Review: C. V. Haldipur, James L. Knoll IV, and Eric v. d. Luft (eds.), Thomas Szasz: An Appraisal of His Legacy. Oxford: Oxford University Press, 2019. xv and 298 pp. ISBN: 9780198813491 Alexander Dunst, Paderborn University, Germany 70 years after the publication of The Myth of Mental Illness, the book’s enduring impact can seem puzzling. Built on a series of outrageous simplifications and argumentative slips, Szasz’s polemic generalized its denial of mental illness from an understanding of hysteria as “malingering“, never engaged with the intricacies of long-term care it sought to deny to patients, and upbraided the sick for cheating the healthy. Nevertheless, Szasz emerged as the pre-eminent critic of psychiatry in the United States. He at once relished this status and vehemently distanced himself from the left-wing practitioners and theorists, from Franco Basaglia to Michel Foucault, that he was often lumped with. Szasz’s distinction was to be the only conservative so-called anti-psychiatrist, and his writings were feted by right-wing intellectuals
and the counterculture alike. For patients and radical psychiatrists, The Myth of Mental Illness promised to remove the stigma of disease and seemed to offer freedom from paternalistic institutions. Despite its numerous shortcomings, then, Szasz's work proved useful to a wide range of readers and inspired an institutional practice of mental health that combined self-help, state neglect, and psychopharmacology under the aegis of personal autonomy. Unfortunately, Thomas Szasz: An Appraisal of His Legacy fails to answer, or even seriously ask, how his flawed ideas could have such enormous consequences. The editors and authors are psychiatrists and analytic philosophers and have surprisingly little to say about the real-world contexts of their subject’s writing, either at the height of his career or in our present moment. Neither does the volume contain contributions by former patients, a particularly disappointing oversight because the social movements that formed against institutional psychiatry were an important locus of Szasz’s reception in the United States and abroad.…