People often say that this or that person has not yet found himself. But the self is not something one finds; it is something one creates. - Thomas Szasz

In the animal kingdom, the rule is, eat or be eaten; in the human kingdom, define or be defined.

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.

It becomes logical to ask where the idea originates that the rules of the game of life ought to be such that those who are weak, disabled or ill should be helped? One answer is obvious: this is the game typically played in childhood. Every one of us was, at one time, a weak and helpless child, cared for by adults: without such help we would not have survived and become adults. Another, almost equally obvious answer is that the prescription of a help-giving attitude toward the weak is embodied in the dominant religions of Western man. Judaism, and especially Christianity, teach these rules by means of parable and prohibition, example and exhortation, and by every other means available to their representatives.