We achieve active mastery over illness and death by delegating all responsibility for their management to physicians, and by exiling the sick and the dying to hospitals. But hospitals serve the convenience of staff not patients: we cannot be properly ill in a hospital, nor die in one decently; we can do so only among those who love and value us. The result is the institutionalized dehumanization of the ill, characteristic of our age.

The neurotic has problems; the psychotic has solutions.

When a person can no longer laugh at himself, it is time for others to laugh at him.

In the United States today, there is a pervasive tendency to treat children as adults, and adults as children. The options of children are thus steadily expanded, while those of adults are progressively constricted. The result is unruly children and childish adults.

Only idiots and infants need things. The language of needs is the native tongue of socialists, therapists, and paternalists of all sorts and is addressed to needy dependents. The language of wants is spoken by self-respecting adults and is addressed to other self-respecting adults.

If someone does something we disapprove of, we regard him as bad if we believe we can deter him from persisting in his conduct, but we regard him as mad if we believe we cannot. In either case, the crucial issue is our control of the other: the more we lose control over him, and the more he assumes control over himself, the more, in case of conflict, we are likely to consider him mad rather than just bad.

The greatest analgesic, soporific, stimulant, tranquilizer, narcotic, and to some extent even antibiotic - in short, the closest thing to a genuine panacea - known to medical science is work.