Laor N
Clio Med. 1984;19(1-2):32-9.
Szasz follows the individualistic principles rigorously on the basis of which he claims the mentally ill should be viewed as responsible agents in society. This claim is not new. It was introduced by Hobbes. Yet, while Hobbes asks the mentally ill to pay the price for the existing social order, Szasz demands they stop doing so. Nonetheless, if Szasz's views were endorsed and socially implemented, the mentally ill would still be asked to pay the price for the social changes Szasz recommends. On the background of classical individualism, the regression from liberal individualism to paternalistic neglect is totally unacceptable yet it is inevitable: since the early days of the Enlightenment, the philosophical framework for the debate concerning the autonomy of the mentally ill is paradoxical and should therefore be replaced.
萨斯严格遵循个人主义原则,在此基础上他主张,精神疾病患者在社会中应被视为有责任能力的主体。这一主张并非新鲜事物,它是由霍布斯提出的。然而,霍布斯要求精神疾病患者为现存的社会秩序付出代价,而萨斯则要求他们停止这样做。尽管如此,如果萨斯的观点得到认可并在社会中得以实施,那么精神疾病患者仍将被要求为萨斯所倡导的社会变革付出代价。在古典个人主义的背景下,从自由个人主义回归到家长式的忽视是完全不可接受的,但却是不可避免的:自启蒙运动早期以来,关于精神疾病患者自主性的辩论的哲学框架就是自相矛盾的,因此应该被取代。