Control, Not Cure
Control, Not Cure: Randy Cima’s New Book Exposes the History of Force in Psychiatry Robert Carter/April 9, 2025 Dr. Randy Cima has just published The Zombie Theory, a concise, but thorough history of the use of force — physical and chemical – as psychiatry’s preferred method of controlling the “mad.” Psychiatry’s tools of insulin shock, lobotomy and electroshock therapy to handle the “mad” are late links on the historical chain of man’s misguided attempts to handle the troubled. Thousands of years before Christ, holes were bored in the skulls of those who were dangerously abnormal in order to release the “bad energy” or demon spirits that were making them crazy. Even if they were not cured, the reasoning went, they at least were no longer suffering. Throughout history other equally brutal physical practices evolved in an attempt to at least quiet, if not cure, the mad. In the Middle Ages, flogging, bloodletting, and forced vomiting were used to “beat insanity out of the body,” as Cima notes in his April 4th blog on the Mad in America website. As cities expanded their populations after the Renaissance, the problem of the “mad” became more apparent on urban streets. They could no longer be housed in a relative’s basement or attic, hidden from public view as a social eyesore. However, once the threat of leprosy had declined, the large physical institutions built to incarcerate lepers away from public exposure became available. Cima describes how these vacant compounds were then used to remove the “mad” from the streets. Suddenly there were enough asylums available to house these unfortunate souls. By the mid-19 th century the earliest medical doctors – then known as alienists – became the in-house caretakers of this involuntarily incarcerated population. “But their role wasn’t to cure. It was to control,” writes Cima. The Zombie Theory goes on to chronicle the horrific procedures psychiatrists developed in the 20th century to “beat insanity out of the body.” At first the “mad” had their teeth pulled, their ovaries excised, and their colons resected , because madness stemmed from bodily infections, it was postulated. Then even more brutal psychiatric treatments were devised to beat the madness out of the body — the lobotomy and ECT, for example. Cima notes that the aftereffects of these horrific treatments were too politically incorrect to be applauded by family members. Fathers, mothers, aunts, and uncles were all left vegetablized zombies whose madness had only been quelled, but not cured. Next came the anti-psychotic drug Thorazine in the 1950s, and Cima calls that drug psychiatry’s holy grail. It was a chemical lobotomy…without any blood or bruises. Cima writes, “Patients could walk, talk, even return to daily life — just dulled enough to function. Just dulled enough to obey. Submission, once carved with a scalpel, now came byprescription.” And that’s where we’re at today. The troubled are still only quieted, not cured. “The architecture of confinement simply moved inside the patient,” writes Cima. Except that today, thanks to the tsunami of Big Pharma’s positive marketing, everyone – not just the “mad” — is told he or she – especially she — can cure their troubles with the ingestion of a little pill. The Zombie Theory is well worth the read. Cima clearly shows how psychiatry has for so long falsely claimed itself to be the mental health authority by intentionally turning life’s pains and struggles into a pathology that, they claim, they can still beat out of the body with the force of their psychotropic drug Comments are moderated. You must be logged in to comment. Please keep it civil