Historically, the movement against forced psychiatric treatment has had a large contingent of people who did not consider themselves to be ‘sick’ despite having been diagnosed with one or another ‘mental illness’ (very definitely including schizophrenia although not limited to it); for most of the last 40 years, the main political ‘line’ they (we) have taken is that schizophrenia (and the rest, and ‘mental illness’ as a whole) just doesn’t exist; that, like medieval witch-burners who considered themselves to be burning witches, the psychiatric profession is doing things to us in the name of a nonexistent ailment/phenomenon.
But not only is it hard to prove the nonexistence of anything, it’s also hard to be taken seriously when what you’re saying sounds so close to textbook denial, and I don’t just mean ‘denial’ in the clinical sense of the word: people being red-baited as ‘communists’ found it unworkable to deny that any subsersive communist fifth column existed in the United States, students accused of smoking pot might more readily be assumes to be lying if they deny that they’re aware of any students who smoke pot… it’s like the recurrent joke on this board about “The first rule of ___ is that there IS no ____”.
And besides, although damn near anyone can, under the right (wrong) circumstances, run afoul of a diagnosis-tossing shrink, it’s just not true that everyone is equally likely to end up with a psych diagnosis. There’s something we have in common enough of the time for everyone from nursing students to subway riders to recognize us from the DSM-IV description. Yeah, we’ve seen those behaviors. You have. I have. Etc. One could assert (as I do) that, like extreme anger or visceral horror, it’s a state that anyone’s mind can end up in under the right (wrong) circumstances, but even then there are people who end up like that with far less provocation than other people who in essentially identical circumstances don’t display that pattern.
So there’s an “us”. And in the movement there’s a growing tendency to embrace an identity-in-common. But we see who we are and can be as a much wider spectrum that folks who are only aware of us when we’re, umm, you know, like that. And there are trade-offs, and some of us think we don’t have such a bad deal. Or wouldn’t if our culture treated us like people with a difference instead of sick/dangerous people. (Did you know we aren’t more dangerous or inclined to violence than the general pop?). Anyway, if you want to read more, Google phrases like “consumers / survivors / expatients” and “forced treatment” and “psychiatric oppression”.
The determining factor is the wishes of the person. If someone considers themself to need “fixing”, and the “fix” ls legal and available, who am I to tell them that I know better than them what’s best for them? On the other hand, if someone likes who they are and hasn’t broken any laws and cannot be shown (by standards that apply equally to schizzies and nonschizzies alike, mind you!) to lack basic decision-making competency, who is the doctor to tell them what’s best for them?
The right to refuse treatment is a fundamental civil right and is our central rallying cause. (We also want fully informed consent and have a lot of critical things to say about the rose-colored lavender-scented lying bullshit that the profession offers to mental patients regarding the efficacy of recommended treatments and how scientifically reliable and useful their diagnostic system and treatment protocols are. Yeah, they help some people, but the success rate and scientific backing isn’t like “insulin for diabetes” (one of their common claims); it may be a bit better than “whisky for a broken heart”, but it looks closer to that than the insulin analogy.