When the psychiatrist approves of a person's actions, he judges that person to have acted with "free choice"; when he disapproves,he judges him to have acted without "free choice." It is small wonder that people find "free choice" a confusing idea: "free choice" appears to refer to what the person being judged (often called the "patient") does, whereas it is actually what the person making the judgment (often a psychiatrist or other mental health worker) thinks.
Thomas SzaszAutonomy... is freedom to develop one's self - to increase one's knowledge, improve one's skills, and achieve responsibility for one's conduct. And it is freedom to lead one's own life, to choose among alternative courses of action so long as no injury to others results.
Thomas SzaszThe two greatest enemies of the individual in the modern world are communism and psychiatry. Each wages a relentless war against that which makes a person an individual: communism against the ownership of property, psychiatry against the ownership of the self (mind and body). Communists criminalize the autonomous use of capital and labor, and harshly punish those who "traffic" in the black market, especially in foreign currencies. Psychiatrists criminalize the autonomous use of the self, and harshly punish those who "traffic" in self-abuse, especially in self-medication and self-destruction.
Thomas Szasz