Liberation by oppression : a comparative study of slavery and psychiatry
著者
書誌事項
Liberation by oppression : a comparative study of slavery and psychiatry
Transaction Publishers, c2002
大学図書館所蔵 全1件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
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  オランダ
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注記
Includes bibliographical references (p. 221-229) and index
内容説明・目次
内容説明
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 illness. The radical differences between the coercive character of mental hospital practices in the public sphere, and the consensual character of psychotherapeutic practices in the private sphere, are thus destroyed. At the same time, as the scope of psychiatric coercion expands from the mental hospital to the psychiatrist's office, its reach extends into every part of society, from early childhood to old age.
目次
- Introduction: Perilous Rescues
- 1: Psychiatric Slavery: Legal Fiction and the Rhetoric of Therapeutic Oppression
- 2: The Psychiatric Slave Status: From Dred Scott to Tarasoff
- 3: Psychiatric Slavery as Public Health: Infection and Insanity
- 4: Justifying Psychiatric Slavery: "Dangerousness" as Disease
- 5: Jim Crow Psychiatry I: The Psychiatric Will and Its Enemies
- 6: Jim Crow Psychiatry II: The Patient Self-Determination Act
- 7: Expanding Psychiatric Slavery: Outpatient Commitment
- 8: Glorifying Psychiatric Slavery: Therapeutic Jurisprudence
- 9: Epilogue: "Liberty is the Prevention of Control by Others" 1
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