The Dream: Freud & Szasz In Conversation

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Douglas Waxman


Freud, Szasz, mental illness, psychiatry


A humorous, fictional but academic conversation between two of psychiatry’s giants Sigmund Freud and Thomas Szasz. Or is it a dream? Through their animated dialogue and critique of each other’s theories is elicited a contrasting exploration of their conceptual differences. The canvas the origins of psychiatry, the medical-scientific approach to mental illness and the medicalization of the language of psychiatry, psychiatry as science vs. social construction of mental illness, hysteria, the causes of mental illness, patients’ social responsibility vs. illness, the unconscious mind, sublimation of individual freedom vs. metarules of society and coercion vs. treatment. The conversation demonstrates the sharp contrasts between the seminal works of both theorists; on the one hand Szasz’s The myth of mental illness: Foundations of a Theory of Personal Conduct and Freud’s Studies in hysteria(with Breuer) and Civilization and its discontents.

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Bowlby, R. (2004). Introduction. In Studies in hysteria (pp. vii–xxxiii) (N. Luckhurst Trans.). (Modern Classics ed.). London: Penguin Books.

Breeding, J. (2011). Thomas Szasz: Philosopher of liberty. Journal of Humanistic Psychology, 51(1), 112–128.

Breuer, J. (2004). Theoretical issues. In Studies in hysteria (pp. 187–254). London: Penguin Books.

Bryant, L. Why do people commit crime?

Carey, B. (2012). Dr. Thomas Szasz, Psychiatrist who led movement against his field, dies at 92.

Fisher, R. G. (1968). The legacy of Freud - A dilemma for handling offenders in general and sex offenders in particular. U. Col. L. Rev., 40 (1967–1968), 242–267.

Forrester, J. (1997). Dispatches from the Freud wars psychoanalysis and its passions.

Frances, A. An appreciation and dissent. Retrieved 10/15, 2012, from

Freud, S. (1961). Civilization and its discontents (J. Strachey Trans.). New York: W.W. Norton & Company.

Freud, S. (2004a). On the Psychotherapy of hysteria. In Studies in hysteria (pp. 255–306). London: Penguin Books.

Freud, S. (2004b). Fraulein Elisabeth von R. In Studies in hysteria (pp. 139–186). Penguin Books.

Freud, S. (2004c) Preface to the second edition. In Studies in hysteria (pp.3-4). Penguin Books.

Freud, S., & Breuer, J. (1974). J. Strachey, & A. Strachey (Eds.), Studies on hysteria (J. Strachey, A. Strachey Trans.). New York: Penguin Books.

Freud, S., & Breuer, J. (2004). In Phillips A. (Ed.), Studies in hysteria (N. Luckhurst Trans.). (Modern Classics ed.). London: Penguin Books.

Grohol, J. M. RIP, Thomas Szasz, Pioneering Psychiatry Critic.

Hacking, I. (1999). The social construction of what? Cambridge, Mass.: Harvard University Press.

James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., … Murray, C. J. L. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789–1858.

Lear, J. (2005). Freud. New York: Routledge.

Oliver, J. (2006). The myth of Thomas Szasz. The New Atlantis, 13 (Summer), 9/13/2012, 68–84.

Schlick, M. (1935). On the relation between psychological and physical Concepts. In H. Feigl, & W. Sellars (Eds.), Readings in philosophical analysis (pp. 393–407). New York: Appleton-Century-Crofts.

Shakespeare, W. (1602). Hamlet, (Act III, Scene i).

Strachey, J. (1974). Introduction to the Pelican Freud Library. In J. Strachey, & A. Strachey (Eds.), Studies on hysteria (J. Strachey, A Strachey Trans.). (pp. 7–24). New York: Penguin Books.

Sullum, J. (Reason Magazine). Thomas Szasz takes on his critics is mental illness an insane idea? 2005 (May).

Szasz, T. S. (1974). 
The myth of mental illness: Foundations of a theory of personal conduct (rev. ed.). New York: Harper & Row.

Szasz, T. (1984). The therapeutic state. Buffalo: Prometheus Books.

Tanabe, Rosie Sigmund Freud. (2013, November 19). New world encyclopedia,

Webster, R. Hysteria, medicine and misdiagnosis. Retrieved 10/12, 2012, from

World Health Organization. (2001). The World health Report 2001 Mental health: New understanding, new hope. Geneva.

Wyatt, R. C. (2000). Thomas Szasz on freedom and psychotherapy (interview).