San Fransicko: Why Progressives Ruin Cities

by Michael Shellenberger

Foucault argued that the supposedly humanistic treatment of the mad as suffering from mental illness was, in fact, a more insidious form of social control. Before 1500, the mad wandered freely in Europe, Foucault argued. After 1500, Europeans began to medicalize madness, treat it like an illness, as a way not just to control the mad but also to establish what was rational, normal, and healthy for the rest of society. Mental hospitals emerged at a time, Foucault argued, when the state was seeking to impose rational order on societies. And that started with policing the boundary between sane and insane.33 Foucault even criticized a humanistic asylum in England whose pioneering psychiatrist no longer used physical restraints, which the mentally ill today testify are terrifying and even constitute a kind of torture, on his patients. Said the psychiatrist, “these madmen are so intractable only because they have been deprived of air and freedom.”34 Foucault wasn’t alone in his attack on psychiatry and mental hospitals. In 1961, an American sociologist, Erving Goffman, published an influential book, Asylums: Essays on the Social Situation of Mental Patients and Other Inmates, which compared mental hospitals to concentration camps. That same year, a psychiatrist named Thomas Szasz published The Myth of Mental Illness, which argued that psychiatrists and others invented the concept of mental illness, with no biological evidence, in order to punish people who were different from the...