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Volume 3, Issue 1 (1974)

The Ethical Practice of School Psychology

pp. 16—21

Thomas Szasz (1970) differentiates between what he calls Institutional and Contractual Psychiatry. The former is characterized by the fact “that the institutional psychiatrist is a bureaucratic employee, paid for his services by a private or public organization (p. xxiii) ” and not by the client he is asked to see. Further, “the institutional psychiatrist imposes himself on his ‘patients’ who do not pay him, do not want to be his patients, and are not free to reject his ‘help’ . . . (p. xiii) .” This mode of operation is contrasted to Contractual Psychiatry wherein the patient actively seeks help from a private entrepreneur and is free to reject it if he wishes.

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