The first few dozen grownup books I read were an odd selection. As I sampled them almost at random from my parents’ bookshelves, I became dimly aware that my parents were different people from each other, were different from what they had once been, and read books by people with whom they disagreed. Alongside the works by G K Chesterton and C S Lewis one would expect on the shelves of liberal British Catholics of the 1970s, I found such things as a book of essays by the Stalinist physicist J D Bernal – and a copy of Ideology and Insanity by Thomas Szasz. Attracted by the strangeness to my young eyes of the name “Szasz” and the wonderful cover art of the Penguin edition that depicted two men playing chess across a Escher-like dimensional warp, I gave it a go.
Almost a decade before I heard the term “Libertarian”, I thus had my first introduction to an important strand of libertarian thought. Until the copy of that same 1970 Penguin edition I just ordered on eBay arrives, I shall have to go by memory and Szasz’s Wikipedia biography as to exactly what the book said, but I do remember being thrilled to feel my perspective suddenly widen, in a manner akin to what I had felt when I realised that the Earth was but one of an infinite number of possible vantage points in the universe.
Szasz cited drapetomania as an example of a behavior that many in society did not approve of, being labeled and widely cited as a disease. Likewise, women who did not bend to a man’s will were said to have hysteria.
He thought that psychiatry actively obscures the difference between behavior and disease in its quest to help or harm parties in conflicts. He maintained that, by calling people diseased, psychiatry attempts to deny them responsibility as moral agents in order to better control them.
And
Szasz believed that if we accept that “mental illness” is a euphemism for behaviors that are disapproved of, then the state has no right to force psychiatric “treatment” on these individuals
Great stuff. I think Szasz still has much to teach us… but I suppose by now you have all heard of the killing of Jordan Neely on a New York subway train?
I have linked to the Wikipedia account for convenience, but I do not trust Wikipedia. There are very few media outlets I do trust on subjects like this. The magazine USA Today initially called Neely a “beloved subway performer”. USA Today has changed the article since, but I saw it when it still had the original wording. The article was right to say that Jordan Neely was a human being with a tragic past, but he was not beloved by users of the New York subway. Back in 2013, a Reddit post on /r/nyc warned passengers, “Try to stay away from the Michael Jackson impersonator if you see him … Just avoid the guy at all costs, try not to look at him at all. Stay safe.” That was Neely. By the time of his death, he had been arrested more than forty times, including for crimes of violence.
There are thousands of Americans like Neely who still live as he lived, exercising the right Thomas Szasz helped gain them to be mentally ill (or whatever you want to call it) drug addicts living on the subways and roadside verges of America. It is not going well for them or for others. A viral graph shows the declining proportion of Americans held in mental hospitals and the rising proportion of Americans held in prisons forming a neat “X” over the course of the twentieth century. Liberals in the U.S. sense have a prodigious capacity to not see inconvenient facts, but even they are being forced to notice that the presence of the crazies and junkies is causing their beloved public spaces and public facilities to become dirty, frightening places to which much of the public only goes when it must.
There is a libertarian solution of course: fewer public spaces. This would increase, not decrease, the number of places where the public could happily go. Junkies and crazies are much less of a problem in shopping malls, because the owners still retain some power to eject them. I feel no shame in saying that a further benefit would be that said junkies and crazies would be under more pressure to seek treatment if the state no longer facilitated them sleeping on the sidewalks and the subway trains.
Unfortunately for everyone, this solution is politically impossible in the current climate. Even in the miraculous event that the public transport systems and the streets of New York, San Francisco and Chicago were privatised tomorrow, anti-discrimination law would ensure that practically no one could be excluded.
Thomas Szasz had a noble ideal. Sadly, the way it combined with the dominant ideals of our time has produced very bad results. I know what should and could be done to make things better in a sane society, but the US in 2023 is not that society. So what can be done?
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A related post I wrote in 2011 also refers to Szasz and the question of whether mentally ill people should be locked up: “Whoever first defines the situation is the victor”. That post in turn links to this post by Brian Micklethwait criticising the ideas of Szasz and R D Laing, which is followed by robust debate in the comments.