Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-22T16:21:15.788Z Has data issue: false hasContentIssue false

Schizophrenia and the Theories of Thomas Szasz

Published online by Cambridge University Press:  29 January 2018

Martin Roth*
Affiliation:
University Department of Psychological Medicine, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP

Extract

Anyone acquainted with Dr Thomas Szasz's previous writings about mental disorder, the nature of its relationship to the Law and to the problems of drug dependance (Szasz, 1961, 1963, 1970, 1972, 1975) has learned to look in the first instance for the dualism, the poles of which are to be demonstrated as irreconcilable. For, as Glazer (1965) has pointed out, one of Dr Szasz's main conceptual devices is ‘the dichotomy game‘. A phenomenon may belong to category (x) or another category (y) but not to both. As a first step it is as well to examine the definitions of the categories in question. They are liable to prove inconsistent or idiosyncratic or just to be omitted. In other cases, as Professor Stone (1973) has shown in his detailed and telling dissection of the tortuous and confused logic pursued by Dr Szasz in The Myth of Mental Illness, the definitions are incomplete or erroneous and the implied anti-thesis dubious or false. Beginning with the equation that a lie is to a mistake as malingering is to hysteria, Szasz manages, following a maze of tortuous and self-contradictory arguments, to emerge at the conclusion that it would be ‘… more accurate to regard hysteria as a lie than as a mistake‘.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1976 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adams, F. (1849) The Genuine Works of Hippocrates. London: The Sydenham Society.Google Scholar
Charcot, J. M. (1877) Lectures on the Diseases of the Nervous System. London: The New Sydenham Society.Google Scholar
Davison, K. & Bagley, C. R. (1969) Schizophrenia-like psychoses associated with organic disorders of the central nervous system: a review of the literature, In Current Problems in Neuropsychiatry. British Journal of Psychiatry Special Publication No. 4. Ashford, Kent: Headley Bros.Google Scholar
Glazer, F. (1965) ‘The dichotomy game’. American Journal of Psychiatry, 122, No. 8, 1069.Google Scholar
Hare, E. H. & Shaw, G. (1965a) Mental Health in a New Housing Estate. Maudsley Monograph No 12. London: Oxford University Press.Google Scholar
Heston, L. L. (1966) Psychiatric disorders in foster-home reared children of schizophrenic mothers. British Journal of Psychiatry, 112, 819—52.Google Scholar
Hirsch, S. R., Gaind, R. & Rohde, P. (1972) The clinical value of fluphenazine decanoate in maintaining chronic schizophrenics in the community. Presented at the International Symposium on Rehabilitation in Psychiatry, Belgrade, Yugoslavia.Google Scholar
Kay, D. W. K., Beamish, P. & Roth, M. (1964a) Old age mental disorders in Newcastle upon Tyne. I. A study of prevalence. British Journal of Psychiatry, 110, 146—58.Google Scholar
Kay, D. W. K., Beamish, P. & Roth, M. (1964b) Old age mental disorders in Newcastle upon Tyne. II A study of the possible social and medical causes. British Journal of Psychiatry, 110, 668—82.Google Scholar
Kay, D. W. K. & Bergmann, D. (1966) Physical disability and mental health in old age. Journal of Psychosomatic Research, 10, 312.Google Scholar
Kay, D. W. K. & Roth, M. (1961) Environmental and hereditary factors in the schizophrenias of old age (‘late paraphrenia’) and their bearing on the general problem of causation in schizophrenia. Journal of Mental Science, 107, 649—86.Google Scholar
Kerr, T. A., Schapira, K. & Roth, M. (1969) The relationship between premature death and affective disorders. British Journal of Psychiatry, 115, 1277—82.Google Scholar
Kety, S. S., Rosenthal, D., Wender, P. H. & Shulsinger, F. (1968) The types and prevalence of mental illness in the biological and adoptive families of adopted schizophrenics. In: Rosenthal, D. and Kety, S. S. eds. The Transmission of Schizophrenia. Oxford: Pergamon Press Ltd, pp 345—62.Google Scholar
Leff, J. P. & Wing, J. K. (1971) Trial of maintenance therapy in schizophrenia. British Medical Journal, iii, 599.Google Scholar
Maudsley, H. (1879) The Pathology of Mind. London: Macmillan & Co.Google Scholar
Parkinson, J. (1817) Essay on the Shaking Palsy.Google Scholar
Post, F. (1966) Persistent Persecutory States of the Elderly. London: Pergamon.Google Scholar
Rosenthal, D., Wender, P. H., Kety, S. S., Schulsinger, F., Welner, J. & Ostergaard, L. (1968) Schizophrenics' offspring reared in adoptive homes. In: Rosenthal, D. and Kety, S. S., eds. The Transmission of Schizophrenia. Oxford: Pergamon Press Ltd, pp 293316.Google Scholar
Roth, M. & Kay, D. W. K. (1956) Affective disorders arising in the senium. II Physical disability as an aetiological factor. Journal of Mental Science, 102, 141—50.CrossRefGoogle ScholarPubMed
Russell, B. (1954) Nightmares of Eminent Persons. The Bodley Head.Google Scholar
Russell, B. (1959) The Problems of Philosophy, Oxford University Press.Google Scholar
Shepherd, M., Cooper, B., Brown, A. A. & Kalton, G. W. (1966) Psychiatric Illness in General Practice. London: Oxford University Press.Google Scholar
Slater, E., Beard, A. W. & Glithero, E. (1963) The schizophrenia-like psychoses of epilepsy. I—V. British Journal of Psychiatry, 109, 95150.CrossRefGoogle Scholar
Stone, A. A. (1973). Psychiatry kills: a critical evaluation of Dr Thomas Szasz. Journal of Psychiatry & Law, 1, 2337.Google Scholar
Szasz, T. S. (1961) The My th of Mental Illness: Foundations of a Theory of Personal Conduct. New York: Hoeber-Harper.Google Scholar
Szasz, T. S. (1963) Law, Liberty and Psychiatry, New York: The Macmillan Co. Ch 8, esp p 104.Google Scholar
Szasz, T. S. (1965) Psychiatric Justice. New York: The Macmillan Co. Ch 9, esp pp 266—69.Google Scholar
Szasz, T. S. (1970) Ideology and Insanity: Essays on the Psychiatric Dehumanization of Man. New York: Anchor.Google Scholar
Szasz, T. S. (1970) The Manufacture of Madness. New York: Harper & Row, p 27.Google Scholar
Szasz, T. S. (1972) The ethics of addiction. International Journal of Psychiatry, 10, 5161.Google ScholarPubMed
Szasz, T. S. (1975) Georgetown University Law School Symposium on ‘Basic Issues of the Therapeutic State’. Report in Psychiatric News, November 5, 1975.Google Scholar
Wender, P., Rosenthal, D. & Kety, S. S. (1968) A psychiatric assessment of the adoptive parents of schizophrenics. In: Rosenthal, D. and Kety, S. S. eds. The Transmission of Schizophrenia. Oxford: Pergamon Press Ltd, pp 235—50.Google Scholar
World Health Organization (1973) The International Pilot Study of Schizophrenia. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.