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The myth and reality of mental illness

There are points of reconciliation between the uncompromising libertarian philosophy of Szasz and what he refers to as “real-world psychiatry” (i.e., problems that clinicians face in helping the so-called “mentally ill”). Szasz’s principled stance against the abuses of psychiatry advocates an antipaternalistic approach. He performed great service, exposing the risks of coercive psychiatry, fighting for patient empowerment, freedom, and dignity. The system no longer exists where there are several thousand patients in state hospitals—many inappropriately admitted into “snake pits”—but we now have to fight the criminalization of mental illness, with the mentally ill in jails and the homeless living in streets. It would be wonderful to have Szasz still alive to lead the movement to free the severely ill from prisons, just as he helped to free them from hospitals.