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Thomas Szasz was an agnostic psychiatrist who in 1960 argued that that the term “mental illness” is a metaphor for human problems in living, and that mental illnesses are not real in the sense that cancers are real. Except for a few identifiable brain diseases, such as Alzheimer’s disease, there are “neither biological or chemical tests nor biopsy or necropsy findings for verifying or falsifying DSM diagnoses”, i.e., there are no objective methods for detecting the presence or absence of mental illness.

This book contributed to Dr. Adams’ conclusions in Competent to Counsel. Though he spoke with a thick Hungarian accent, Szasz was a clear thinker and an engaging writer. Every biblical counselor should have this volume in his library and engage with Dr. Szasz’ thinking.