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An "Unscrewtape" Letter: A Reply to Fred Sander

Published Online:https://doi.org/10.1176/ajp.125.10.1432

The author enlarges on Dr. Fred M. Sander's paper summarizing his views and positions in regard to mental illness and its treatment. The difference between voluntary and involuntary assumption of the sick role is emphasized as one of the principal differences between the practices of medicine and psychiatry. Dr. Szasz believes that the social sciences face a major dilemma in the manipulative tendency to view man as object rather than person.

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