I spent my childhood in the shadow of my father’s mental illness, forced to grapple with its mysteries before I possessed the tools to do so. In other words, I lived the ignorance that surrounds mental illness. This experience led me to study psychiatry, its foibles and tragedies, both past and present. Now, I am a professor of sociology at the University of New Mexico, where I spend my days thinking and writing about mental health and illness. I am working on a new book about the current crisis in community mental health.
I wrote...
On the Heels of Ignorance: Psychiatry and the Politics of Not Knowing
Whenever I begin to study a topic, I look for books with a broad historical sweep that helps me contextualize the present. This is just that kind of book. Andrew Scull deftly traces the cultural understandings of madness from antiquity to today.
You might think such an ambitious task would make for a dense and plodding slog, but Scull’s easy prose, as well as his penchant for inserting pithy, fascinating anecdotes at just the right moment, make this book a pleasurable read. Come for the critical history, stay for all the curious characters you meet along the way.
The loss of reason, a sense of alienation from the commonsense world we all like to imagine we inhabit, the shattering emotional turmoil that seizes hold and won't let go--these are some of the traits we associate with madness. Today, mental disturbance is most commonly viewed through a medical lens, but societies have also sought to make sense of it through religion or the supernatural, or by constructing psychological or social explanations in an effort to tame the demons of unreason. Madness in Civilization traces the long and complex history of this affliction and our attempts to treat it. Beautifully…
The abuse of power is a running theme in the history of psychiatry. Psychiatry has often been wielded to control those who challenge the status quo. This book neatly and creatively unearths one such attempt to stifle dissent by labeling it mad.
Focusing on a mental hospital in Michigan, Jonathan Metzl shows how schizophrenia was harnessed to pathologize Black Civil Rights activism in the 1960s. In the process, schizophrenia was transformed from a condition mainly diagnosed in whites to one that stressed violence and aggression and was mainly diagnosed in black males. I especially love how Metzl punctuates his historical analysis with poignant stories of individuals caught up in this dark period of racism in psychiatry.
A powerful account of how cultural anxieties about race shaped American notions of mental illness
The civil rights era is largely remembered as a time of sit-ins, boycotts, and riots. But a very different civil rights history evolved at the Ionia State Hospital for the Criminally Insane in Ionia, Michigan. In The Protest Psychosis, psychiatrist and cultural critic Jonathan Metzl tells the shocking story of how schizophrenia became the diagnostic term overwhelmingly applied to African American protesters at Ionia—for political reasons as well as clinical ones. Expertly sifting through a vast array of cultural documents, Metzl shows how associations between…
It is April 1st, 2038. Day 60 of China's blockade of the rebel island of Taiwan.
The US government has agreed to provide Taiwan with a weapons system so advanced that it can disrupt the balance of power in the region. But what pilot would be crazy enough to run…
No list on the dubious history of psychiatry would be complete without a book about psychiatry’s efforts to control women. This is a classic in this regard. Focusing on the first quarter of the twentieth century, Elizabeth Lunbeck shows how psychiatrists, in an effort to assert their relevance and professional authority, brought issues related to marriage, sexuality, and gender into their ambit.
This book is deft in revealing how psychiatrists wielded the power to define normality to pathologize nonconforming women and insinuate themselves into our most intimate spheres. Although the history that Lunbeck recounts is now a century in the past, its lessons echo to this day.
In the years between 1900 and 1930, American psychiatrists transformed their profession from a marginal science focused primarily on the care of the mentally ill into a powerful discipline concerned with analyzing the common difficulties of everyday life. How did psychiatrists effect such a dramatic change in their profession's fortunes and aims? This study focuses on the revelatory ideas of gender that structured the new "psychiatry of the normal," a field that grew to take the whole world of human endeavour as its object. The author locates her study in early 20th-century Boston, providing a vivid picture not only of…
I am a sucker for books that bridge the uncanny valley between the past and present to answer the question, how in the hell did this happen? Lobotomy is the most infamous of all psychiatry “treatments.” From our perch in the present, it is hard to fathom the popularity of such a barbaric practice.
In this book, Jack Pressman tells the chilling story of lobotomy but does so in a way that stresses how normal, and even banal, it was for psychiatrists of the day. Faced with overcrowded mental hospitals, psychiatrists turned to lobotomy out of desperation, willfully swallowing its hype. And with their probing transorbital ice picks, they perpetrated horrific abuses on their patients in what might be the darkest moment in psychiatry’s past.
During the 1940s and 1950s, tens of thousands of Americans underwent some form of psychosurgery; that is, their brains were operated upon for the putative purpose of treating mental illness. From today's perspective, such medical practices appear foolhardy at best, perhaps even barbaric; most commentators thus have seen in the story of lobotomy an important warning about the kinds of hazards that society will face whenever incompetent or malicious physicians are allowed to overstep the boundaries of valid medical science. Last Resort, first published in 1998, challenges the previously accepted psychosurgery story and raises new questions about what we should…
Blood of the White Bear
by
Marcia Calhoun Forecki,
Virologist Dr. Rachel Bisette sees visions of a Kachina and remembers the plane crash that killed her parents and the Dine medicine woman who saved her life. Rachel is investigating a new and lethal hantavirus spreading through the Four Corners, and believes the Kachina is calling her to join the…
Most of us seek out history with an eye to the present. In this book, Allan Horwitz explains the emergence of our current brand of psychiatry. Sometimes called “biomedical psychiatry,” this is the psychiatry of the DSM and ever-rising rates of mental health diagnoses, of Prozac and psychopharmaceutical drugs, of chemical imbalances and neurological accounts of mental disorders.
Horwitz shows how the shift to this present was driven not by science but by professional crisis. In the 1970s, besieged by critics and exposés of their failings, psychiatrists ditched the Freudian-inspired psychodynamic model for one that emphasized diagnosis and medication. But the science was always dubious, and the upshot of this shift is a culture awash in psychiatric diagnoses for seemingly everything.
In this timely and provocative critique of modern psychiatry, Allan V. Horwitz examines current conceptions of mental illness as a disease. He argues that this notion fits only a small number of serious psychological conditions, and that most conditions currently regarded as mental illness are cultural constructions, normal reactions to stressful social circumstances, or simply forms of deviant behavior. According to Horwitz, the formulation of mental illness as disease benefits various interest groups, including mental health researchers and clinicians, prescriptive drug manufacturers, and mental health advocacy groups, all of whom promote disease-based models. Presenting case studies in maladies such as…
Psychiatry has always aimed to peer deep into the human mind, daring to cast light on its darkest corners and untangle its thorniest knots. But, as Owen Whooley’s sweeping book tells us, the history of American psychiatry is really a history of ignorance.
On the Heels of Ignorance begins with psychiatry’s formal inception in the 1840s and moves through two centuries of constant struggle simply to understand mental illness, to say nothing of the best way to treat it. Whooley’s book is no antipsychiatry screed, however; instead, he reveals a field that has muddled through periodic reinventions and conflicting agendas of curiosity, compassion, and professional striving, with sometimes tragic results.
