Histoire de la folie à l'âge classique
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''Madness and Civilization: A History of Insanity in the Age of Reason'' (French: ''Folie et Déraison: Histoire de la folie à l'âge classique'', 1961) is an examination by Michel Foucault of the evolution of the meaning of madness in the cultures and laws, politics, philosophy, and medicine of Europe—from the
Middle Ages In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire ...
until the end of the 18th century—and a critique of the idea of history and of the
historical method Historical method is the collection of techniques and guidelines that historians use to research and write histories of the past. Secondary sources, primary sources and material evidence such as that derived from archaeology may all be drawn ...
. Although he uses the language of
phenomenology Phenomenology may refer to: Art * Phenomenology (architecture), based on the experience of building materials and their sensory properties Philosophy * Phenomenology (philosophy), a branch of philosophy which studies subjective experiences and a ...
to describe the influence of social structures in the history of the
Othering In phenomenology, the terms the Other and the Constitutive Other identify the other human being, in their differences from the Self, as being a cumulative, constituting factor in the self-image of a person; as acknowledgement of being real; h ...
of insane people from society, ''Madness and Civilization'' is Foucault's philosophic progress from
phenomenology Phenomenology may refer to: Art * Phenomenology (architecture), based on the experience of building materials and their sensory properties Philosophy * Phenomenology (philosophy), a branch of philosophy which studies subjective experiences and a ...
toward something like structuralism (a label Foucault himself always adamantly rejected).


Background

Philosopher Michel Foucault developed ''Madness and Civilization'' from his earlier works in the field of psychology,Foucault had a bachelor's degree in psychology (1949) and a diploma in psychopathology (1952) his personal psychological difficulties, and his professional experiences working in a
mental hospital Psychiatric hospitals, also known as mental health hospitals, behavioral health hospitals, are hospitals or wards specializing in the treatment of severe mental disorders, such as schizophrenia, bipolar disorder, eating disorders, dissociative ...
. He wrote the book between 1955–1959, when he worked cultural-diplomatic and educational posts in Poland and Germany, Gutting, Gary. 2013.
Michel Foucault
" ''The Stanford Encyclopedia of Philosophy'' (Summer 2013 ed.), edited by E. N. Zalta.
as well as in Sweden as director of a French cultural centre at the
University of Uppsala Uppsala University ( sv, Uppsala universitet) is a public research university in Uppsala, Sweden. Founded in 1477, it is the oldest university in Sweden and the Nordic countries still in operation. The university rose to significance during ...
.


Summary

In ''Madness and Civilization'', Foucault traces the
cultural evolution Cultural evolution is an evolutionary theory of social change. It follows from the definition of culture as "information capable of affecting individuals' behavior that they acquire from other members of their species through teaching, imitation a ...
of the concept of
insanity Insanity, madness, lunacy, and craziness are behaviors performed by certain abnormal mental or behavioral patterns. Insanity can be manifest as violations of societal norms, including a person or persons becoming a danger to themselves or t ...
(madness) in three phases: # the
Renaissance The Renaissance ( , ) , from , with the same meanings. is a period in European history The history of Europe is traditionally divided into four time periods: prehistoric Europe (prior to about 800 BC), classical antiquity (800 BC to AD ...
; # the Classical Age; and # the Modern era


Renaissance

In
the Renaissance The Renaissance ( , ) , from , with the same meanings. is a period in European history marking the transition from the Middle Ages to modernity and covering the 15th and 16th centuries, characterized by an effort to revive and surpass idea ...
, art portrayed insane people as possessing wisdom (knowledge of the limits of the world), whilst literature portrayed the insane as people who reveal the distinction between what men are and what men pretend to be. Renaissance art and literature further depicted insane people as intellectually engaged with reasonable people, because their ''madness'' represented the mysterious forces of cosmic
tragedy Tragedy (from the grc-gre, τραγῳδία, ''tragōidia'', ''tragōidia'') is a genre of drama based on human suffering and, mainly, the terrible or sorrowful events that befall a main character. Traditionally, the intention of tragedy ...
. Yet Renaissance intellectualism began to develop an ''objective'' way of thinking about and describing
reason Reason is the capacity of consciously applying logic by drawing conclusions from new or existing information, with the aim of seeking the truth. It is closely associated with such characteristically human activities as philosophy, science, ...
and unreason, compared with the subjective descriptions of madness from the Middle Ages.


Classical Age

At the dawn of the Age of Reason in the 17th century, there occurred "the Great Confinement" of insane people in the countries of Europe; the initial management of insane people was to segregate them to the margins of society, and then to physically separate them from society by confinement, with other anti-social people (prostitutes, vagrants, blasphemers, ''et al.'') into new institutions, such as the General Hospital of Paris. Christian European society perceived such anti-social people as being in moral error, for having freely chosen lives of prostitution, vagrancy, blasphemy, unreason, etc. To revert such moral errors, society's new institutions to confine outcast people featured way-of-life regimes composed of punishment-and-reward programs meant to compel the inmates to choose to reverse their choices of lifestyle. The socio-economic forces that promoted this institutional confinement included the legalistic need for an extrajudicial social mechanism with the legal authority to physically separate socially undesirable people from mainstream society; and for controlling the wages and employment of poor people living in
workhouses In Britain, a workhouse () was an institution where those unable to support themselves financially were offered accommodation and employment. (In Scotland, they were usually known as poorhouses.) The earliest known use of the term ''workhouse' ...
, whose availability lowered the wages of
freeman Freeman, free men, or variant, may refer to: * a member of the Third Estate in medieval society (commoners), see estates of the realm * Freeman, an apprentice who has been granted freedom of the company, was a rank within Livery companies * Free ...
workers. The conceptual distinction, between the mentally insane and the mentally sane, was a social construct produced by the practices of the extrajudicial separation of a human being from free society to institutional confinement. In turn, institutional confinement conveniently made insane people available to medical doctors then beginning to view madness as a natural object of study, and then as an illness to be cured.


Modern era

The Modern era began at the end of the 18th century, with the creation of medical institutions for confining mentally insane people under the supervision of medical doctors. Those institutions were product of two cultural motives: (i) the new goal of ''curing'' the insane away from poor families; and (ii) the old purpose of ''confining'' socially undesirable people to protect society. Those two, distinct social purposes soon were forgotten, and the medical institution became the only place for the administration of therapeutic treatments for madness. Although nominally more enlightened in scientific and diagnostic perspective, and compassionate in the clinical treatment of insane people, the modern medical institution remained as cruelly controlling as were mediaeval treatments for madness. In the preface to the 1961 edition of ''Madness and Civilization'', Foucault said that:


Reception

In the critical volume, '' Foucault'' (1985), the philosopher
José Guilherme Merquior José Guilherme Merquior (April 22, 1941 – January 7, 1991) was a Brazilian diplomat, academic, writer, literary critic and philosopher. Biography He was a prolific writer, and member of the Academia Brasileira de Letras (the Brazilian Acade ...
said that the value of ''Madness and Civilization'' as intellectual history was diminished by errors of fact and of interpretation that undermine Foucault's thesis—how social forces determine the meanings of madness and society's responses to the
mental disorder A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitt ...
of the person. Specifically problematic was his selective citation of data, which ignored contradictory historical evidence of preventive imprisonment and physical cruelty towards insane people during the historical periods when Foucault said society perceived the mad as wise people—institutional behaviors allowed by the culture of Christian Europeans who considered madness worse than
sin In a religious context, sin is a transgression against divine law. Each culture has its own interpretation of what it means to commit a sin. While sins are generally considered actions, any thought, word, or act considered immoral, selfish, s ...
. Nonetheless, Merquior said that, like the book ''
Life Against Death ''Life Against Death: The Psychoanalytical Meaning of History'' (1959; second edition 1985) is a book by the American classicist Norman O. Brown, in which the author offers a radical analysis and critique of the work of Sigmund Freud, tries to pr ...
'' (1959), by
Norman O. Brown Norman Oliver Brown (September 25, 1913 – October 2, 2002) was an American scholar, writer, and social philosopher. Beginning as a classical scholar, his later work branched into wide-ranging, erudite, and intellectually sophisticated cons ...
, Foucault's book about ''Madness and Civilization'' is "a call for the liberation of the
Dionysian The Apollonian and the Dionysian are philosophical and literary concepts represented by a duality between the figures of Apollo and Dionysus from Greek mythology. Its popularization is widely attributed to the work ''The Birth of Tragedy'' by Fr ...
id"; and gave inspiration for '' Anti-Oedipus: Capitalism and Schizophrenia'' (1972), by the philosopher Gilles Deleuze and the psychoanalyst
Félix Guattari Pierre-Félix Guattari ( , ; 30 April 1930 – 29 August 1992) was a French psychoanalyst, political philosopher, semiotician, social activist, and screenwriter. He co-founded schizoanalysis with Gilles Deleuze, and ecosophy with Arne Næs ...
. In his 1994 essay "''Phänomenologie des Krankengeistes''" ('Phenomenology of the Sick Spirit'), philosopher
Gary Gutting Gary Michael Gutting (April 11, 1942 – January 18, 2019) was an American philosopher and holder of an endowed chair in philosophy at the University of Notre Dame. His daughter is writer Tasha Alexander. Work Gutting was an expert on the phil ...
said:
e reactions of professional historians to Foucault's ''Histoire de la folie''
961 Year 961 (Roman numerals, CMLXI) was a common year starting on Tuesday (link will display the full calendar) of the Julian calendar. Events By place Byzantine Empire * March 6 – Siege of Chandax: Byzantine forces under Nikephoro ...
seem, at first reading, ambivalent, not to say polarized. There are many acknowledgements of its seminal role, beginning with
Robert Mandrou Robert Mandrou (31 January 1921 – 16 June 1984), was a French historian, one of the members of the Annales School and the secretary to its journal '' Annales d'Histoire Economique et Sociale'' ("Annals of economic and social history") . He ...
's early review in he_''Annales_d'Histoire_Economique_et_Sociale''.html" ;"title="Annales d'Histoire Economique et Sociale">he '' Annales_d'Histoire_Economique_et_Sociale">he_''Annales_d'Histoire_Economique_et_Sociale''_characterizing_it_as_a_'beautiful_book'_that_will_be_'of_central_importance_for_our_understanding_of_the_Classical_antiquity.html" ;"title="Annales d'Histoire Economique et Sociale''">Annales d'Histoire Economique et Sociale">he ''Annales d'Histoire Economique et Sociale'' characterizing it as a 'beautiful book' that will be 'of central importance for our understanding of the Classical antiquity">Classical period.' Twenty years later, Michael MacDonald confirmed Mandrou's prophecy: 'Anyone who writes about the history of insanity in early modern Europe must travel in the spreading wake of Michael Foucault's famous book, ''Madness and Civilization''.’
Later endorsements included Jan Goldstein, who said, "For both their Empiricism, empirical content and their powerful theoretical perspectives, the works of Michel Foucault occupy a special and central place in the historiography of psychiatry;" and Roy Porter, "Time has proved ''Madness and Civilization'' o be byfar the most penetrating work ever written on the history of madness." However, despite Foucault being herald of 'the new cultural history', there was much criticism.. Quote from p. 331. In ''Psychoanalysis and Male Homosexuality'' (1995), Kenneth Lewes said that ''Madness and Civilization'' is an example of the "critique of the institutions of psychiatry and psychoanalysis" that occurred as part of the "general upheaval of values in the 1960s." That the history Foucault presents in ''Madness and Civilization'' is similar to, but more profound than ''
The Myth of Mental Illness ''The Myth of Mental Illness: Foundations of a Theory of Personal Conduct'' is a 1961 book by the psychiatrist Thomas Szasz, in which the author criticizes psychiatry and argues against the concept of mental illness. It received much publicity, an ...
'' (1961) by
Thomas Szasz Thomas Stephen Szasz ( ; hu, Szász Tamás István ; 15 April 1920 – 8 September 2012) was a Hungarian-American academic and psychiatrist. He served for most of his career as professor of psychiatry at the State University of New York Upstate M ...
.


See also

*
Anti-psychiatry Anti-psychiatry is a movement based on the view that psychiatric treatment is often more damaging than helpful to patients, highlighting controversies about psychiatry. Objections include the reliability of psychiatric diagnosis, the questionabl ...
* Cogito and the History of Madness *'' The Archaeology of Knowledge''


Notes


References


External links


Some images and paintings that appear in the book
{{DEFAULTSORT:Madness And Civilization 1961 non-fiction books Anti-psychiatry books French-language books French non-fiction books Books about mental health Plon (publisher) books Books about social history Works by Michel Foucault