PubMed · 9042839
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N Borelli. 1997-03-05. The Nuremberg Code, informed consent, and involuntary treatment.. https://doi.org/10.1001/jama.277.9.712b
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In his response to Szasz' Secular Humanism and Scientific Psychiatry, the author considers the use of rhetorical devices in Szasz' work, Szasz' avoidance of acknowledging psychiatry's scientific distinctions, and Szaszian libertarianism versus liberalism.
The Council for Secular Humanism identifies Secular Humanism as a "way of thinking and living" committed to rejecting authoritarian beliefs and embracing "individual freedom and responsibility ... and cooperation." The paradigmatic practices of psychiatry are civil commitment and insanity defense, that is, depriving innocent persons of liberty and excusing guilty persons of their crimes: the consequences of both are confinement in institutions ostensibly devoted to the treatment of mental diseases. Black's Law Dictionary states: "Every confinement of the person is an 'imprisonment,' whether it be in a common prison, or in private house, or in the stocks, or even by forcibly detaining one in the public streets." Accordingly, I maintain that Secular Humanism is incompatible with the principles and practices of psychiatry.
In 1971, the U.S. Senate Subcommittee on Constitutional Rights began a three-year study to investigate the federal funding of all research involving behavior modification. During this period, operant programs of behavior change, particularly those implemented in closed institutions, were subjected to specific scrutiny. In this article, I outline a number of scientific and social factors that led to this investigation and discuss the study itself. I show how behavioral scientists, both individually and through their professional organizations, responded to this public scrutiny by (1) self-consciously altering their terminology and techniques; (2) considering the need to more effectively police their professional turf; and (3) confronting issues of ethics and values in their work. Finally, I link this episode to the formation of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, whose recommendations resulted in changes to the ethical regulation of federally funded human subjects research that persist to the present day.