"Well, here you had a city that was selling more cars than ever before, that had this wondrous music being created, that was so vital to the labor and civil rights of this country, and yet it was dying and didn't see it, except for some sociologist at Wayne State University who predicted that Detroit was losing population by a half-million by the end of that '60s decade, and that that trend would continue taking away its tax base."

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I think part of why schizophrenia got linked to civil rights protest in the '60s was because mainstream society was coding threats against the smooth running of the state as insanity and treating it as such, and so as that happens you see the evolution of a process in which people with schizophrenia are increasingly feared and our hospitals, particularly the kind of hospital that I look at in the book become to look more and more like prisons, to the point where many of them including the one I talk about actually become prisons.

— Jonathan Michel Metzl