Jeffrey A. Schaler, Ph.D.

Department of Justice, Law and Society School of Public Affairs The American University Fall 2003 JLS-200-001 & 001G - DEPRIVATION OF LIBERTY Wednesdays, 11:20 P.M. to 2:00 P.M. WARD 201 Faculty: Dr. Jeffrey A. Schaler Office: Dept. of Justice, Law, and Society, Ward Building, 2nd floor Telephone: (301) 585-5664 Office hours: (by appointment)

Course Description "They say that freedom is a constant struggle," sang the Mississippi "freedom fighters" during the Civil Rights movement in the 1960s. Today, there are less visible struggles for freedom, yet they are no less constant. One concerns the right to be left alone--the liberty of individual autonomy against the restraint of government authoritarianism. Is it constitutional for government to protect citizens from themselves and deprive them of liberty in the process? Freedom of and from religion were dear to Thomas Jefferson and James Madison. The First Amendment was written to separate church and state and serves to protect against those who would deprive us of liberty in the name of religion. According to some influential writers over the past 40 years, psychiatry now replaces religion and is used by government to justify paternalism, that is, it is used to deprive citizens of liberty. For example, behaviors formerly considered "good" and "bad" are now labeled as medical signs of "mental health" and "mental illness." Psychiatrists are empowered by the state to restore liberty and autonomy in those persons considered "mentally ill"--even if those labeled sick don't want to be "cured." Thus, do have what has come to be known as "the therapeutic state" (a term created by Szasz). To what extent (if at all) has institutional psychiatry, that is, psychiatry sanctioned by the state, replaced the religious tyranny Jefferson and Madison worked so hard to protect us against? Suicide (not "physician-assisted suicide") is considered one of the most controversial and taboo topics for discussion today. Is suicide a symptom of "mental illness?" Does a person have a right to die? If the Constitution guarantees our right to life, liberty and property, doesn't it also guarantee our right to self-destruction and death? How might government authoritarianism evolve to ultimately deprive citizens of individualism and liberty in this situation? Might such policies ultimately lead to a totalitarian society? When, if ever, is such deprivation of liberty constitutionally justified? In this course we examine the answers to those and related questions. We will discuss and examine the political, and ethical issues involved in the right to suicide. We will study how the Nazis used medical rhetoric to justify persecution and murder in the name of public health. We will discuss the ways government deprives individuals of liberty in a free society by focusing on the relationship between liberty and responsibility, psychiatry and government, and most important, the origins of totalitarianism according to F.A. Hayek's critique of socialism and collectivism. Your life is going to change as a result of taking this course. Lecture and discussion format. DEPRIVATION OF LIBERTY is one of the courses in Curricular Area 4, Social Institutions and Behavior, in the university's General Education Program. This course is taken as part of a two-course sequence. The foundation courses preceding it include Individuals and Organizations (54.105), Psychology: Understanding Human Behavior (57.105), and Justice in America (73.100). DEPRIVATION OF LIBERTY explores in more depth a topic introduced in those three foundation courses. Course Objectives 1. To improve the student's legal, philosophical and policy-oriented thinking about liberty in a constitutional democracy. 2. To evaluate the values, costs, and logic of the ways in which classes of people (e.g., drug users and those labeled as mentally ill) are defined as dangerous to themselves and others and deprived of liberty. 3. To explore the social, economic and political origins of totalitarianism and their relationship to authoritarian and paternalistic government policies in the US today. 4. To understand the meaning of "the therapeutic state" and what happens in involuntary treatment for mental illness and drug addiction; the structure and function of the insanity defense; and deprivations of due process via psychiatric testimony. 5. To understand the basic principles of public policy based in classical liberalism and collectivism. 6. To develop skill in debating controversial legal and public policy issues. Required Texts Szasz, T.S. (2002). Liberation by oppression: A comparative study of slavery and psychiatry. New Brunswick, NJ: Transaction Pub. Hayek, F.A. (1994). The road to serfdom. Chicago: The University of Chicago Press. Proctor, R.N. (1988). Racial hygiene: Medicine under the Nazis. Princeton, N.J.: Princeton University Press. Szasz, T.S. (2001). Pharmacracy: Medicine and politics in America. Westport, CT: Praeger. Course Requirements and Grades Mid-term examination 30% Final examination 35% Paper 25% Class participation 10% Total = 100% Paper: Write an 8 to 10 page paper on any contemporary issue you believe involves the deprivation of liberty. Focus on the relationship between the individual and state. Include principles we've covered in class. State the problem, as you see it, clearly. Differentiate between fact and your opinion. You're encouraged to express your opinion, just make sure you articulate the difference between fact and opinion. Discuss a solution to this problem. Describe possible problems created by your solution. Typed. Double- spaced. In text references like this (Schaler, 2000). References as on this syllabus. We will talk more about this in class. Many readings and notices regarding class will be sent to you by the professor via email. Make sure you are receiving the emails and reading them. You will be randomly assigned to groups with other students occasionally to present summaries of readings. This will contribute to your grade for participation. --> Clear and accurate writing will be taken into account in assigning grades, as well as participation in class discussions. Material discussed in class, or in films, and not in any of the readings, may form the basis for questions on the examinations. One grade reduction for over three class absences. Students are responsible for anything covered in class during their absence. Readings must be completed by the session to which they are assigned. Additional readings may be assigned during the course. Students are encouraged to form study groups on their own. Grades: A-=90, B+=89, B-=80, C+=79, C-=70, etc. If you're having trouble with this course make an appointment to talk about it. Academic Integrity Code "Standards of academic conduct are set forth in the University's Academic Integrity Code. It is expected that all examinations, tests, written papers, and other assignments will be completed according to the standards set forth in this code. By registering, you have acknowledged your awareness of the Academic Integrity Code, and you are obliged to become familiar with your rights and responsibilities as defined by the Code. Violations of the Academic Integrity Code will not be treated lightly, and disciplinary action will be taken should such violations occur. Please see me if you have any questions about the academic violations described in the Code in general or as they relate to particular requirements for this course."

Date                        Topic                                      Reading

August 27                   Introduction to the therapeutic state      Lecture
                            Behavior, explanations, policies, 
                            Mental illness and disease

September 3                 Medicine                                   Szasz, 
                            Scientific Medicine:Disease                Phar. 1-3
                            Clinical Medicine:  Diagnosis
September 10                Certifying Medicine                        Szasz,
                            Psychiatric Medicine                       Phar. 4-6
                            Philosophical Medicine

September 17                Political Medicine                         Szasz,
                                                                       Phar. 7

September 24                Liberation by Opression                    Szasz

October 1                   Liberation by Opression                    Szasz

October 8                   Mid-term examination
Note:  You must take the mid-term on the date assigned.  No exceptions.

October 15                  Origins of Racial Hygiene                 Proctor 1-3
                            "Neutral Racism" 
                            Political Biology

October 22                  Sterilization Law                         Proctor 4-6
                            Control of Women

October 29                  Destruction of Lives                      Proctor 7-8
                            Organic Vision

November 5                  Medical Resistance                        Proctor 9-10
                            Politics of Knowledge

November 12                 Individualism and Collectivism            Hayek
                            Central Planning, Planning and 
                            Rule of Law, Why the worst get on top

November 19                 Papers due

November 26                 Thanksgiving break

December 3                  Lecture, discussion:  Film

December 17                 Final Examination                        11:20am to 1:50pm
Note:  You must take the final exam on December 17.  No exceptions.

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