Tag Archives: DSM

Two Genealogies of Madness: Part Two

(Continued from here https://thebeetlebox.wordpress.com/2014/05/28/two-genealogies-of-madness-part-one/)

If our concepts of ‘madness” are socially constructed and as such don’t latch onto to an independent reality, it does indeed seem like a death knell for them. They are just fantasies, and worse than that, fantasies which were created to serve a malign social purpose- that of separation, ostracisation and false-reassurance.

This is where the above discussion of Nietzsche becomes important. The genealogy of morals succeeds in undermining the value of the “value-judgements good and evil” at least partly because Christianity cares about truth, and it cares about it’s value system being tied to some external truth about the world. But we do not need to see the conceptual framework behind the practice of psychiatry in this problematic way, as descriptive of a purely scientific phenomenon which is distinct from us and our own mode of life and flourishing .

Continue reading


Two Genealogies of Madness: Part One

In my experience people tend to mean one of two very different things when they claim that mental illness is socially constructed.

The first of these is that broader social, economic and historical conditions make people mentally unwell in certain ways. This idea arguably found its most famous express in the work of the philosopher/psychoanalyst pairing Deleuze and Guattari; the rough summary of their work being that the contradictions of capitalism cause people to become schizophrenic.

This kind thought is interesting, complex and something which I obviously have a lot of time for. However it is the second meaning which I want to focus on in the remainder of this post. This meaning is perhaps better expressed as the claim that “mental illness” is socially constructed; that our concepts and understandings of mental illness are ones created through our social history and as such do not tie onto any objective external reality. The conclusion drawn from this often ends up being that we should recognize them as fraudulent and rid ourselves of them. Continue reading

Mission Statement

A week or so before I got a  job as a support worker on a psychiatric ward, Lou Reed died of liver cancer at his home in Southampton, New York.

From my own narrow perspective, it was a sad, strange thing to experience the loss and very public mourning of someone who had got me through so much loss, mourning and general misery of my own. In terms of managing to find words (and more) which just got whatever psychological wreckage I was attempting to untangle, there was no-one who had even come close to Lou. Even at his more upbeat points he’d still hit you with a lyric like “Just a perfect day, you made me forget myself, I thought I was someone else, someone good.” And of course this post couldn’t be without a mention of the exquisitely depressing “Sunday Morning”; full of these restless, miserable feelings that sink and tumble down on top of each other, and pull you into half-believing you’ve wasted your entire life and everything is over, and then that bass lazily bumps back up again to the beginning of the riff, and things roll on and on and you can’t help smiling at the beauty and artistry of it all.

The strange ability of words and music (and indeed other art forms) to transfigure and alleviate human suffering is hardly a neglected topic (though I still think Nietzsche does it best.) However the person I want to spend the remainder of this post talking about- the philosopher Ludwig Wittgenstein-  isn’t someone really known for his writings on aesthetics, and in fact the paragraph quoted below doesn’t purport to be about art at all. What it does do, though, is attempt to undermine a heap of misconceptions about language and misery, misconceptions which make explaining the effect of the former on the latter much harder to suss out. Continue reading