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Yeah, it sounds pretty much Foucault with a little more medical rhetoric thrown in. To be honest, it doesn't sound too well done and like there are a lot of leaps in it (not only from your description, but from reading some reviews of it just now) and some logical flaws (your description of his argument for why mental illness is not a disease sounds a lot like begging the question). Some of it sounds interesting, but some of it sounds like controversy for the sake of controversy.
I just figured I'd try and give the main gist of it so far since you asked, but I'm still skeptical myself.
It's definitely not quite what I was expecting...I read a good opinion of it somewhere a long time ago and just now got around to checking it out. I'm hoping he at least goes into specifics on some disorders and talks about iatrogenesis as opposed to it just being an anti-establishment philosophy of medical rhetoric text.
No problem man, I understand. Hope I didn't come across as dismissive or a dick. Just based on your description and the other things I read it sounds too absolutist and, like you said, an anti-establishment philosophy of medical rhetoric text (in a negative way). I can see why it would be influential in its context, but in the 50 years since it was published, psychology, psychiatry, and neuroscience have made huge leaps so I wonder how influential it would be if it was printed now? Again, not attacking just wondering.
My mentioning of Foucault is more so that his own work on mental illness and insanity has said a lot of similar things--that (mental) illness is often a symptom of a specific social context designed to constrain action and regulate/facilitate power structures.
What stood out to me is your mention of the discussion on the insanity plea, especially because that is a fairly risky/volatile legal institution. It's not commonly used and it doesn't commonly succeed. So to say that the flawed interpretation of mental illness is somehow related to the US justice system in a nefarious way is odd to me.