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" "As the dominant social ethic changed from a religious to a secular one, the problem of heresy disappeared, and the problem of madness arose and became of great social significance. In the next chapter I shall examine the creation of social deviants, and shall show that as formerly priests had manufactured heretics, so physicians, as the new guardians of social conduct and morality, began to manufacture madmen.
Thomas Szasz (April 15, 1920 – September 8, 2012) was a Professor Emeritus in Psychiatry at the State University of New York Health Science Center in Syracuse, New York, and a noted critic of the moral and scientific foundations of psychiatry.
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For millennia, the dialectic of vilification and deification and, more generally, of invalidation and validation—excluding the individual from the group as an evil outsider or including him in it as a member in good standing—was cast in the imagery and rhetoric of magic and religion. ... With the decline of the religious world view and the ascent of the scientific method during the Renaissance and the Enlightenment, the religious rhetoric of validation and invalidation was gradually replaced by the scientific. One of the most dramatic results of this transformation is the lexicon of psychiatric diagnoses functioning as a powerful, but largely unacknowledged, rhetoric of rejection and stigmatization.