Psychiatrists From The United States

"Through the eclipse of large areas of the self," says Karen Horney in Our Inner Conflicts, "by repression and inhibition as well as by idealization and externalization, the individual loses sight of himself; he feels, if he does not actually become, like a shadow without weight and substance."

"Fortunately analysis is not the only way to resolve inner conflicts. Life itself still remains a very effective therapist... The therapy effected by life itself is not, however, within one's control. Neither hardships nor friendships nor religious experience can be arranged to meet the needs of the particular individual. Life as a therapist is ruthless; circumstances that are helpful to one neurotic may entirely crush another."

"Taking again as an example the need to appear perfect, I would be interested primarily in understanding what this trend accomplishes for the individual (eliminating conflicts with others and making him feel superior to others), and also what consequences the trend has on his character and his life. The latter investigation would make it possible to understand, for example, how such a person anxiously conforms with expectations and standards to the extent of becoming a mere automaton, and yet subversively defies them; how this double play results in listlessness and inertia; how he is proud of his apparent independence, yet actually is entirely dependent on the expectations and opinions of others; how he is terrified lest anyone should discover the flimsiness of his moral strivings and the duplicity which has pervaded his life; how this in turn has made him seclusive and hypersensitive to criticism."

"Those who have the strength and the love to sit with a dying patient in the silence that goes beyond words will know that this moment is neither frightening nor painful, but a peaceful cessation of the functioning of the body."

"There is not much sense in suffering, since drugs can be given for pain, itching, and other discomforts. The belief has long died that suffering here on earth will be rewarded in heaven. Suffering has lost its meaning."

"It is difficult to accept death in this society because it is unfamiliar. In spite of the fact that it happens all the time, we never see it."

"We have to ask ourselves whether medicine is to remain a humanitarian and respected profession or a new but depersonalized science in the service of prolonging life rather than diminishing human suffering."

"Learn to get in touch with silence within yourself and know that everything in this life has a purpose. There are no mistakes, no coincidences; all events are blessings given to us to learn from. There is no need to go to India or anywhere else to find peace. You will find that deep place of silence right in your room, your garden or even your bathtub."

"We make progress in society only if we stop cursing and complaining about its shortcomings and have the courage to do something about them."

"As far as service goes, it can take the form of a million things. To do service, you don't have to be a doctor working in the slums for free, or become a social worker. Your position in life and what you do doesn't matter as much as how you do what you do."

"People are like stained-glass windows. They sparkle and shine when the sun is out, but when the darkness sets in, their true beauty is revealed only if there is a light from within."

"Those who have been immersed in the tragedy of massive death during wartime, and who have faced it squarely, never allowing their senses and feelings to become numbed and indifferent, have emerged from their experiences with growth and humanness greater than that achieved through almost any other means."

"Dying is something we human beings do continuously, not just at the end of our physical lives on this earth."

"The Swiss-born psychiatrist Elisabeth Kubler-Ross changed western cultural resistance to dealing with death, and the teaching of how to accept it... Kubler-Ross's best known contribution to the study, thanatology, that she had helped to create, was the five stages of dying people go through. She described them - denial, anger, bargaining, depression and acceptance - in her bestseller On Death And Dying (1969), written in two months. Not everyone experiences all five, she cautioned, but at least two are always present. The definition, reached after scores of interviews with people facing imminent death, helped the medical profession to deal with a factor it had long refused to acknowledge, especially in the US... She wrote more than 20 books.. A firm believer in a god and the life hereafter, she became fascinated with near-death experiences and an advocate for people's stories of seeing a shining light and familiar faces, before being brought back from the brink."

"Guilt is perhaps the most painful companion of death."

"Watching a peaceful death of a human being reminds us of a falling star; one of a million lights in a vast sky that flares up for a brief moment only to disappear into the endless night forever."

"I became interested in writing this book approximately ten years ago when, having become established as a psychiatrist, I became increasingly impressed by the vague, capricious and generally unsatisfactory character of the widely used concept of mental illness and its corollaries, diagnosis, prognosis and treatment. Although (mental illness) might have been a useful concept in the nineteenth century, today it is scientifically worthless and socially harmful. In non-psychiatric circles mental illness all too often is considered to be whatever psychiatrists say it is. The answer to the question, Who is mentally ill? thus becomes: Those who are confined in mental hospitals or who consult psychiatrists in their private offices."

"For Jews, the Messiah has never come; for Christians, He has come but once; for modern man, He appears and disappears with increasing rapidity. The saviors of modern man, the "scientists" who promise salvation through the "discoveries" of ethology and sociology, psychology and psychiatry, and all the other bogus religions, issue forth periodically, as if selected by some Messiah-of-the-Month Club."

"Psychiatry is institutionalized scientism: it is the systematic imitation, impersonation, counterfeiting, and deception. This is the formula: every adult smokes (drinks, engages in sexual activity, etc.); hence, to prove that he is an adult, the adolescent smokes (drinks, engages in sexual activity, etc). Mutatis mutandis: every science consists of classification, control, and prediction; hence to prove psychiatry is a science, the psychiatrist classifies, controls, predicts. The result is that he classifies people as mad; that he confines them as dangerous (to themselves or others); and that he predicts people's behavior, robbing them of their free will and hence of their very humanity."

"Formerly, when religion was strong and science weak, men mistook magic for medicine; now, when science is strong and religion weak, men mistake medicine for magic."

"Although both the natural and moral sciences seek to understand the objects of their observation, in natural science the purpose of this is to be able to control them better, whereas in moral science it is, or ought to be, to be better able to leave them alone. The morally proper aim of psychology, then, is self-control."

"Psychiatrists look for twisted molecules and defective genes as the causes of schizophrenia, because schizophrenia is the name of a disease. If Christianity or Communism were called diseases, would they then look for the chemical and genetic “causes” of these “conditions”?"

"If you talk to God, you are praying; If God talks to you, you have schizophrenia. If the dead talk to you, you are a spiritualist; If you talk to the dead, you are a schizophrenic."

"We speak of a person being “under the influence” of alcohol, or heroin, or amphetamine, and believe that these substances affect him so profoundly as to render him utterly helpless in their grip. We thus consider it scientifically justified to take the most stringent precautions against these things and often prohibit their nonmedical, or even their medical, use. But a person may be under the influence not only of material substances but also of spiritual ideas and sentiments, such as patriotism, Catholicism, or Communism. But we are not afraid of these influences, and believe that each person is, or ought to be, capable of fending for himself."

"Since this is the age of science, not religion, psychiatrists are our rabbis, heroin is our pork, and the addict is the unclean person."

"The Nazis spoke of having a Jewish problem. We now speak of having a drug-abuse problem. Actually, “Jewish problem” was the name the Germans gave to their persecution of the Jews; “drug-abuse problem” is the name we give to the persecution of people who use certain drugs."

"Marx said that religion was the opiate of the people. In the United States today, opiates are the religion of the people."

"The wise treat self-respect as non-negotiable, and will not trade it for health or wealth or anything else."

"The stupid neither forgive nor forget; the naïve forgive and forget; the wise forgive but do not forget."

"Two wrongs don't make a right, but they make a good excuse."

"People often say that this or that person has not yet found himself. But the self is not something one finds; it is something one creates."

"Prostitution is said to be the world’s oldest profession. It is, indeed, a model of all professional work: the worker relinquishes control over himself … in exchange for money. Because of the passivity it entails, this is a difficult and, for many, a distasteful role."

"Judges and prosecutors, lawyers and psychiatrists, all protest their passionate desire to know why a person accused of a crime did what he did. But their actions completely belie their words: their efforts are now directed toward letting everyone speak in court but the defendant himself -- especially if he is accused of a political or psychiatric crime."

"Anxiety is the unwillingness to play even when you know the odds are for you. Courage is the willingness to play even when you know the odds are against you."

"Happiness is an imaginary condition, formerly attributed by the living to the dead, now usually attributed by adults to children, and by children to adults."

"Boredom is the feeling that everything is a waste of time; serenity, that nothing is."

"In the animal kingdom, the rule is, eat or be eaten; in the human kingdom, define or be defined."

"What had been drapetomania became depression. ... Modern man runs away from a life that seems to him a kind of slavery."

"For millennia, the dialectic of vilification and deification and, more generally, of invalidation and validation—excluding the individual from the group as an evil outsider or including him in it as a member in good standing—was cast in the imagery and rhetoric of magic and religion. ... With the decline of the religious world view and the ascent of the scientific method during the Renaissance and the Enlightenment, the religious rhetoric of validation and invalidation was gradually replaced by the scientific. One of the most dramatic results of this transformation is the lexicon of psychiatric diagnoses functioning as a powerful, but largely unacknowledged, rhetoric of rejection and stigmatization."

"Religious and medical propaganda to the contrary notwithstanding, I hold some simple truths to be self-evident. One of these truths is that just as the dead do not rise from the grave, so drugs do not commit crimes. The dead remain dead. Drugs are inert chemicals that have no effect on human beings who choose not to use them. No one has to smoke cigarettes, and no one has to shoot heroin. People smoke cigarettes because they want to, and they shoot heroin because they want to."

"In the past, men created witches: now they create mental patients."

"Mental illness, of course, is not literally a "thing" — or physical object — and hence it can "exist" only in the same sort of way in which other theoretical concepts exist. Yet, familiar theories are in the habit of posing, sooner or later — at least to those who come to believe in them — as "objective truths" (or "facts"). During certain historical periods, explanatory conceptions such as deities, witches, and microorganisms appeared not only as theories but as self-evident causes of a vast number of events. I submit that today mental illness is widely regarded in a somewhat similar fashion, that is, as the cause of innumerable diverse happenings. As an antidote to the complacent use of the notion of mental illness — whether as a self-evident phenomenon, theory, or cause — let us ask this question: What is meant when it is asserted that someone is mentally ill? In what follows I shall describe briefly the main uses to which the concept of mental illness has been put. I shall argue that this notion has outlived whatever usefulness it might have had and that it now functions merely as a convenient myth."

"Our adversaries are not demons, witches, fate, or mental illness. We have no enemy whom we can fight, exorcise, or dispel by "cure." What we do have are problems in living — whether these be biologic, economic, political, or sociopsychological. In this essay I was concerned only with problems belonging in the last mentioned category, and within this group mainly with those pertaining to moral values. The field to which modern psychiatry addresses itself is vast, and I made no effort to encompass it all. My argument was limited to the proposition that mental illness is a myth, whose function it is to disguise and thus render more palatable the bitter pill of moral conflicts in human relations."

"There is a fundamental similarity between the persecution of individuals who engage in consenting homosexual activity in private, or who ingest, inject, or smoke various substances that alter their feelings and thoughts—and the traditional persecution of men for their religion. … What all of these persecutions have in common is that the victims are harassed by the majority not because they engage in overtly aggressive or destructive acts, … but because their conduct or appearance offends a group intolerant to and threatened by human differences."

"The passion to interpret as madness that with which we disagree seems to have infected the best of contemporary minds."

"Like the devout theologian seeing the Devil lurking everywhere, Menninger, the devout Freudian, sees aggression."

"The “treatment” can have only one goal: to convert the heretic to the true faith, to transform the homosexual into a heterosexual."

"My contention is that the psychiatric perspective on homosexuality is but a thinly disguised replica of the religious perspective which it displaced, and that efforts to “treat” this kind of conduct medically are but thinly disguised methods for suppressing it."

"So long as men denounce each other as mentally sick (homosexual, addicted, insane, and so forth)—so that the madman can always be considered the Other, never the Self—mental illness will remain an easily exploitable concept, and Coercive Psychiatry a flourishing institution."

"The homosexual is a scapegoat who evokes no sympathy. Hence, he can only be a victim, never a martyr."