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Re-establishing a dialectic of madness.

C I Cohen

    The International Journal of Social Psychiatry
    |January 1, 1978
    PubMed
    Summary

    Historically, madness was viewed dialectically, encompassing both reason loss and prophecy. As society reintegrates individuals with mental illness, exploring this historical perspective may offer new insights.

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    Area of Science:

    • History of Psychiatry
    • Philosophy of Mind
    • Sociology of Mental Illness

    Background:

    • Until the 17th century, a dialectical view of madness integrated concepts of reason loss with prophecy and clairvoyance.
    • The Age of Reason shifted this perspective, isolating madness as opprobrium and leading to confinement.
    • Contemporary societal shifts necessitate a re-evaluation of historical conceptions of madness.

    Observation:

    • Madness was historically perceived as a complex phenomenon, not solely a deficit.
    • The Enlightenment era rationalized madness, severing its connection to perceived extraordinary abilities.
    • The exclusion of the 'mad' from public life has been a historical norm.

    Findings:

    • Revisiting the dialectical conception of madness, which once linked irrationality with foresight, is proposed.
    • This historical duality offers a potential framework for understanding and integrating madness.
    • Examining past valuations of madness can inform present-day approaches.

    Implications:

    • Re-establishing communication with the concept of madness could yield societal benefits.
    • A reconstituted dialectic may challenge current stigmatizing views of mental illness.
    • Understanding the historical duality of madness can foster more nuanced societal integration.

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