Micha,
Two things.
- You write: “If people who suffer from mental illnesses believe (or are convinced by believing friends and family) that mental illness is a myth, they may not get the help they need, and suffer greatly as a result.”
But Szasz’s views, if implemented, would not deprive the people currently labeled “schizophrenic,” “bipolar,” “depressed,” etc. from “getting help” for their problems. The notion that it would is based on a common but extremely careless misreading of Szasz’s argument. Szasz is quite explicit that the symptoms on which a diagnosis of these pseudo-“diseases” are based are quite real, and pose real problems for people’s lives. What he objects to is the philosophical and political leap of organizing the understanding and “treatment” of those symptoms under pseudomedical terms like “schizophrenia,” “bipolar disorder,” “depression,” etc., which ultimately have a lot more to do with the legal requirement that someone have a diagnosed “disease” in order to get most drugs, than they do with any real scientific basis for the claim that all these symptoms trace to a single, identifiable disease.
In Szasz’s ideal society, people who are suffering from what is now mistakenly called “mental illness” would in fact have far more access to help than they have now, since the abolition of pharmaceutical laws and government licensure laws would remove a couple of the major barriers to entry and price floors on psychiatric “help.”
Szasz also believes that psychiatrists should not have the power to force “help” onto their “patients” against those patients’ wills. But the power to force “help” on unwilling “beneficiaries” is quite a different issue from the ability to “get help” when one needs it.
- You write: “But shouldn’t one of our goals be truth?”
Sure. But summary dismissal of an argument based on an unsubstantiated assertion that it is “backwards, anti-science, and ignorant” is not, as I see it, a reliable method of getting to the truth. Especially not when there are specific historical reasons to be cautious of “consensus” in the field in question, and when the person whose arguments are being thus dismissed without discussion is in fact a dissenter within the same community of experts whose authority is supposedly being referred to. (In this respect, Szasz’s position, as a professionally trained medical psychiatrist, is quite different from that of creationists who have no training in paleontology and evolutionary biology, or Holocaust deniers who have no training in history. That makes an appeal to authority, rather than an critical engagement with Szasz’s specific arguments, rickety in the extreme.)