his article in SAGE open. He rightly emphasises Szasz's focus on "greater autonomy and higher levels of personal responsibility". As John Breeding points out, Szasz never really wanted to be a doctor. Instead he trained to be a psychoanalyst. Szasz practiced autonomous psychotherapy, although he didn't like the term 'therapy'. I understand how John Breeding as a counsellor sees that he can 'practice Szasz'.
That's fine for patients who have mental capacity. People decide to undertake psychotherapy and counselling. However, people who are psychotic may not make the most rational of decisions because of their mental illness. Society might have a role to intervene and psychiatrists manage madness on behalf of society. Psychotherapists and counsellors don't need to undertake these murky responsibilities.
Hence, using quotes from the article, Tom Szasz thought that, "A person should be deprived of liberty only if proved guilty of breaking the law". To reiterate, he said, "if the 'patient' is not a criminal, then he or she has a right to liberty; and if the patient is a criminal, then he or she ought to be restrained and punished by the criminal law, like anyone else". Essentially, Szasz didn't think society should have mental health legislation.
I suppose it could be said I'm only defending my role as a psychiatrist, but I don't agree with Szasz on this point (see previous post). He was also pretty scathing about the Critical Psychiatry Network of which I'm a founding member (see another previous post). I'm sure I could learn to be clearer in expressing my views, like him, although I do accept uncertainty and perspectives may not always be as black and white as he often argued. However, his critique of the biological basis of mental illness will survive.
(With thanks to Around the Web item on Mad in America)