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Szasz attacks the sacred cows of contemporary American society. In his acerbic and aphoristic style he rails against the hypocrisy and fraudulence of the futile and murderous war against drugs, the sordid and often self-seeking practices of psychotherapy and the atrocities of psychiatry.

In this short work, Dr. Szasz takes aim at conventional psychiatry, and at the attendent system of courts, hospitals, and psychiatrists who confine patients against their will. The focal point is a Supreme Court case involving a man forcibly committed to a Florida asylum for 14 years. In refuting the widely held notion that the Donaldson case represents an advancement in the rights of mental patients, Dr. Szasz has put the American legal establishments on trial.