THE BATTLE FOR
THE HUMAN SOUL
(Joel Pett, The Lexington Herald-Leader, 6/97)
Which of the following statements is more disturbing?
1. There is no such thing as God.
2. There is no such thing as Mental Illness.
Pretty close?
That's because both statements are offensive to one of two belief systems: the belief in God and the belief in psychiatry.
The first, the belief in God, is recognized and respected for what it is: a belief or faith with no pretensions to be scientific. And a constitutional prohibition against government subsidies. In general, the less educated the greater the belief in the literal reality of God.
The second, the belief in mental illness, is rooted in the ideology of psychiatry, subsidized and empowered by government and disguised as neurologic science. In general, the more educated the greater the belief in the literal reality of mental illness.
In the 1990's, designated by psychiatry as the decade of the brain, faith in the medical model of the mind and it's doings has silenced most critics.
Only one voice has spoken clearly on this matter and it has done so eloquently for more than 30 years.
I really don't know what position Dr. Thomas Szasz would take with regard to God, but with regard to the myths of the mental health industry, he has been unequivocating.
A review of his latest book follows; then an appended review of a debate one year ago between Dr. Szasz and Dr. E. Fuller Torrey, a longtime advocate of the medical model of the archetype mental illness: schizophrenia.
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| The Meaning of Mind by Thomas Szasz, 182 pp, $19.95, Westport, CT, Praeger, 1996.
Hippocrates located the mind in the brain; Descartes, the soul in the pineal gland; and in 1994, Nobel Laureate Francis Crick reported "Free Will...in or near the anterior cingulate sulcus." Diseases of the mind, "mental illnesses," are even better localized: obsessive compulsive disorder is spotted in the frontal lobes, homosexuality in the hypothalamus and Schizophrenia is assigned now to Dopamine, now to Serotonin and now to the neurotransmitter molecule "du jour." "What's going on here?" asks the author, rhetorically: "They can't all be right." Thomas Szasz, M.D., Professor Emeritus of Psychiatry at State University of New York in Syracuse, thinks they may all be wrong. In this, his 23rd book, he quotes Hughlings Jackson, the great 19th century British neurologist: "There is no such entity as consciousness; we are from moment to moment differently conscious (consciousness is) the directional mechanism of attention." And paying attention (minding), thinking, and even memory are not bits of neuroanatomy like hippocampal formations. Not all words denote things. This is an entertaining book, an erudite discourse into history and philosophy, linguistics and logic. Neurologists, whose authority resides in the reality of the nervous system, may find it especially pertinent. We must be as clear as possible in our thinking about the mind and the brain. If they were identical, Dr. Szasz points out, we wouldn't have two very different words. This book is a must for those of us who need to deal rationally with the tempting tales of "neuromythology" issuing daily from the media, the drug companies, and our psychiatric colleagues. The author argues that most of the popular mind/brain theorists, in their materialist-reductionist simplifications, "...are writing science fiction or justifying the medical (psychiatric) control of deviance or both." He reminds us that people deceive themselves and others by twisting words, medicalizing straightforward sins such as bearing false witness into modern non-entities such as recovered memory syndrome, false memory syndrome, even alien abduction. Such literal or "concrete thinking" is supposed to be a symptom of schizophrenia which according to Dr. Szasz, is the "paradigmatic metaphoric illness of modernity." Quoting Immanuel Kant that "to think is to talk to oneself," the author asserts that thinking is "self-conversation," the subject acknowledging his inner voices as his own; and that "hearing voices" (auditory hallucinations, one cardinal "symptom" of Schizophrenia) are self-conversations that the subject disowns, attributing his inner voices to other "speakers" such as God, the FBI, etc. Tenacious in this central criticism of schizophrenia since his Myth of Mental Illness was published in 1961, Dr. Szasz speculates that "...never before in history have so many educated people wasted so much time and money as have diverse professionals squandered on studying this nonexistent illness." The Meaning of Mind is an easy but scholarly read, alive with quotes. Dr. Szasz leads us through six chapters:
Here's a work of philosophy, true love of logic, with relevance for daily life. It will open your mind - metaphorically, of course. |
THE OPPOSITION
Here is how one influential spokesman for the psychiatric establishment recently argued for the neurologic reality of the most fundamental of all so-called mental illnesses - schizophrenia.
On October 20, 1996, E. Fuller Torrey, M.D., author of "Surviving Schizophrenia: a family manual," (1988) debated Thomas S. Szasz, M.D. at Towson State University in Maryland. The two hour debate was video-taped and the quotations are taken verbatim from that tape.
Dr. Torrey leads right off with a bald lie: there are "repeatable histopathologic findings" in Schizophrenia.**
Histology, along with pathology are major courses in the first two years of medical school. Disease under the microscope and on the autopsy table is the essential subject of medicine.
Since schizophrenia isn't so much as indexed in the inclusive and authoritative Robbin's Pathologic Basis of Disease (Cotran, Kumar and Robbins, editors, 4th Edition of Robbins WB Saunders, Co., NY, 1989) "repeatable histopathologic findings" would be news indeed. But no evidence is cited.
Instead, Dr.Torrey scatters very specific if utterly inconsistent conclusions: "schizophrenia is a form of dementia caused by illness, by a brain disease...." It is a "chronic viral encephalitis, a virus of the hippocampus...neuroleptics have anti-viral properties and can restore insight." And it occurs mostly in those born in cities in winter (especially December) and spring (especially April) and especially if they have a schizophrenic twin.
Appealing to the illogic of scapegoating he states (no stigma intended, ofcourse): "It is now clearly established that untreated schizophrenics are dangerous."
This is all nonsense.
When Dr. Szasz asked what autopsy ever showed schizophrenia, Dr. Torrey implicitly acknowledges the utter lack of pathology with the perennial optimism of the snipe hunter: we've almost found it. It's coming. As soon as someone measures the hippopcampal formations at autopsy.
Actually, pathologists spent much of the 19th century measuring heads and brains of so-called schizophrenics every which way imaginable and concluded there were no conclusions. And encephalitis wouldn't be missed.
But Dr. Torrey knows better. He asserts the following neuropathologic abnormalities:
Schizophrenics have "enlarged ventricles and small hippocampi." Presumably this is based on recent CT and MRI reports, usually by proponents of ECT, every one of which included subjects with histories of electroshock treatment and years of neuroleptic administration. These studies, some of which I have reviewed, either ignore the obvious causal relationship between brain damage and ECT/neuroleptics which is easy to do if they share Dr. Torrey's impression that "there are no neurologic signs of neuroleptic use."
Wrong again. The neurologic signs of neuroleptic administration, in many ways identical to those of Parkinson's Disease, were so obvious to laypeople that the term "Prolixin shuffle" was in common usage by inmates 20 years ago.
Dr. Torrey, wrapping his arguments in a camouflage of neurology, asserts "there are soft neurologic signs of schizophrenia." He mentions:
"Increased errors in graphesthesia," referring to an arcane sub-test of the neurologic exam said to evaluate parietal lobe function, not the hippocampal formations.
To test graphesthesia I have patients close their eyes, hold their hands outstretched, and identify a number written in each palm. Half the time I do this test nobody gets it right and unless there is a consistent, lateralized difference, the test is a waste of time.
As for the hippocampal formations, they subserve memory. The claim that schizophrenia involves memory loss and dementia is a new departure and a convenient cover for the dementing effects of the biologic treatments themselves.
Dr. Torrey then cites "transient gag reflexes, grasp reflexes..." so vaguely it is wholly unclear what he means to say.
Is the gag reflex increased, decreased or does Dr. Torrey even know?
Grasp reflexes go with severe dementia and have mostly alliteration in common with gag reflexes. Here is hand-waving at it's purest.
Almost everybody exhibits a gag reflex by retching when a tongue blade is pressed against the soft palate at the back of the mouth. Interestingly, the most common exception are patients on neuroleptics which suppress the gag reflex, one of the causes of the increased aspiration pneumonias especially among the elderly taking these agents.
Dr. Torrey then proceeds to analogize schizophrenia to real diseases alleging that "MS (multiple sclerosis) patients look a lot like schizophrenics," and so do some forms of epilepsy and encephalitis, a befuddling argument confounding anatomy and pathology and tagging the stigma of psychiatry's dirtiest word, schizophrenia, to countless victims of real diseases.
I can just imagine telling a newly diagnosed Multiple Sclerosis patient they have a disease "just like schizophrenia!"
Mostly, Dr. Torrey relies on guilt by association (several times in his 25 minute presentation he manages to drag in Scientology although he doesn't dare claim that Thomas Szasz is a Scientologist); hoary "twin concordance studies" which fall apart under the gentlest statistical scrutiny; and his personal conviction that neuroleptics treat/cure schizphrenia, a conviction so strong he asserts that in his, Dr. Torrey's professional opinion, John Hinckley could be released today if "he were mandated to take his pills."
As Eugen Weber, UCLA Professor of History, has observed: the truth always appears indivisible to the believer. The heretic cannot be abided.
Dr. Torrey concludes that if Dr. Szasz does not recant (shades of Galileo!) on his "fundamental error" (the myth of mental illness) then he will be remembered in history as a Dr. Seuss. Torrey accompanies this most puerile of rhetorical attacks, mocking a name, with a prepared slide from the Cat in the Hat.
And these are the BEST arguments this leading advocate of the myth of mental illness could muster.
**As of 2/99 the latest pathologic "evidence" for schizophrenia is in the paper: "Reduced dendritic spine density on cerebral cortical pyramidal neurons in schizophrenia." ( by L. Garey et al: J Neurol Neurosurgery and Psychiatry 1998;65:446-453). "Spineless dendrites" were found almost entirely in the brains of those treated with neuroleptics which the authors acknowledged to be a "possible" cause. The illustration below is adapted from illustrations in the above article. (The captions, of course, are mine). The bumps or spines are synapses.
Mentally healthy dendrite
Note bumpy or spinous synapses
Mentally ill dendrite
Note smoothe spinelessness
refecting loss of synapses
"Words have consequences," says Szasz. Follow the arrow for one medical method of razing troubled thoughts from the brain.
The Thomas S. Szasz Cybercenter for Liberty and Responsibility (CLICK TO AN ALL-SZASZ WEBSITE)
Or check out THIS LINK: