Aided and abetted by corrupt analysts, patients who have nothing better to do with their lives often use the psychoanalytic situation to transform insignificant childhood hurts into private shrines at which they worship unceasingly the enormity of the offenses committed against them. This solution is immensely flattering to the patients -- as are all forms of unmerited self-aggrandizement; it is immensely profitable for the analysts -- as are all forms pandering to people's vanity; and it is often immensely unpleasant for nearly everyone else in the patient's life.

Involuntary mental hospitalization is like slavery. Refining the standards for commitment is like prettifying the slave plantations. The problem is not how to improve commitment, but how to abolish it

Punishment is now unfashionable... because it creates moral distinctions among men, which, to the democratic mind, are odious. We prefer a meaningless collective guilt to a meaningful individual responsibility.

The Greeks distinguished between good and bad behavior, language that enhanced or diminished persons. Being intoxicated with scientism, we fail to recognize that the seemingly technical terms used to identify psychiatric illnesses and interventions are simply dyphemisms and euphemisms.

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.

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.

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.