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The exact definition of "madness" remains elusive. Thereare difficulties in distinguishing the criminal from the mador, more euphemistically, the mentally ill. Controversyhas centered on the frightening potential possessed bythe state to deprive of his rights the individual officiallyclassified as mad.In this book, Wing, a psychiatrist of internationalrepute, argues for a limited medical definition of mentalillness, although he explains how even a doctor's professionaljudgment may often be influenced by socialpressures. He compares concepts of madness prevalentin different types of society, examining, for example, theMarxist attitude towards the deviant in a socialist state.In a chapter which draws much from his own experience,he shows precisely how the apparatus of state medicineis used to suppress political dissidence in Russia. Healso critically reviews the petty tyrannies prevalent inthe West and tackles the difficult analytical problem ofschizophrenia, a subject on which he is one of the mostrespected medical authorities.Reasoning about Madness is an original and importantwork in which the author successfully resists thetemptation to erect "grand theories that explain nothingbecause they attempt to explain everything." Instead, heconcentrates on developing a definition of madness whichstrikes a balance between the benefits of medical care andthe preservation of human liberties.
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