THE
PSYCHIATRIC GAME
AN
INTRODUCTION
by Jonathan Dolhenty, Ph.D.
Throughout most of history, oppression of
individuals who thought and acted "differently"
from what was considered the norm was primarily a
religious phenomenon, sometimes with the help of
the State which punished public displays of
"improper" behavior. Harsh treatment of most forms
of deviant behavior was justified because the
perpetrator had violated the laws of God (as
pronounced, of course, by the religious leaders),
or had violated laws of the State, most of which
looked to religion for their justification.
Social deviants were sinners of the worst sort
and both religious and social condemnation were
appropriate. Later, as the influence of religion
waned and the influence of "science" grew, the
treatment accorded to social deviants changed. This
is particularly true with respect to the
development of Western psychiatry and psychology.
As a result of this new influence, the
justification for oppression of social deviancy
also changed.
Dr. Thomas Szasz, a prominent psychiatrist and
rather volatile opponent of involuntary commitment
for so so-called "mental" illness, discusses the
matter of justification in an enlightening way. He
maintains that the first justification for
oppression is no justification at all. The first
justification is that the specific act violates a
religious precept. This is the sanction of an
absolute authority, such as God or the Church.
But if such an absolute authority must justify
itself, then it appears not to be an absolute
authority. An absolute authority should be absolute
and in no need of justification.
Religious justification has less influence today
than it had in the past. "Scientific" justification
and the authority of "science" have, for the most
part, taken its place. The game itself of
oppression of social deviancy has not changed all
that much, but the rules have changed and the
reasons for the rules has changed.
What has occurred, according to some observers,
is that psychiatric oppression of social deviancy
has replaced religious oppression of it. The
attempt now is to legitimize the harm done by
psychiatry (rather than religion) to a deviant
individual. There are, according to Dr. Szasz,
three main justifications for oppression of those
who dare to deviate from the moral or social
sanctions of a particular society.
1. "We" are human, but
"they" are not.
- The trick here is to turn the group to be
oppressed into something other than human. By
doing so, any member of that group is
immediately removed from moral consideration.
Common human morality no longer applies and
things may be done to the members of the group
without considering the morality of such.
Historical
Examples
- Jews - from human to "vermin"
- Negroes - from human to "chattel"
- Mental patient - from human to "sick
organism"
- Witches - from human to "evil beings"
- Heretics - from human to "devils"
- Women - from human to "property"
2. The victimizer
claims "he" himself is the victim
- The trick here is to argue that the group to
be oppressed constitutes a threat to the
ordinary, peace-loving citizen. The victimizer
argues that he is a victim and must defend
himself against these enemies.
Historical
Examples
- Jews - economic threat
- Negroes - sexual threat
- Heretics - religious threat
- Witches - social threat
- Communists - political threat
3. "They" are a threat,
not to "us," but to "themselves"
- Doctor Szasz argues that this is probably
the most fashionable justification used today.
We may oppress certain individuals or coerce
them into accepting oppression because it is our
"duty" to "save" them and "we" know what is
"best" for them.
Historical
Examples
- Heretics - need to be "saved" or
"reborn"
- Mental patient - needs forced
"treatment"
- Children - need "protection"
- Women - need "protection"
- Negroes - need "guidance" and
"protection"
- From: Thomas Szasz, M.D.,
Psychiatric Slavery (New York: The Free
Press, 1977), pp. 6-7.
These justifications are important because
society must have reasons for what it does, even
for its oppressive practices toward individuals or
groups who constitute a minority or are, for some
reason or other, not in the mainstream of, say,
American life. These justifications are not used
only for religious and psychiatric sanctions of
deviant behavior, however. They are increasingly
used for legal sanctions as well. And herein lies a
major problem for believers in a society of free
individuals.
The
Controversy
For hundreds of years the belief was held that
deviant behavior was the result of the moral
disintegration of the individual. People who
manifested behavior deemed unacceptable,
troublesome, or "perverse," were viewed as
suffering from immorality. The "disease" was moral,
not mental or medical. The cure was religious. The
means for curing the moral "disease" ranged from
religious confession to burning the victim at the
stake. While most people have now rejected this,
some remnants of it still remain in our
culture.
During the latter of the nineteenth century, the
religious model came under attack. With the advent
Sigmund Freud and his disciples, a new model was
proposed. It was not the soul that was "sick," but
the mind. A whole new group of caretakers was
created: the psychiatrists and psychotherapists.
While these caretakers tended to disagree,
violently in some cases, about the causes of these
"disorders" of the mind, they generally agreed
these "mental" diseases resulted from environmental
influences. The cures for these "diseases" ranged
from psychoanalysis to psychosurgery. These
psychodynamic theories have had a tremendous
influence on the development of treatment for
people considered troublesome to others in
society.
The influence of psychiatry and clinical
psychology on modern society can hardly be
overstated. During the past hundred years we have
been literally bombarded with the image of the
Psychological Man. The psychological nature of man
has been brought to the forefront of discussions
about human behavior and has been used to determine
much social policy, as well as civil
legislation.
We have been told that deviant human behavior
can be traced back to conflicts over toilet
training, penis envy, incest taboos, role
conflicts, and a host of other complexes which
afflict us in childhood. An alleged psychological
cause is at the root of all deviant behavior. Many
times, however, psychiatrists disagree over the
causes and we play the "psychiatric game."
- EXAMPLE:
- If you are homosexual,
and your mother was overprotective when you were
a child, then the "cause" of your homosexuality
was an overprotective mother. But if you are
homosexual and you had a neglectful mother, then
that was the "cause" and you dislike females.
Either way your "aberration" is
explained!
The answer to the psychological ills suffered by
individuals, according to the psychotherapists, is
some form of psychotherapy. Over the years many
forms of psychotherapy were developed depending on
the interests and inclinations of particular
psychiatric and psychological theorists. They
developed a virtual "supermarket" of
treatments.
- A PSYCHIATRIC
SUPERMARKET:
- Psychoanalysis, primal
scream therapy, transactional analysis,
bibliotherapy, convulsive therapy, psychodrama,
autogenic therapy, primal feeling therapy,
rolfing, prefrontal lobotomy, logotherapy,
holistic therapy, oxygen therapy, existential
therapy, sai yoga, milieu therapy, encounter
therapy, etc., etc., etc., ad
nauseum.
New words and new definitions of old words
entered our language as a result of the influence
of psychiatry and psychology. We now speak of
people being neurotic or psychotic, of repression,
manic-depressive, Oedipus complex, sublimation, and
so forth. Language has become an instrument of
oppression itself. Language categorizes individuals
into normal and abnormal, friend or foe, sick or
well, harmless and dangerous, good and evil.
Specific words have emotional overtones which, when
applied to individuals can mark them for life:
pervert, maniac, molester, mad, crazy, and so on.
Language has become one of
the most prominent instruments of oppression and
psychological torture.
Vast sums of money have been spent on all kinds
of psychotherapy from traditional psychoanalysis to
"nude" therapy. Psychotherapy has become a parlor
game where every action is analyzed to death to see
what is really meant by it. The "Freudian slip"
becomes a tool for probing the inner depths of the
psyche and the couch becomes the symbol of the
psychiatric battlefield. Psychotherapy replaces
religion as the healer of the soul and the office
of the psychotherapist replaces the confessional
box.
All is not well, however, in the psychiatric
game itself. It is being widely recognized that
something is wrong in the land of the
psychotherapist. Psychiatry and psychotherapy are
now being attacked, not only in the public arena,
but in courts of law as well. Recent examples are
the questioning of the traditional definition of
the term "insanity," and the scientific challenge
to the the many "syndromes" being put forth to
justify violent behavior, including the so-called
repressed memory syndrome.
Dr. C. Hobert Mowrer, a professor of psychology,
pointed out that something serious is wrong with
contemporary psychiatry and clinical psychology.
According to him, these disciplines have not
validated themselves and their influence on society
has been subtly subversive.
Dr. Thomas Szasz, a professor of psychiatry, has
been a constant critic of contemporary thinking and
considers the term "mentally sick" to be a mere
metaphor and he objects to the "treatment"
according those considered to be "mentally
sick."
It is interesting to note that Dr. Mowrer
mentioned that psychiatry and clinical psychology
have not validated themselves. That is, in my
interpretation, just another way of saying that
there is no conclusive scientific evidence to
support the theories that psychiatrists, clinical
psychologists, and other "mental health
professionals" so profoundly propound. The
theories, and therefore the so-called "treatments,"
rest on assumptions which these practitioners have
simply accepted as being true. Many of these
assumptions have really been transferred
carte-blanche from the religious realm to the realm
of "scientific" psychiatry and psychology.
As the influence of psychiatry and psychology
grew, these "disciplines" became virtually obsessed
with sexuality and especially with sexual
"deviance." This was quite natural since religion
was obsessed with these activities (and still is!).
The negative attitude of the prevailing Christian
religions toward sexuality simply poured over into
the then-developing "sciences" of psychiatry and
psychology.
The pseudo-concepts of "natural law" which
provided the basis for determining that certain
sexual acts were "unnatural" and "abnormal" were
also used by psychiatry and clinical psychology.
The basis for the medical model of sexual deviance
was, without a doubt, the prevailing religious
ideology of the time.
Anyone who defied social conventions and
practiced certain "perversions" or unapproved
actions, sexual or otherwise, was considered a
candidate for psychiatric therapy. It was that
person's "duty" to seek proper "treatment" so he or
she could get "well." The deviant, of course, was
not truly responsible for the aberrant behavior, as
he or she was according to the religious model, but
the deviant had a clear obligation to seek
"treatment" and to cooperate in that enterprise.
Failing to do so could result in involuntary
"treatment" and this, of course would be done for
"their own good." The
third justification for
victimization!
When psychiatry and clinical psychology were
born, they adopted the then-prevailing moral
beliefs of society and by a neat linguistic parlor
trick turned religious beliefs into scientific
theories. "Sin" became "sickness." "Punishment"
became "treatment." "Unnatural" became "abnormal."
"Reconciliation" became "cure."
Even so, the basic problem remains the same. It
does not matter what linguistic tricks were and are
being played, the whole issue comes down to
this:
Certain groups of people are considered "sick"
or "psychotic" or "abnormal" because they
participate in activities which have been declared
unacceptable by social convention. It does not
matter that these activities may be harmless to the
people involved by any objective standard.
The psychiatric game is played out every day in
our courtrooms, in our "mental health" centers, in
our schools, on television, and everywhere else
where we the people have given them permission to
play their usually silly games.
Books by Dr. Szasz are available in The Radical
Academy Bookstore:
I have been notified about another resource
which has recently become available in English and
is free to download and read:
You may also be interested in these two books,
both of which I am in agreement with
philosophically regarding "mental illness" and
treatment strategies:
More on psychiatry and psychology by Dr.
Dolhenty:
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