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Coercion as Cure

Coercion as Cure
Author: Thomas Szasz
Publisher: Transaction Publishers
Total Pages: 295
Release: 2011-12-31
Genre: Social Science
ISBN: 1412808952

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Understanding the history of psychiatry requires an accurate view of its function and purpose. In this provocative new study, Szasz challenges conventional beliefs about psychiatry. He asserts that, in fact, psychiatrists are not concerned with the diagnosis and treatment of bona fide illnesses. Psychiatric tradition, social expectation, and the law make it clear that coercion is the profession's determining characteristic. Psychiatrists may "diagnose" or "treat" people without their consent or even against their clearly expressed wishes, and these involuntary psychiatric interventions are as different as are sexual relations between consenting adults and the sexual violence we call "rape." But the point is not merely the difference between coerced and consensual psychiatry, but to contrast them. The term "psychiatry" ought to be applied to one or the other, but not both. As long as psychiatrists and society refuse to recognize this, there can be no real psychiatric historiography. The coercive character of psychiatry was more apparent in the past than it is now. Then, insanity was synonymous with unfitness for liberty. Toward the end of the nineteenth century, a new type of psychiatric relationship developed, when people experiencing so-called "nervous symptoms," sought help. This led to a distinction between two kinds of mental diseases: neuroses and psychoses. Persons who complained about their own behavior were classified as neurotic, whereas persons about whose behavior others complained were classified as psychotic. The legal, medical, psychiatric, and social denial of this simple distinction and its far-reaching implications undergirds the house of cards that is modern psychiatry. Coercion as Cure is the most important book by Szasz since his landmark The Myth of Mental Illness.


Coercion as Cure

Coercion as Cure
Author: Frank Villafana
Publisher: Routledge
Total Pages: 293
Release: 2017-07-12
Genre: Medical
ISBN: 1351527762

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Understanding the history of psychiatry requires an accurate view of its function and purpose. In this provocative new study, Szasz challenges conventional beliefs about psychiatry. He asserts that, in fact, psychiatrists are not concerned with the diagnosis and treatment of bona fide illnesses. Psychiatric tradition, social expectation, and the law make it clear that coercion is the profession's determining characteristic. Psychiatrists may "diagnose" or "treat" people without their consent or even against their clearly expressed wishes, and these involuntary psychiatric interventions are as different as are sexual relations between consenting adults and the sexual violence we call "rape." But the point is not merely the difference between coerced and consensual psychiatry, but to contrast them. The term "psychiatry" ought to be applied to one or the other, but not both. As long as psychiatrists and society refuse to recognize this, there can be no real psychiatric historiography. The coercive character of psychiatry was more apparent in the past than it is now. Then, insanity was synonymous with unfitness for liberty. Toward the end of the nineteenth century, a new type of psychiatric relationship developed, when people experiencing so-called "nervous symptoms," sought help. This led to a distinction between two kinds of mental diseases: neuroses and psychoses. Persons who complained about their own behavior were classified as neurotic, whereas persons about whose behavior others complained were classified as psychotic. The legal, medical, psychiatric, and social denial of this simple distinction and its far-reaching implications undergirds the house of cards that is modern psychiatry. Coercion as Cure is the most important book by Szasz since his landmark The Myth of Mental Illness.


Forced Into Treatment

Forced Into Treatment
Author: Group for the Advancement of Psychiatry. Committee on Government Policy
Publisher: American Psychiatric Pub
Total Pages: 164
Release: 1994
Genre: Medical
ISBN: 9780873182058

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What role does coercion play in psychiatric treatment? Does it increase or decrease the chances for successful outcome? Forced Into Treatment discusses various aspects of coercion ranging from the role of coercion in initiation psychiatric treatment to its effect on treatment process and outcome. The book demonstrated that a patient who is appropriately forced into treatment can more from initial defiance, through reluctant compliance, to a successful therapeutic alliance and a successful outcome. In addition, Forced Into Treatment addresses the role of coercion, power, and authority in socializing children the use of coercive social pressure as a motivation to seek help the effects of court-ordered treatment for people who have refused psychiatric help the historical and legal aspects regarding coercive treatment


Coercion and Aggressive Community Treatment

Coercion and Aggressive Community Treatment
Author: Deborah L. Dennis
Publisher: Springer
Total Pages: 222
Release: 1996-03-31
Genre: Psychology
ISBN: 0306451670

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Forced hospitalization of people with mental disorders has long been a critical issue in the mental health services. Coercion and Aggressive Community Treatment is the first sustained description and analysis of what happens when `aggressive' treatment becomes `coerced' treatment. Mental health professionals poignantly discuss the tension they feel between wanting to do everything to treat desperately ill people and the need to respect the rights of these same people who want to make their own decisions, even if this means forgoing treatment.


Liberation by Oppression

Liberation by Oppression
Author: Thomas Szasz
Publisher: Routledge
Total Pages: 237
Release: 2017-09-29
Genre: Medical
ISBN: 1351508784

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Originally called mad-doctoring, psychiatry began in the seventeenth century with the establishing of madhouses and the legal empowering of doctors to incarcerate persons denominated as insane. Until the end of the nineteenth century, every relationship between psychiatrist and patient was based on domination and coercion, as between master and slave. Psychiatry, its emblem the state mental hospital, was a part of the public sphere, the sphere of coercion.The advent of private psychotherapy, at the end of the nineteenth century, split psychiatry in two: some patients continued to be the involuntary inmates of state hospitals; others became the voluntary patients of privately practicing psychotherapists. Psychotherapy was officially defined as a type of medical treatment, but actually was a secular-medical version of the cure of souls. Relationships between therapist and patient, Thomas Szasz argues, was based on cooperation and contract, as is relationships between employer and employee, or, between clergyman and parishioner. Psychotherapy, its emblem the therapist's office, was a part of the private sphere, the contract.Through most of the twentieth century, psychiatry was a house divided-half-slave, and half-free. During the past few decades, psychiatry became united again: all relations between psychiatrists and patients, regardless of the nature of the interaction between them, are now based on actual or potential coercion. This situation is the result of two major ""reforms"" that deprive therapist and patient alike of the freedom to contract with one another: Therapists now have a double duty: they must protect all mental patients-involuntary and voluntary, hospitalized or outpatient, incompetent or competent-from themselves. They must also protect the public from all patients.Persons designated as mental patients may be exempted from responsibility for the deleterious consequences of their own behavior if it is attributed to mental illne


Resisting 12-step Coercion

Resisting 12-step Coercion
Author: Stanton Peele
Publisher:
Total Pages: 0
Release: 2000
Genre: Alcoholics
ISBN: 9781884365171

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Every year, over one million Americans are coerced into 12-step treatments. Peele, a psychologist, attorney, and outspoken critic of the addiction treatment industry, provides intellectual, practical, and scientific background for lay people and professionals to fight against coerced referrals to 12-step addiction treatment and groups. He refutes the disease concept of alcoholism and addiction, describes ways people are coerced into treatment, analyzes evidence for the effectiveness of 12-step treatment, and looks at alternativesAnnotation copyrighted by Book News, Inc., Portland, OR.


The Myth of Mental Illness

The Myth of Mental Illness
Author: Thomas S. Szasz
Publisher: Harper Collins
Total Pages: 436
Release: 2011-07-12
Genre: Psychology
ISBN: 0062104748

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“The landmark book that argued that psychiatry consistently expands its definition of mental illness to impose its authority over moral and cultural conflict.” — New York Times The 50th anniversary edition of the most influential critique of psychiatry every written, with a new preface on the age of Prozac and Ritalin and the rise of designer drugs, plus two bonus essays. Thomas Szasz's classic book revolutionized thinking about the nature of the psychiatric profession and the moral implications of its practices. By diagnosing unwanted behavior as mental illness, psychiatrists, Szasz argues, absolve individuals of responsibility for their actions and instead blame their alleged illness. He also critiques Freudian psychology as a pseudoscience and warns against the dangerous overreach of psychiatry into all aspects of modern life.


Coercive Treatment in Psychiatry

Coercive Treatment in Psychiatry
Author: Thomas W. Kallert
Publisher: John Wiley & Sons
Total Pages: 350
Release: 2011-03-25
Genre: Medical
ISBN: 0470978651

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Coercion is one of the most fascinating and controversial subjects in psychiatry. It is a highly sensitive, and hotly debated topic in which clinical practice, ethics, the law and public policy converge. This book considers coercion within the healing and ethical framework of therapeutic relationships and partnerships at all levels, and addresses the universal problem of how to balance safety versus autonomy when dealing with psychiatric treatment. Coercive Treatment in Psychiatry is a much needed contribution to the literature. The first three sections deal with the conceptual and clinical aspects of coercive treatment, the legal aspects and the ethical aspects of coercive treatment. In detail, these sections cover a broad spectrum of issues: coercion in institutions and in the community, coercive treatment and stigma, the definition of best practice standards for coercive treatment, de-escalation of risk situations, recent developments in mental health legislation, mental health care and patients' rights, cross-cultural perspectives on coercive treatment, historical injustice in psychiatry, and paternalism in mental health. The fourth section features users' views on coercive treatment: giving voice to an often-unheeded population. Finally, the book addresses the original topic of coercion and undue influence in decisions to participate in psychiatric research. This book presents the first comprehensive review of the issue of coercion in psychiatry. With chapters written by the leading experts in the field, many of whom are renowned as clear thinkers and experienced clinicians, it may be seen as a starting point for international discussions and initiatives in this field aiming to minimize coercion. Highly Commended in the Psychiatry section of the 2012 BMA Book Awards.


Strychnine & Gold (Part 1)

Strychnine & Gold (Part 1)
Author: Kenneth Anderson
Publisher: Independently published
Total Pages: 474
Release: 2021-07-25
Genre: Medical
ISBN:

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This book tells the story of the huge addiction treatment industry which flourished in the United States between 1890 and the advent of Prohibition in 1920. The story begins in Russia in 1886, where a number of doctors discovered a relatively effective pharmacological treatment for alcoholism. Although this Russian discovery was published in countless major English language medical journals, it was entirely ignored by the US addiction experts of the day, who eschewed pharmacological treatments, and instead preferred to lock people up in inebriate asylums where they could be subjected to religious coercion. However, an obscure railroad physician and patent medicine salesman named Leslie E. Keeley, who lived in the dusty prairie town of Dwight, Illinois, read about the Russian treatment in a medical journal and decided to give it a try. Much to his surprise, the Russian treatment proved highly effective, and, by 1891, Dr. Keeley was treating upwards of a thousand patents a day at the Keeley Institute in Dwight. Keeley was a salesman and a bit of a Barnum; he always claimed that he had invented the cure himself after decades of painstaking research and he called it the Gold Cure, claiming that his secret ingredient was gold. Of course, there was no gold in the gold cure other than the gold which lined Keeley's pockets. However, the treatment was relatively effective, and by 1893 there were over 100 Keeley Institutes operating in the United States and abroad, and hundreds of copycats were operating imitation gold cure institutes. The Keeley Gold Cure was even adopted by the National Homes for Disabled Volunteer Soldiers and the US Army. The Keeley treatment took 28 days and required hypodermic injections four times a day for the entire period. On the other hand, the Gatlin Institutes which opened in 1902 and the Neal Institutes which opened in 1909 used a form of aversion treatment and advertised themselves as three-day liquor cures. Competition between the gold cures and the three-day liquor cures in the first two decades of the 20th century was fierce and intense. Then, as the United States entered World War One in 1917, the demand for addiction treatment suddenly dried up for a variety of reasons, and the majority of these proprietary cure institutes had shut down before the enactment of Prohibition in 1920, although the parent Keeley Institute in Dwight remained in operation until 1966. This book contains the never-before-told tale of how these proprietary treatment institutes grew into a huge industry, flourished, then finally faded away as the United States entered World War One. Part One of this book covers the Keeley Institutes, Dipsocura, the Bedal Institutes, the McKanna liquor cure, the Wherrell gold cure, and the Hagey Cure. Part Two of this book covers the Morrell Cure, the National Bichloride of Gold Institutes, the Oppenheimer Institutes, the Tyson Vegetable Cure, the Willow Bark Institutes, the Telfair Sanitarium, the Connelley Cure, the Murray Institutes, the Gatlin Institutes, the Neal Institutes, the S. B. Collins Cure, and the D'Unger Cure. Part Two also contains appendices discussing strychnine, belladonna alkaloids, "jag cure" laws, and more.


The Medicalization of Everyday Life

The Medicalization of Everyday Life
Author: Thomas Szasz
Publisher: Syracuse University Press
Total Pages: 236
Release: 2007-10-08
Genre: Medical
ISBN: 9780815608677

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This collection of impassioned essays, published between 1973 and 2006, chronicles Thomas Szasz’s long campaign against the orthodoxies of “pharmacracy,” that is, the alliance of medicine and the state. From “Diagnoses Are Not Diseases” to “The Existential Identity Thief,” “Fatal Temptation,” and “Killing as Therapy,” the book delves into the complex evolution of medicalization, concluding with “Pharmacracy: The New Despotism.” In practice, society must draw a line between what counts as medical practice and what does not. Where it draws that line goes far in defining the kinds of laws its citizens live under, the kinds of medical care they receive, and the kinds of lives they are allowed to live.