Economics and Psychiatry: Twin Scientisms Prior to the Enlightenment, the marriage of church and state justified
and implemented the coercive control of people by popes and princes. As the authority of the church declined, two new institutions-economics and psychiatry, each typically married to the state-assumed the role of justifying and legitimating social controls. One rationalizes abridging people’s freedom by economic regulation, epitomized by taxation. The other justifies abridging people’s freedom by psychiatric regulation, epitomized by the diagnosis and treatment of mental illness.