Karen, I am glad that you brought this topic up and that it is
generating some discussion. I considered discussing the Szaszian view
in my article, but didn't think I could do it justice in that
context. I am not sure I can here, either, but I will mention a few
things that come to mind.
I would agree that some cases of mental illness may be due to weak
character and insufficient personal accountability. But Szasz goes
WAY too far in generalizing it to be akin to an absolute rule (while
admittedly, he is countering many who have gone too far in the other
direction).
I am convinced that many cases of mental illness do not fit Szasz'
model. Do people who suffer from Seasonal Affective Disorder have a
breakdown in character in the fall/winter? What about the mothers
with post-partum depression? (And, by the way, wasn't it great when
Tom Cruise said that Brooke Shields should use nutrition, not meds,
even though he was pilloried for saying it?).
What about the schizophrenic? Do people just wake up and decide to be
catatonic and hear voices one day? A lot of these people have been
cured through nutrition (see the work of Abram Hoffer here). Likewise
many people with bipolar are overcoming that nightmare through
nutrition.
A lot of people suffering from these conditions are highly motivated
to get well, but in many cases are not aware of promising alternative
approaches. Ilardi, the author of the book I reviewed, says that the
vast majority of his students come to his class thinking that drugs
are the best approach for treating depression. Where do you suppose
they got a crazy idea like that? Ilardi talks about how detrimental
rumination is but says that when he brings it up to patients, few are
aware that they are doing it much less have any idea how to overcome
that tendency.
Barbara Stitt wrote a wonderful book a little while back called Food &
Behavior: A Natural Connection. She discovered this connection
through personal experience, as a result of becoming hypoglycemic (may
be similar to what Mary H has pointed out, though I will have to
research further). She discovered proper diet and orthomolecular
nutrition as a result. She worked as a parole officer. After
learning this, she would instruct her charges on these matters and
their rate of recidivism was much, much lower than those of other
parole officers. Many of us would be inclined to look down on
criminals (other than the faux criminals such as pot smokers) but this
type of finding tells me that many people can turn their lives around
when presented with good information.