaks or writes in political, psychiatric, or sociological jargon, he expresses himself with a certain indirectness and ambiguity; and like the hysteric, he dramatizes what he says as something profound, although it may be trivial. This indirection also allows the speaker to express dangerous and forbidden ideas without fear of retribution by censor or colleagues. Compare the articles in contemporary psychoanalytic journals with Freud’s early case histories; or sociological studies on war with Hemingway’s stories. In short, if you want to learn about psychology or psychiatry, do not read psychology or psychiatry, but great literature, and especially biography. In the professional literature, for every sentence that clarifies (if, indeed, there are any such), there are two that obscure and mystify. Were a novelist or playwright to write like that, he would never get published.

Classification

Most psychiatric riddles rest on an inarticulated problem of fitting an act, concept, or person into one or another category. What is a hysterically paralyzed arm: pretense or proof of the disease called “hysteria”? What is the assertion that one is Jesus: lie or delusion? The problems that lie behind the basic ideological and religious conflicts of mankind are of the same sort: Is the Negro chattel or man? Is Jesus man or God?

〰️

Psychiatric diagnoses are stigmatizing labels phrased to resemble medical diagnoses and applied to persons whose behavior annoys or offends others. Those who suffer from and complain of their own behavior are usually classified as “neurotic”; those whose behavior makes others suffer, and about whom others complain, are usually classified as ”psychotic.”

Justification

Justification The adolescent, by being promising: “I shall be important, successful, happy.”

The young adult, by being sexual: “X is attracted to me, I give him (her) pleasure.”

The adult, by being responsible: “My wife (husband), children, etc., need me. They could not manage without me.”

The middle-aged person, by being powerful: “I control my wife (husband), children, colleagues, etc.”

The old person, by being a survivor: “I have managed to hang on; I am still alive.”

Each of these propositions confirms the importance of the individual in the world. Without such confirmation, the individual is likely to become ill, die, commit suicide, or suffer a “mental breakdown.”

Significance

The central dramatic theme of life may be reduced to the following demand people make of each other: “Accept, validate, and reinforce my fantasy about myself! If you don’t, I won’t love you, I’ll punish you, I’ll leave you, I’ll kill you.” In short: “Authenticate me, or else!”

〰️

What psychiatrists call “delusion of grandeur” is the assumption of an identity superior to the person’s real identity, stubbornly claimed by the impersonator and equally stubbornly repudiated by those about him. Rejection of this kind of impersonation is often couched in the language of psychiatry, by calling the impersonator “delusional” and ”psychotic,” thus concealing the bitter conflict between his claims and the counterclaims of others behind a diagnostic label.〰️What psychiatrists call “delusion of persecution” is one of the most dramatic human defenses against the feeling of personal insignificance and worthlessness. In fact, no one cares a hoot about Jones. He is an extra on the stage of life. But he wants to be a star. He cannot become one by making a fortune on the stock market, or by getting a Nobel prize. So he claims that the FBI or the Communists are watching his every move, are tapping his phone, etc. Why would they be doing this, unless Jones were an enormously important person? In short, the paranoid delusion is a problem to the patient’s family, employer, and friends; to the patient, it is a solution to the problem of the meaning(lessness) of his life.〰️The psychotic (and especially the paranoid schizophrenic) defies society by the arrogant creation of meaning for himself, flagrantly disregarding society’s conventions for doing so. For example, he declares that he is Jesus or that the Communists are persecuting him. This makes everyone around him secretly envious: how can his life be so interesting and important when theirs are so dull and unimportant? Secure in their conviction that the patient does not deserve the meaning he attributes to himself, they punish him by demeaning him: they define his claim as a delusion, declare him crazy, and treat him as the most unworthy of persons.

〰️

The proverb admonishes not to curse the darkness, but to light a candle. This seemingly good advice overlooks the advantages of cursing the darkness and not lighting a candle-namely, the cheaply earned self-esteem that comes from righteous indignation and seeing oneself as a victim; and the avoidance of facing the problem of what to do after one has lit the candle. Herein lie the benefits to the “patients” of the so-called severe mental diseases; while these ”diseases” seem like problems to the psychiatrist, they are solutions-of the type that cursing the darkness is—to the “patients.”

Emotions

Boredom is the feeling that everything is a waste of time; serenity, that nothing is.

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Happiness is an imaginary condition, formerly often attributed by the living to the dead, now usually attributed by adults to children, and by children to adults.

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Anxiety is the unwillingness to play even when you know the odds are for you.

Courage is the willingness to play even when you know the odds are against you.

Freedom

Men love liberty because it protects them from control and humiliation by others, and thus affords them the possibility of dignity. They loathe liberty because it throws them back on their own abilities and resources, and thus confronts them with the possibility of insignificance.

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Freedom is what most people want for themselves, and what they most want to deprive others of.

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When the psychiatrist approves of a person’s actions, he judges that person to have acted with “free choice”; when he disapproves, he judges him to have acted without “free choice.” It is small wonder that people find ”free choice” a confusing idea: It looks as if “free choice” is something that qualifies what a person being judged (often called the “patient”) does-when it is actually what a person making the judgment (often a psychiatrist or other mental health specialist) thinks.

Law

The fact that Americans speak about “legalizing” abortion, gambling, marijuana, and so forth shows that they no longer look down on their government as their servant but look up to it as their master. For to legalize is to permit; and to permit implies a relationship between a superior and a subordinate-as when a parent permits a child to go swimming, stay up late at night, or eat sweets after finishing his meal.

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Psychiatric expert testimony: mendacity masquerading as medicine.

〰️

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.

Punishment

If he who breaks the law is not punished, he who obeys it is cheated. This, and this alone, is why lawbreakers ought to be punished: to authenticate as good, and to encourage as useful, law-abiding behavior.

The aim of the criminal law cannot be correction or deterrence; it can only be the maintenance of the legal order.

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Punishment is no longer fashionable. Why? Because-with its corollary, reward-it makes some people guilty and others innocent, some good and others evil; in short, it creates moral distinctions among men, and, to the “democratic” mentality, this is odious. Our age seems to prefer a meaningless collective guilt to a meaningful individual responsibility.〰️There can be no humane penology so long as punishment masquerades as ”correction.” No person or group has the right to “correct” a human being; only God does. But persons and groups have the right to protect themselves through sanctions that are, and should be called, “punishments,” which, of course, may be as mild as a scolding or a small fine, or as severe as life imprisonment or death.

Control and Self-control

The goal of deception is the control and annihilation of the other; the result of self-deception is the loss of control and annihilation of the self.

〰️

“To believe your own thought“ observed Emerson, ”to believe that what is true for you in your private heart is true for all men-that is genius.” But to impose what you believe is true for you upon all men, indeed upon a single individual–that is despotism.

〰️

In working, we generally exert control over some thing or person. When we hunt or fish, plow or reap, we control things. When we feed a baby, operate on a sick patient, or judge a criminal, we control a person. However, in complex, materially advanced societies, there are many situations that call for neither of these postures, but, on the contrary, require that we control ourselves and relinquish a measure of control over ourselves to others, usually in exchange for money. This is especially true of professional work.

Prostitution is said to be the world’s oldest profession. It is, indeed, a model of all professional work: the worker relinquishes control over himself (herself), his (her) body usually in a particular, clearly defined manner-in exchange for money. Because of the passivity it entails, this is a difficult and, for many, a distasteful, role.

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The proverb warns that “You should not bite the hand that feeds you.” But maybe you should, if it prevents you from feeding yourself.

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Addiction, obesity, starvation (anorexia nervosa) are political problems, not psychiatric; each condenses and expresses a contest between the individual and some other person or persons in his environment over the control of the individual’s body.

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Cooperation is contingent on mutual interdependence. An excess of both control and self-control is inimical to social cohesion. Too much control results in oppression and leads to noncooperation through rebellion. Too much self-control results in personal autarchy and leads to noncooperation through isolation. The delicate balance between control and self-control that social life requires is one of the reasons why tragedy is inherent in human existence.

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Most people want self-determination for themselves and subjection for others; some want subjection for everyone; only a few want self-determination for everyone.

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If someone does something we disapprove of, we regard him as bad if we believe we can deter him from persisting in his conduct, but we regard him as mad if we believe we cannot. In either case, the crucial issue is our control of the other: the more we lose control over him, and the more he assumes control over himself, the more, in case of conflict, we are likely to consider him mad rather than just bad.

〰️

A madman is one who has, or is alleged to have, lost control of himself. Psychiatry supplies the justification for controlling him. The person securely in control of himself frustrates others from controlling him; hence he is the object of both admiration and envy, awe and hate.

Personal Conduct

Men often treat others worse than they treat themselves, but they rarely treat anyone better. It is the height of folly to expect consideration and decency from a person who mistreats himself.

〰️

The quality of our life depends largely on concordance or discordance between our desires and our duties.

If we can define and experience our duty as our desire then we are happy, well-adjusted, normal. If this congruence breaks down, we feel cheated, frustrated, depressed; we may even go mad with rage toward, and envy of, those who were more selfish, and hence less dutiful, than we have been.

If we can define and experience our desire as our duty then our happiness or the lack of it shall depend on whether we can persuade others that such is indeed the case. In proportion as we succeed in persuading them, we become accredited as moral leaders: Tolstoy and Gandhi were eminently successful at this. In proportion as we fail in persuading them, we become defined as mad fanatics: the schizophrenic who kills and tries to get away with it, by claiming that God commanded him to do it, is an example; the discredited leader of an unsuccessful political revolution is another. If this congruence between our desire and duty breaks down and we recognize that what we thought was duty was merely desire, then we may go mad with guilt: our conscience will then haunt us and we may commit suicide in an effort to pay for our misdeeds and restore the inner balance between our desires and duties.

Social Relations

A person cannot make another happy, but he can make him unhappy. This is the main reason why there is more unhappiness than happiness in the world.

〰️

Human relations are problematic because men are driven by opposing but often equally powerful needs and passions, especially the needs for security and freedom. To satisfy the need for security, people seek closeness and commitment, and the more they attain these, the more oppressed they feel. To satisfy their need for freedom, people seek independence and detachment, and the more they attain these, the more isolated they feel. As in all such things, the wise pursue the golden mean; and the lucky attain it.

〰️

Mysticism joins and unites; reason divides and separates. People generally crave belonging more than understanding. Hence the prominent role of mysticism, and the limited role of reason, in human affairs.

〰️

Nietzsche defined man as the “animal that is able to make promises. …” I would add that he is also the animal or being that is able to-indeed, that loves to–break promises. In short, man is a liar-with a limitless capacity for deceiving himself and for being deceived by others.

〰️

Adults often define submission to authority as a sign of being grown-up. For example, a father tells his son who is reluctant to go to school or to the dentist: “Act like a man!” What he actually means is that he wants his son to act like an obedient child.

Men and women often fail to discriminate between when they ought to or want to comply with authority, and when they ought to or want to resist its demands. In Nazi Germany, Jews and gentiles alike acted vis-à-vis Nazi authority like the “good soldiers” little boys are told to act like. Patients and physicians in both Communist and capitalist societies now act with the same childish submissiveness toward the demands of the state couched in the rhetoric of illness and health care.

In short, indiscriminate submission to authority and indiscriminate resistance to it are both childish. The mature person is characterized by his ability to decide, according to morally significant criteria, when to cooperate with authority and when not to.

〰️

Keeping another person waiting is a basic tactic for defining him as inferior and oneself as superior. When women are courted, they keep the men waiting; after marriage, husbands keep their wives waiting. In the end, we are all kept waiting, and we all hate it! How men hate waiting while their wives shop for clothes and trinkets; how women hate waiting, often for much of their lives, while their husbands shop for fame and glory.

〰️

Man appears unable or unwilling to accept the reality of human conflict. It is never simply man who offends against his fellow man. Someone or something—the devil, masturbation, mental illness-always intervenes, to obscure, excuse, and explain away man’s terrifying inhumanity to man.

〰️

There are two kinds of leadership: for dependence and for independence. Historically, the only kind of readily recognizable and publicly visible leadership has been leadership for dependence on authority. When such leadership is successful, it results in the recruitment of faithful followers who, through their claims and conduct, confirm the glory and verify the wisdom of the “great leader.” In contrast, leadership for independence is of low visibility and hence difficult to recognize. When such leadership is successful, it results not in faithful followers but in independent individuals who, through their claims and conduct, confirm only their own authenticity.

〰️

What does man do with his fellow man who has fallen behind in the race of life? The liberal puts money in his pocket and a social worker on his back. Who among us really tries to put him on his feet so he can run again, and perhaps even surpass us? When is the helpless really helped, the weak strengthened? And when is helpfulness merely a strategy for confirming the helper in his role as priest, physician, philanthropist?

〰️

When people speak about the dehumanizing treatment accorded to some groups-especially the aged, the mentally retarded, and the mentally ill-they often emphasize their disapproval by asserting that these persons are treated like animals. But that is quite false. People almost never treat animals as badly as they do other people. And they never systematically so mistreat them.

The reason is obvious: it lies not in man’s viciousness but in his reasonableness. Animals-for example, dogs, cattle, or chickens-are useful to man, who has therefore good reason to treat them reasonably well. When such animals have served their usefulness, man kills them and has therefore again no reason to mistreat them. And animals-especially domestic animals—are readily controlled, more readily than people; hence, again, there is no need to mistreat them.

On the other hand, the individuals (and groups) most mistreated by people are those who do not meet any of the above criteria: the aged, the mentally retarded, and the mentally sick are not useful; cannot be easily controlled; and cannot be killed. Their very existence is thus experienced as a burden by all those on whom they depend and who take care of them, and who therefore retaliate by inflicting on them a fate not only worse than death, but far worse than any inflicted on animals.

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The many faces of intimacy: the Victorians could experience it through correspondence, but not through cohabitation; contemporary men and women can experience it through fornication, but not through friendship.

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Beware of people who don’t know how to say “I am sorry.” They are weak and frightened, and will, sometimes at the slightest provocation, fight with the desperate ferocity of a frightened animal that feels cornered.

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Two wrongs don’t make a right, but they make a good excuse.

〰️

When a person can no longer laugh at himself, it is time for others to laugh at him.

Medicine

The greatest analgesic, soporific, stimulant, tranquilizer, narcotic, and to some extent even antibiotic-in short, the closest thing to a genuine panacea-known to medical science is work.

〰️

The concept of “treatment” is the grand legitimizer of our age. Call whatever you want to do “treatment,” and you are instantly hailed as a great humanitarian and scientist. Freud decided to listen and talk to people, so he called conversation “therapy” and psychoanalysis is now recognized as a form of medical treatment. Cerletti decided to give people electrical convulsions, so he called electroshock “therapy” and it is now recognized as a form of medical treatment. Masters decided to train men to perform sexually, so he called procuring prostitutes for them “therapy” and pimping became a novel form of medical treatment.

〰️

When a person eats too much, his intestines are shortcircuited: this is called a “bypass operation for obesity.”

When a person thinks too much, his brain is short circuited: this is called “frontal lobotomy for schizophrenia.”

〰️

The final medical solution to human problems: remove everything from the body that is diseased or protesting, leaving only enough organs which-by themselves, or hooked up to appropriate machines,still justify calling what is left of the person a “case”; and call the procedure ”humanectomy.”

Drugs

No drug can expand consciousness; the only thing a drug can expand is the earnings of the company that makes it.

〰️

Marx said that religion was the opiate of the people. In the United States today, opiates are the religion of the people.

〰️

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 the persecution of the Jews; “drug-abuse problem” is the name we give to the persecution of people who use certain drugs.

〰️

The narcotics laws are our dietary laws. Since this is the age of science, not religion, psychiatrists are our rabbis, heroin is our pork, and the addict is our unclean person.

〰️

Treating addiction to heroin with methadone is like treating addiction to scotch with bourbon.

〰️

Powerful “addictions”-whether to smoking cigarettes or injecting heroin-are actually both very difficult and very easy to overcome. Some people struggle vainly against such a habit for decades; others ”decide“ to stop and are done with it; and sometimes those who have long struggled in vain manage suddenly to rid themselves of the habit. How can we account for this? Not only is the pharmacology of the so-called addictive substance irrelevant to this riddle, but so is the personality of the so-called addict. What is relevant is whether ”the addiction” – smoking, drinking, shooting heroin – is or is not a part of an internally significant dramatic production in which the “patient-victim” is the star. So long as it is (and if it is, the struggle to combat the addiction is only a part of the play), the person will find it difficult or impossible to give up his habit; whereas once he has decided to close down this play and leave the stage, he will find the grip of the habit broken and will ”cure“ himself of the ”addiction” with surprising ease.

〰️

Some advocate that heroin be prohibited; others, that it be given “free” to “addicts.” Both positions reveal a shocking lack of a sense of equity: Why should heroin be prohibited when alcohol and nicotine are not? Why should heroin be dispensed at the taxpayer’s expense to those who crave it when alcoholic beverages and cigarettes are not to those who crave them? Furthermore, it is revealing of our propensity for meddling that every conceivable intervention in the lives of ”addicts” is now seriously advocated and widely supported, save one: repealing all anti-drug laws and leaving so-called addicts alone.

〰️

Ours is truly an age of materialism. I say this not because we are fond of money or gadgets, but because we fear material threats more acutely than spiritual ones. Indeed, we deny spiritual things the power they have, and endow material things with an influence they do not have. We thus 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. We are not afraid of these influences and believe that each person is, or ought to be, capable of fending for himself in a free marketplace of ideas. Herein precisely lies our moral turpitude: that we show more respect for drugs than for ideas.

Suicide

Suicide is a fundamental human right. This does not mean that it is morally desirable. It only means that society does not have the moral right to interfere, by force, with a person’s decision to commit this act.

〰️

To prohibit what one cannot enforce is to degrade both authority and obedience, thus undermining not only respect for law, but respect for decency. To prohibit suicide is thus the ultimate folly, and the ultimate indecency.

〰️

He who does not accept and respect those who want to reject life does not truly accept and respect life itself.

〰️

The physician has unrestricted access to the modern pharmacological technology of suicide. Why shouldn’t everyone else have the same “right” to kill himself easily, painlessly, and surely?

〰️

Doctors try to save lives; suicides try to throw them away. It is hardly surprising that the two get along so poorly. Like misers and spendthrifts, all they have in common is their differences.

〰️

“Attempted suicide” is strategic psychiatric rhetoric; in most cases “attempted suicide” is actually ”pretended suicide.”

〰️

Abortion is called “murder” or “feticide” by those who disapprove of it; and “birth control” by those who approve of it or who do not condemn it. Similarly, causing one’s own death should be called ”suicide” only by those who disapprove of it; and should be called “death control” by those who approve of it – or at least do not condemn it.

Psychiatry

There are two kinds of psychiatry: voluntary and involuntary, or contractual and institutional. To confuse these is like confusing friend and foe, truth and falsehood, freedom and slavery, life and death. Contractual psychiatry comprises all psychiatric interventions secured for themselves by persons prompted by their own personal difficulties or suffering. These interventions are characterized by the retention of complete control by the client over his relationship with the expert. The most important economic characteristic of contractual psychiatry is that the contractual psychiatrist is a private entrepreneur, paid for his services by his client. Its most important social characteristic is the avoidance of force and fraud (with legal penalties for their use), and reliance instead on a clear contractual agreement between client and expert. (See also Institutional Psychiatry.)

〰️

Psychiatry is a moral and social enterprise. The psychiatrist deals with problems of human conduct. He is, therefore, drawn into situations of conflict-often between the individual and the group. If we wish to understand psychiatry, we cannot avert our eyes from this dilemma: we must know whose side the psychiatrist takes-the individual’s or the group’s.

In general, those who pay for a psychiatric service are its beneficiaries; when people receive a psychiatric service without paying for it, they are the victims, not the beneficiaries, of psychiatry.

〰️

Much of what now passes as mental illness is actually force and fraud-the so-called patient trying to coerce others by pretending to be sick. Similarly, much of what now passes as psychiatry is also force and fraud-the so-called psychiatric physician trying to coerce others by pretending to be a healer combating a pestilential epidemic.

Some would cite the nastiness of the madman to justify the behavior of the psychiatrist. Others would cite the nastiness of the psychiatrist to justify the behavior of the madman. The upshot is that either madness or mad-doctoring is glamorized and romanticized, when, in fact, both are too often displays of deplorable behavior.

〰️

Psychiatric diagnosis is a statement about the patient useful to the psychiatrist.

Psychiatric symptom is a statement about the patient useful to the patient.

〰️

Under the guise of diagnosing disease, the psychiatrist disqualifies deviance.

〰️

The problem with psychiatric diagnoses is not that they are meaningless, but that they may be, and often are, swung as semantic blackjacks: cracking the subject’s dignity and respectability destroys him just as effectively as cracking his skull. The difference is that the man who wields a blackjack is recognized by everyone as a thug, but one who wields a psychiatric diagnosis is not.

〰️

Psychiatric training is the ritualized indoctrination of the young physician into the theory and practice of psychiatric violence.

〰️

Traditional psychiatry distinguishes between minor and major mental illnesses (neuroses and psychoses), according to whether or not the patient has insight into his illness. Actually, psychiatrists classify a person as neurotic if he suffers from his problems in living, and as psychotic if he makes others suffer.

〰️

Psychiatrists say mental patients deny reality. I say that it is psychiatrists who deny reality, by calling unruly persons “mental patients” and their disturbing behavior “mental illness.” For example: if a man goes to a bank and shoots the teller to steal money and so free himself from the oppression of poverty, that’s called armed robbery; but if a man goes home and shoots his wife to kill her and so free himself from the oppression of marriage, that’s called “temporary insanity.”

〰️

Sadomasochistic sexual acts and involuntary psychiatric interventions have this in common: In the one, the male forces himself on a resisting female, gives her “pleasure” by appropriate sexual manipulation, and conceals his own domination and lust for orgasms behind his “partner’s” dramatic orgastic response; in the other, the physician forces himself on a resisting ”patient,” gives him “treatment” by appropriate “medical” manipulations, and conceals his own domination and lust for cures behind his “patient’s” dramatic therapeutic response. In each case rape is justified by response.

〰️

The organic psychiatrist believes that the brain “secretes delusions” just as the kidney secretes urine.

〰️

Community psychiatry promises to bring the day nearer when everyone will take care of everyone else, and no one will take care of himself.

In science, theories are constructed to fit facts; in forensic psychiatry, “facts” are constructed to fit theories. Or, put another way: in science theories are used to explain facts; in forensic psychiatry, they are used to justify actions.

〰️

The history of psychiatry, as recorded by psychiatrists and medical historians, proceeds from a faulty basic premise namely, that the institutional psychiatrist helps and heals the involuntary patient. If Hitler had been victorious, the Germans could have written a similarly therapeutic account of the history of the concentration camps. Hence, there can be no popular appreciation of the true nature of the problem of mental illness until psychiatric histories are, so to speak, “denazified.” “Great psychiatrists”-like Rush, Kraepelin, Alexander, Menninger, and even Pinel and Freud-must be seen as great leaders rather than as great healers. They helped their colleagues and the rulers of society, but harmed the madman and the victims of society.

Institutional Psychiatry

Institutional psychiatry comprises all psychiatric interventions and practices imposed on persons by others. These interventions are characterized by the complete loss of control by the client over his relationship with the expert–for example, in involuntary mental hospitalization. The most important economic characteristic of institutional psychiatry is that the institutional psychiatrist is a bureaucratic employee, paid for his services by a private or public organization (not by the individual who is his ostensible client). Its most important social characteristic is the use of force and fraud. The actual client of institutional psychiatry is some social interest and organization (for example, the Peace Corps, a university health service, a state mental hygiene department); its ostensible client is, more often than not, its victim rather than its beneficiary.

〰️

There are, and can be, no abuses of institutional psychiatry, because institutional psychiatry is, itself, an abuse, just as there were, and could be, no abuses of the Inquisition, because the Inquisition was, itself, an abuse. Indeed, just as the Inquisition was the characteristic and perhaps inevitable abuse of Christianity, so institutional psychiatry is the characteristic and perhaps inevitable abuse of medicine.

〰️

The principal problem in institutional psychiatry is violence: the possible and feared violence of the madman, and the actual violence of society and the institutional psychiatrist against him.

〰️

The “depressive” is low on himself; the psychiatrist makes him high through drugs.

〰️

Involuntary mental hospitalization is like slavery. Refining the standards for commitment is like prettifying the slave plantations. The problem is not how to improve commitment, but how to abolish it. Involuntary mental hospitalization is like slavery. Refining the standards for commitment is like prettifying the slave plantations. The problem is not how to improve commitment, but how to abolish it.

Psychoanalysis

Psychoanalysis is an attempt to examine a person’s selfjustifications. Hence it can be undertaken only with the patient’s cooperation and can succeed only when the patient has something to gain by abandoning or modifying his system of self-justification.

〰️

The early Freudians believed that insight “cured.” Later it was realized that it didn’t, but psychoanalysts never explained what did. In the first place, it is senseless to speak of a cure where there is no disease. In the second place, insight stands in the same relationship to personality change as ”is” stands to “ought,” fact stands to value, or science stands to politics. This explains why insight cannot suffice to change anyone; and also why those who maintain that it is unnecessary in psychotherapy are as wrong as those who maintain that it is indispensable.

〰️

Whether psychoanalysis is or is not a science has been debated at length by philosophers, psychiatrists, and others. But the question is deceptive: the argument is, in fact, about whether psychoanalysis is good, true, or valid. Those who argue for the scientific basis of psychoanalysis affirm that it is “good,” while those who argue against it deny this.

This is an ironic confusion, first, because it rests on the tacit assumption that what is scientific is good; and second, because although psychoanalysis is not a science there is some good in it.

〰️

Free association: the term the psychoanalyst uses to register his approval of the patient who talks about what the analyst wants him to talk about. The opposite of resistance.

〰️

Resistance: the term the psychoanalyst uses to register his disapproval of the patient who talks about what he himself wants to talk about rather than about what the analyst wants him to talk about.

〰️

Libido theory: the litany of the Freudian services.

〰️

Narcissist: psychoanalytic term for the person who loves himself more than his analyst; considered to be the manifestation of a dire mental disease whose successful treatment depends on the patient learning to love the analyst more and himself less.

Psychoanalytic institute: a school where the faculty, composed of old and middle-aged men and women, called psychoanalysts, systematically degrade and infantilize the students, composed of psychiatrists themselves fast approaching middle age, who eagerly submit to this degradation ceremony in the expectation, often unfulfilled, that, after being completely deprived of all independent judgment and the capacity to form such judgment, they will be able to inflict a similar treatment on others, call it psychoanalysis, and charge high fees for it.

〰️

The analyst’s interpretations in the psychoanalytic situation conform to the general formula that the patient does not mean whatever he says or thinks he means-unless it is something bad. For example, when the patient says he loves his mother, father, or wife, that means he “really” hates them; but when he says he hates them, that also means he “really” hates them.

〰️

Beware of the psychoanalyst who analyzes jokes rather than laughs at them.

Mental Illness

Every “ordinary” illness that persons have, cadavers also have. A cadaver may thus be said to “have” cancer, pneumonia, or myocardial infarction. The only illness a cadaver surely cannot “have“ is mental illness. Nevertheless, it is the official position of the American Medical Association, of the American Psychiatric Association, and of other medical and psychiatric groups that ”mental illness is like any other illness.”

〰️

Bodily illness is something the patient has, whereas mental illness is really something he is or does. If neurosis and psychosis were diseases, like pneumonia and cancer, it should be possible for a person to have both a neurosis and a psychosis. But the rules of psychiatric syntax make it absurd to assert such a diagnostic combination. Actually, we use the words “neurotic” and “psychotic” (and other psychiatric diagnostic terms) to characterize persons, not to name diseases.

〰️

The Second Sin Mental illness is a false definition of a problem about one’s self and others. We don’t say: “I live badly. I am immoral‘’; instead we say: “I am confused. My mind doesn’t work properly. I am sick.” And we don’t say: ”You live badly. You are immoral”; instead we say “You are confused. Your mind doesn’t work properly. You are sick.”

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Mental illness is coercion concealed as loss of self-control; institutional psychiatry is counter-coercion concealed as therapy.

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Mental illness is self-enhancing deception, self-promotive strategy.

〰️

For the mental patient’s family and society, mental illness is a “problem”; for the patient himself it is a “solution.” This was Freud’s great discovery. Psychoanalysts now ignore this, and psychiatrists deny it.

〰️

Much of what is called mental illness is habit-good or bad, depending on who judges it and when. I suggest this to a patient of mine who has had a long analysis with another therapist before coming to see me, and who has “insight” into all that he is and is not doing. He snaps back: “I am not dropping a thirty-year pattern on a conversation!”

〰️

Most of the things psychiatrists call “mental symptoms” are actually declarations of independence and dependence by the so-called mental patient. Characteristically, so-called psychotic symptoms are declarations of independence that is, claims of increased powers and acquisition of control over self and others, as when a person asserts that he is Jesus; while so-called neurotic symptoms are declarations of dependence-that is, claims of decreased powers and loss of control over self and others, as when a person asserts that he is afraid of leaving the house or taking a job. It must be added that these declarations become symptoms, or are perceived as symptoms, only insofar as they are illegitimatized by the claimant’s “loved ones” and by professionals in the mental health field.

〰️

Among persons categorized as mentally ill, there are two radically different types which are systematically undifferentiated by psychiatrists and hence confused by them. One is composed of the inadequate, unskilled, lazy, or stupid; in short, the unfit (however relative this term might be). The other of the protesters, the revolutionaries, those on strike against their relatives or society; in short, the unwilling.

Because they do not differentiate between these two groups, psychiatrists often attribute unfitness to unwillingness, and unwillingness to unfitness.

〰️

Parkinson’s Law states that “Work expands so as to fill the time available for its completion.” Similarly, anxiety expands so as to fill the mental space available for its contemplation. This is a restatement of the view that mental disorders arise out of spiritual emptiness.

〰️

When a person’s resistance against malevolent coercion is at its lowest ebb; when he can no longer defend himself against intrusion by the other; he then suffers what is popularly called a “nervous breakdown”; in psychiatric jargon, he becomes “psychotic.” He then claims either that terrible things are happening to him (which is true), or that he is invulnerably powerful (which is a self-deception to make his life livable), or both.

〰️

We do not expect everyone to be a competent swimmer, golfer, chess player, or marksman; nor do we regard those who play games poorly as “sick.” The activities that comprise being a student, parent, worker, etc. are, in many ways, similar to the activities that comprise being a golfer or chess player. Yet we act as if we expected everyone to play at his own life games competently; and we regard those who play poorly-at being husband or wife, mother or father-as ”sick,” that is, “mentally ill.”

〰️

If a man lies to us about his car so he can get more money from us, that is understandable economic behavior. But if he lies to us about himself so he can attract more attention to himself, that is mysterious madness. We respond to the former by bargaining about the price, and to the latter by fighting “mental illness.”

〰️

The so-called mental patient makes statements and presents dramatizations which do not assert any facts, but rather command the onlooker to some sort of action. For example: The expansive, grandiose “schizophrenic” commands: “You must be subservient to me: I will help you, give you orders, etc.” The agitated, self-accusatory “depressed” person commands: “You must dominate me: hate me, punish me, etc.”

〰️

When a person does something bad, like shoot the President, it is immediately assumed that he might be mad madness being thought of as a “disease” that might somehow “explain” why he did it. When a person does something good, like discover a cure for a hitherto incurable disease, no similar assumption is made. I submit that no further evidence is needed to show that “mental illness” is not the name of a biological condition whose nature awaits to be elucidated, but is the name of a concept whose purpose is to obscure the obvious.

〰️

Much of what passes for mental illness nowadays is actually the result of fearfulness and timidity. We speak of “the wages of sin,” which are no doubt real enough. By the same token, we should speak of “the wages of fear”: the fear to be, the fear to live and to die, the fear to be wrong, the fear to be envied or pitied, the fear to be different. Their wages are the multitudinous self-inhibitions we call mental illness.

〰️

Doubt is to certainty as neurosis is to psychosis. The neurotic is in doubt and has fears about persons and things; the psychotic has convictions and makes claims about them. In short, the neurotic has problems, the psychotic has solutions.

〰️

We say that a man “has” a neurosis or psychosis when we disagree with what he says or how he lives. We disguise this disagreement by attributing it to disease: if the patient were well, he would live as we do, not as he does. Voltaire was right: ”If there were no God, it would be necessary to invent him.” Mutatis mutandis: if there were no mental illness, it would be necessary to invent it.

〰️

In the nineteenth century psychiatrists were sometimes confronted by patients, usually women, who claimed they could not stand or walk, and when urged to try, would stagger in a dramatically clumsy way. They considered this a manifestation of the disease known as hysteria, and gave it the Greek-derived name “astasia-abasia.” Actually, these patients were on strike against those who depended on their help; through body language, they said, in effect: “I can’t get up and go out and do things with or for you.” Had they simply said so, they would have felt guilty and would have also invited scorn and punishment, so they converted their message into hysterical symptoms.

〰️

The modern woman who becomes a housewife and feels herself a domestic slave displays the same sort of solution to the same conflict in her inability or fear to drive a car. Feeling duty-bound to do things for her family, she finds herself in the predicament of the competent slave: the more useful she becomes, the more she is, or feels herself, exploited. The less such a woman feels able to control the demands made upon her by her children and husband, the more she feels driven to claims of disability and incompetence as her sole protections against exploitation.

〰️

Phobia: a type of self-dramatization, as if the person were saying to himself: “I am afraid of X (cats, spiders, being alone, etc.), even though there is no reason to be afraid of X.” His (or, more often, her) impoverished life thus becomes a kind of detective story, a cinematic thriller, or Grand Guignol. An empty life is thus transformed, without any real exertion or work, into a life full of interesting dangers, threats, and terrors. This solves the patient’s problem of what to do with his life; he must protect himself from the dangers that threaten him.

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Hypochondriasis: exaggerated attention to one’s ill-health (real or pretended). The “illness” solves the problem of boredom and career choice: the hypochondriac is a Jeremiah of his own physiology.

〰️

The young adult who is afraid or refuses to build, we call “schizophrenic.” The person who tries to live in someone else’s house, we call “psychopathic“ or ”passive-dependent.” The person who is contemptuous of what he has built, we call “depressed.” The person who shows off his hovel as though it were a palace, we call “manic.” Having diagnosed these mental diseases, we go off looking for the defective enzymes or twisted molecules in the so-called patient’s brain. We claim we are looking for the causes of mental illness. Actually we are not trying to see anything, but on the contrary, are trying to blind ourselves to the tragedies of life that stare us in the eye. And in this we succeed remarkably well.

〰️

Mental illness as falsification: Hysteria-the falsification of illness. Schizophrenia—the falsification of meaning. Psychopathy-the falsification of value. Homosexuality, Transvestism-the falsification of gender role.

Mental illness as drama: Depression-tragedy. Mania-comedy. Hysteria-melodrama. Transvestism-farce. Paranoia-parody.

Mental illness as caricature: Depression-a caricature of contrition.

Hypochondriasis-a caricature of concern with one’s health.

Mania-a caricature of love and devotion.

Paranoia-a caricature of concern with betrayal, danger, and protection.

Obsession and compulsion–a caricature of conscientiousness.〰️Today, particularly in the United States, all of the difficulties and problems of living are considered psychiatric diseases, and nearly everyone is considered to some extent mentally ill. Indeed, it is no exaggeration to say that life itself is now viewed as an illness that begins with conception and ends with death, requiring, at every step along the way, the skillful assistance of physicians and especially mental health professionals.

Myth of Mental Illness

Disease means bodily disease. Gould’s Medical Dictionary defines disease as a disturbance of the function or structure of an organ or a part of the body. The mind (whatever it is) is not an organ or part of the body. Hence, it cannot be diseased in the same sense as the body can. When we speak of mental illness, then, we speak metaphorically. To say that a person’s mind is sick is like saying that the economy is sick or that a joke is sick. When metaphor is mistaken for reality and is used for social purposes, then we have the makings of myth. The concepts of mental health and mental illness are mythological concepts, used strategically to advance some social interests and to retard others, much as national and religious myths have been used in the past.

The myth of mental illness combines and confuses three questions and the appropriate answers to each.

What is it: that is, what is the event, phenomenon, or thing we are talking about? The answer is: it might be a brain disease, as in neurosyphilis; disapproved behavior, as in depression; or the attribution of evil (called “badness” or “madness,” “sin” or “sickness”) to a scapegoat.

What should we call it: that is, what name should we attach to the event, phenomenon, or thing we are observing and describing? The answer is: we might call it mental illness or psychopathology; madness or genius; deviance or disagreement; or psychiatric scapegoating.

How should we treat it: that is, what attitude or policy should we adopt toward the event, phenomenon, or thing-or the person regarded as its carrier? The answer is: we might approve and reward it; disapprove and punish it; or remain neutral, tolerant, and essentially unresponsive toward it.

In short, the contemporary mythology and rituals of psychiatry make it virtually impossible for professional and layman alike to distinguish between phenomenon, label, and policy. This explains, for example, the persistent belief that if the phenomena now often labeled as schizophrenia were to be shown to be brain diseases, like neurosyphilis, that would justify the involuntary psychiatric treatment of patients so diagnosed. But that would no more justify such treatment than would the diagnosis of brain tumor justify the involuntary treatment of persons afflicted with this disease.

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Mental illness is a myth whose function is to disguise and thus render more palatable the bitter pill of moral conflicts in human relations. In asserting that there is no such thing as mental illness I do not deny that people have problems coping with life and each other.

〰️

Bodily illness is to mental illness as literal meaning is to metaphorical meaning.

Desires are aspirations we want to fulfill. Diseases are limitations we want to overcome. Two things could not be more unlike. Yet, in the hands of the modern psychiatrist, desires can become diseases. The desire for an abortion, a divorce, sexual embrace with a person of the same sex, prohibited drugs, and, of course, suicide-all of these are now widely considered to be mental diseases.

〰️

When I say that so-called mental illnesses are “problems in living,” I mean only that they are matters of existence and meaning, not of health and disease. Freud knew this and said so when he acknowledged that his case histories read more like something that a novelist would write than what a doctor would. That is exactly the point: novelists write about how people live, and what they write is often largely autobiographical. When so-called psychiatric patients tell their doctors the same sorts of stories,” the doctors conclude that people who live like that must be sick and diagnose the patients as mentally ill. If this be diagnosis, it is the greatest folly of modern science.

Schizophrenia

If you talk to God, you are praying; if God talks to you, you have schizophrenia. If the dead talk to you, you are a spiritualist; if God talks to you, you are a schizophrenic.

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When a man says that he is Jesus or Napoleon, or that the Martians are after him, or claims something else that seems outrageous to common sense, he is labeled psychotic and locked up in the madhouse.

〰️

Freedom of speech is only for normal people.

〰️

A man who says he is Jesus is not complaining, he is boasting. We consider his claim a symptom of illness; he considers it a stamp of greatness.

If you believe that you are Jesus, or have discovered a cure for cancer (and have not), or the Communists are after you (and they are not)–then your beliefs are likely to be regarded as symptoms of schizophrenia. But if you believe that the Jews are the Chosen People, or that Jesus was the Son of God, or that Communism is the only scientifically and morally correct form of government–then your beliefs are likely to be regarded as reflections of who you are: Jew, Christian, Communist. This is why I think that we will discover the chemical cause of schizophrenia when we will discover the chemical cause of Judaism, Christianity, and Communism. No sooner and no later.

〰️

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”?

〰️

What we call schizophrenia is often the result of a certain kind of the childhood development with respect to rulefollowing. Normally, the child learns his basic repertory of rules through loving submission to adult authority: language, patterns of dress, and a great deal of everyday conduct are learned in this way. If the adult is uncaring, or is not respected by the child, we witness the development of the coercive megalomania so typical of the behavior of the person later diagnosed as schizophrenic. This usually starts in the early teens. Not having a rule-maker he can respect, the young person becomes his own lawgiver. He acts and feels as if there were nothing he could not do (especially if he tried hard enough); and nothing he should not be allowed to do. And he comes to believe that if he cannot do something, it must not be worth doing. Such a person then tries to live not by the rule that anything worth doing is worth doing well, but by the maxim that only those things are worth doing that he already knows how to do well; and since he does not know how to do anything well, he alternately pretends and claims mastery of arts, crafts, and knowledge he does not possess; and scornfully rejects the value of all practical endeavors. In short, (some) schizophrenia is a type of arrogance and immodesty.

〰️

The “paranoid” hears, thinks, and claims that others are mocking, ridiculing him, that is, that they are belittling him, are diminishing his self-esteem. This is his justification for retaliating by mocking others and society. Ordinary man obeys the law of the land; the ”paranoid” obeys the commands of his own “higher law” (God, the voices that talk to him) which order him to hate and to kill. In his rejection of society’s expectations, and in his inversion of its rules, he revenges himself on his enemies.

The paranoid feels mocked, depreciated, because he is mocked, depreciated-either by others or by his own valid judgment of his failure in life.

〰️

When Jones says he is Jesus, scientific psychiatry declares him to have a delusion. I say he is lying. What is the difference? A delusion is something that happens to you; that you “have.” A lie is something you make happen; something you do. Which view is correct? Something that happens to a person–an accident or an error-is motivationally neutral: hence, it may be to the person’s advantage or disadvantage. But people with such delusions never claim that they are Doe or Smith (their friends and neighbors); they always insist they are Jesus or Napoleon.

〰️

Some so-called paranoid delusions are, in effect, the expression of lack of courage. For example, the elderly woman who complains that her husband is poisoning her. She accuses. She complains. But she does not act. Why doesn’t she kill him? Or leave him? Why doesn’t she put her money where her mouth is? Because she lacks courage. She wants someone else to act on her belief, and be responsible for the consequences.

〰️

A woman in her fifties, whose husband died four years ago and whose children are grown and gone, has been put through electroshock, commitment, the works, by a large, extended family. She comes to see me of her own accord. What does she want? “They are poisoning me. They make funny remarks about me.” And she smiles. When I suggest that she might prefer to think that to thinking that her life is empty and meaningless, she says: “If you would only know how they hurt me….” A fleeting smile remains on her face. The so-called inappropriate affect-what psychiatrists consider the classic symptom of schizophrenia is perhaps the poorly suppressed amusement of the con man, secretly laughing at his mark.

Psychology

There is no psychology; there is only biography and autobiography.

〰️

Intelligence tests: hocus-pocus used by psychologists to prove that they are brilliant, and their clients stupid. The general acceptance of these tests suggests that this claim may not be without foundation.

Projective tests: hocus-pocus used by psychologists to prove that they are normal and that their clients are crazy. The popular acceptance of these tests suggests that this claim, too, may not be without foundation.

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Personality theory: familial and social policies disguised as empirical observations and promoted as scientific laws.

〰️

Freudian psychology is the psychology of the adolescent male: sex-starved and sex-crazed, seeing the world in terms of sexual frustrations and satisfactions.

Adlerian psychology is the psychology of the young adult male: craving control and power, seeing the world in terms of dominance and submission.

Jungian psychology is the psychology of the middle-aged person, man and woman: longing for religion but unable to believe, seeing the world in terms of infinite varieties of meanings and mysteries.

Psychotherapy

Psychotherapy is the name we give to a particular kind of personal influence: by means of communications, one person, identified as “the psychotherapist,” exerts an ostensibly therapeutic influence on another, identified as “the patient.” It is evident, however, that this process is but a special member of a much larger class-indeed, of a class so vast that virtually all human interactions fall within it. Not only in psychotherapy, but also in countless other situations, such as advertising, education, friendship, and marriage, people influence one another. Who is to say whether such interactions are helpful or harmful, and to whom? The concept of psychotherapy betrays us on this point by prejudging the interaction as therapeutic for the patient, in intent or effect or both.

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People seeking help from psychotherapists can be divided into two groups: those who wish to confront their difficulties and shortcomings and change their lives by changing themselves; and those who wish to avoid the inevitable consequences of their life strategies through the magical or tactical intervention of the therapist in their lives. Those in the former group may derive great benefit from therapy in a few weeks or months; those in the latter may stand still, or sink ever deeper into their self-created life morass, after meeting with psychotherapists for years, and even decades,

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In most types of voluntary psychotherapy, the therapist tries to elucidate the inexplicit game rules by which the client conducts himself; and to help the client scrutinize the goals and values of the life games he plays.

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Success in psychotherapy-that is, the ability to change oneself in a direction in which one wants to change-requires courage rather than insight.

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Autonomous psychotherapy is characterized by its aim-to increase the client’s knowledge of himself and others and hence his freedom of choice in the conduct of his life; by its method-the analysis of communications, rules and games; and by its social context-a contractual, rather than a therapeutic, relationship between analyst and analysand.

The autonomous psychotherapist’s role vis-à-vis his client is like the court jester’s vis-à-vis the monarch: therapist confronts client with painful reality, but in as friendly a way as possible; client retains all the power over whether he wants to listen or not (that is, whether he wants to continue or terminate the therapeutic relationship).

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People with personal problems often behave like the proverbial drunk who looks for his house key under the streetlight, not because that’s where he dropped it, but because that’s where the light is. Should such a person consult an autonomous psychotherapist, the therapist’s job is not to try to find the key, but to suggest to the “patient” that he light a match or borrow a flashlight from a neighbor and go look for his key where he dropped it.

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“Hard cases make bad law” is a sound legal maxim. Mutatis mutandis: desperate clients make bad psychotherapy. Sound and sensible rules for psychotherapy must rest on a contract between a client able to inspect his own life and learn from his mistakes, and a psychotherapist competent to help him with this task. Desperately distraught clients often suffer from the consequences of their stupidity compounded by their stubbornness; and they often succeed in provoking a matching set of stupid and stubborn responses in their psychiatrists—which the latter rationalize and even glorify as “emergency methods of psychotherapy.”

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When people (especially women) consult psychotherapists, they are often on the brink of having to choose between two conflicting life strategies; that is, between increasing their self-pity, by appearing helpless and victimized, to extort from others what they feel they need; and increasing their self-esteem, by becoming more competent and selfreliant, to provide for themselves what they decide they want.〰️Psychotherapies (and all so-called psychiatric treatments) should be viewed as analogous to sexual relations, and should be so regulated by the state: So long as they are consensual-that is, so long as both (or all) parties engaging in the “therapy” are satisfied with it-it should be permissible; and it should be no one else’s business whether it’s good or bad (“therapeutic” or “noxious”). Involuntary psychiatric therapy, like rape, should be prohibited and punished by the criminal law.

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Hypnosis: two people lying to each other, each pretending to believe both his own and his partner’s lies.

Professionalism

Paternalism: the moral principle that enjoins a person to give another everything but respect. The doctrine according to which no one is yet ready for freedom and self-determination except the speaker and the group of which he is a member. The foundation of professionalism.

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Someone once defined a psychoanalyst as a nonswimmer working as a lifeguard. True enough, often enough. Most professionals are nonswimmers working as lifeguards. Professionalization is certifying nonswimmers as lifeguards, and preventing swimmers from working as lifeguards.

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The double standard in sex, discriminating between men and women-on the ancient principle of Quod licet Jovi, non licet bovi (What is permitted to Jove, is not permitted to the cow)-has an analogue in the even more hypocritical and pervasive double standard between the expert and the layman. The sexual double standard says that men are virile and women are nymphomaniacs. The professional double standard says that the experts are sexologists and therapists, while the laymen are pornographers, pimps, and prostitutes; the experts are physicians and methadone maintenance researchers, the laymen are pushers and corrupters of the nation; the experts are skeptical and demand proof, the laymen are suspicious and suffer from paranoia.

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Birth and death, the two most natural and “normal” biological occurrences, have become preempted by the medical profession. Thus pregnancy and senility are regarded as diseases whose management requires expert medical assistance. It is small wonder that the medical profession tyrannizes over the everyday life of a people who refuse to take responsibility for the most elementary tasks their biological makeup poses for them.

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Being judged by a professional colleague is like betting with a person who follows the rule: “Heads I win, tails you lose.” If your facts or reasoning are wrong, he will prove you wrong by marshaling the true facts and correct reasoning; and if your facts and reasoning are right, he will prove you wrong by attributing immoralities to your character and mental diseases to your personality.

Science and Scientism

The essence of the scientific enterprise is the effort to understand something in order better to control it. In natural science, this means that the scientist, man, studies and controls the object of his interest, a thing. The thing studied has no say in this matter. Hence, the moral dimensions and dilemmas of natural science derive not from a conflict between the scientist and the object he studies, but from a conflict between the scientist and other persons or groups who may disapprove of the personal and social consequences of his work.

In human or moral science (if it may be called a “Science”) the situation is radically different. Here, the scientist, man, studies and controls the object of his interest, a person. The subject studied is very much concerned with this process. Hence, the moral dimensions and dilemmas of human science derive from two distinct sources: first, from a conflict between scientist and subject, and second, from a conflict between scientist and other persons or groups who may disapprove of the personal and social consequences of his work.

In short, although both the natural and moral sciences seek to understand the objects of their observation, in natural science the purpose of this is to be able to control them better, whereas in moral science it is, or ought to be, to be better able to leave them alone. The morally proper aim of psychology, then, is self-control.

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Formerly, when religion was strong and science weak, men mistook magic for medicine; now, when science is strong and religion weak, men mistake medicine for magic.

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Psychiatry is institutionalized scientism: it is systematic imitation, impersonation, counterfeiting, and deception. This is the formula: every adult smokes (drinks, engages in sexual activity, etc.); hence, to prove that he is an adult, the adolescent smokes (drinks, engages in sexual activity, etc.). Mutatis mutandis: every science consists of classification, control, and prediction; hence, to prove that psychiatry is a science, the psychiatrist classifies, controls, and predicts. The result is that he classifies people as mad; that he confines people as dangerous (to themselves or others); and that he predicts people’s behavior, robbing them of their free will and hence of their very humanity.

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For the Jews, the Messiah has never come; for the Christians, He has come but once; for modern man, He appears and disappears with increasing rapidity. The saviors of modern man, the “scientists who promise salvation through the discoveries of ethology and sociology, psychology and psychiatry, and all the other bogus religions, issue forth periodically, as if selected by some Messiah-ofthe-Month Club.

Therapeutic State

A Theological State is characterized, among other things, by the preoccupation of its people with religion in general, and with heresy in particular. Similarly, a Therapeutic State is characterized, among other things, by the preoccupation of its people with health in general, and with quackery in particular. Mutatis mutandis, as in a society with religious freedom the concept of heresy loses its significance, so in a society with medical freedom the concept of quackery would lose its significance. The very absurdity of the latter prospect is a measure of the depth of our reliance on the state for the protection of our bodiesa reliance wholly analogous to that of our ancestors on the church for the protection of their souls.

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Freedom of religion means freedom from religious domination and persecution. Similarly, freedom of medicine means freedom from medical domination and persecution.

As the one has required a separation of church and state, so the other requires a separation of medicine and the state.

If we truly value medical healing and refuse to confuse it with therapeutic oppression-as the Founding Fathers truly valued religious faith and refused to confuse it with theological oppression—then we ought to let each man seek his own medical salvation and erect an invisible but impenetrable wall separating medicine and the state.

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We have no national religion. Neither do the Russians. But both the U.S.A. and the U.S.S.R. (and many other modern nations) have national, or state-recognized and state-supported, medicine. This corrupts medicine in the same way as religion had formerly been corrupted by its alliance with the state. Although the existence of this corruption is widely recognized, its cause is usually attributed to too little, rather than too much, control by the state. To return medicine to the service of the individual nothing less will suffice than an extension of the protections of the First Amendment to the healing arts, guaranteeing that “Congress shall make no law respecting an establishment of medicine, or prohibiting the free exercise thereof. …”

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The First Amendment protects religious freedom, yet the Mormons are forbidden to practice polygamy. Since progressive opinion now holds that medical treatment is a right, the Mormons ought to claim that they need several wives for their mental health rather than for their religious well-being. Then, like heroin addicts who are said to have a “right” to methadone, Mormons might obtain the “right” to polygamy.

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Christian Science denies illness; it defines and perceives sickness as sin

Atheist Science denies evil; it defines and perceives sin as sickness.

Actually, both sickness and sin, illness and evil, exist and are real. We often confuse them in order to confuse, and thereby to control, others.

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Medignosis: the doctrine that all human problems are medical diseases curable by appropriate therapeutic interventions, imposed on the patient by force if necessary. The “scientific” successor of pre-Christian and Christian forms of gnosticism; the dominant religious faith of modern man.

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Bad habits treated as diseases:

Using alcohol badly is called “alcoholism” and is treated with Antabuse.

Using food badly is called “anorexia nervosa” or “obesity”; the former is treated with electroshock, the latter with amphetamines or intestinal bypass operation.

Using sex badly is called perversion, and is treated with stimulation through electrodes implanted in the brain and with sex-change operations.

Using language badly is called “schizophrenia” and is treated with lobotomy.