Comments Elsewhere

John:

We already did that and we ended up throwing people out on the streets who were completely unable to take care of themselves.

Allowing people to leave when they want to leave is not the same thing as “throwing people out on the streets.” If someone is completely unable to take care of herself, it’s fine in my book for you to try to help them out. What’s not fine is forcing your “help” on her against her will.

We also filled our prisons with the mentally ill.

Transferring people from one prison to another is not what I advocate.

Deinstitutionalization was one of the biggest crimes of the last 50 years.

Compared to camphor-shock therapy? Electroconvulsive therapy? The ice-pick lobotomy?

Bullshit.

Eric Hannekan:

Hm. It sounds like he’s suggesting “mental therapy vouchers,” dispensed by a judge to those he deems mentally ill.

No, I’m suggesting that involuntary commitment be abolished, and that judges and other government officials be removed from the psychotherapeutic process entirely.

If you want to get together a voluntarily-funded charity or mutual aid society that covers the costs of psychotherapy, possibly including hospitalization in a psychiatric ward, then you should be free to do so, but one of the chief points that I’m trying to stress is that government officials and political power need to be kept as far away from psychiatry as possible.

Tacos:

One of the issues that arises in treatment of the mentally ill is that many patients have little or no insight into their own illness. You can’t expect all mentally ill people to recognize that they are even ill, much less recognize that they need to seek help.

Many people with diabetes or human papilloma virus have little or no insight into their own illness, and many may not even recognize that they are ill. Yet very few people are willing to imprison diabetics or HPV carriers and force “treatment” on them without their consent.

This might be seen as an improvement on the surface, but in reality if the patient is convinced that pyschiatrists are trying to implant a transmitter in his brain, his ability to choose between facilities might be somewhat impaired.

Ah, paternalism.

I know of some cases of people with cancer who chose to go for quack “therapies” rather than submitting to the usual regimen of treatment. Sometimes at the cost of their own lives, and often on the basis of beliefs that are no less irrational than the delusions common among certain people labeled as “schizophrenic.” Yet people who believe stupid or crazy things about magic cancer cures are not forced to undergo chemotherapy or radiation therapy against their will. If they were it would be more or less universally considered an atrocity, even if putatively forced on them “for their own good.”

What, if anything, do you think explains this difference in treatment? What, if anything, do you think justifies it?