“If there is one central intellectual reality at the end of the twentieth century, it is that the biological approach to psychiatry--treating mental illness as a genetically influenced disorder of brain chemistry--has been a smashing success. Freud's ideas, which dominated the history of psychiatry for the past half century, are now vanishing like the last snows of winter.”

“For too long a time--for half a century, in fact--psychiatry tried to interpret the human mind merely as a mechanism, and consequently the therapy of mental disease merely in terms of technique. I believe this dream has been dreamt out. What now begins to loom on the horizon is not psychologized medicine but rather those of human psychiatry.”

“We have been focusing on the role that psychiatry and its medications may be playing in this epidemic, and the evidence is quite clear. First, by greatly expanding diagnostic boundaries, psychiatry is inviting and ever-greater number of children and adults into the mental illness camp. Second, those so diagnosed are then treated with psychiatric medications that increase the likelihood they will become chronically ill. Many treated with psychotropics end up with new and more severe psychiatric symptoms, physically unwell, and cognitively impaired. This is the tragic story writ large in five decades of scientific literature.”

“The chief business of twentieth-century philosopy is to reckon with twentieth-century history.”

“I mention a paradox of psychiatry: mental illness is recognized by the patient's distorted thoughts, but treatment is largely indifferent to their content. (104)”

“…modern man no longer communicates with the madman […] There is no common language: or rather, it no longer exists; the constitution of madness as mental illness, at the end of the eighteenth century, bears witness to a rupture in a dialogue, gives the separation as already enacted, and expels from the memory all those imperfect words, of no fixed syntax, spoken falteringly, in which the exchange between madness and reason was carried out. The language of psychiatry, which is a monologue by reason about madness, could only have come into existence in such a silence.”