Since the time of Hippocrates, madness has typically been viewed
through the lens of disease, dysfunction, and defect. Madness, like
all other disease, happens when something in the mind, or in the
brain, does not operate the way that it should or as nature
intended. In this paradigm, the role of the healer is simply to
find the dysfunction and fix it. This remains the dominant
perspective in global psychiatry today. In Madness: A Philosophical
Exploration, philosopher of science Justin Garson presents a
radically different paradigm for conceiving of madness and the
forms that it takes. In this paradigm, which he calls
madness-as-strategy, madness is neither a disease nor a defect, but
a designed feature, like the heart or lungs. That is to say, at
least sometimes, when someone is mad, everything inside of them is
working exactly as it should and as nature intended. Through
rigorous engagement with texts spanning the classical era to
Darwinian medicine, Garson shows that madness-as-strategy is not a
new conception. Thus, more than a history of science or a
conceptual genealogy, Madness is a recovery mission. In recovering
madness-as-strategy, it leads us beyond today's dominant medical
paradigm toward a very different form of thinking and practice.
This book is essential reading for philosophers of medicine and
psychiatry, particularly for those who seek to understand the
nature of health, disease, and mental disorder. It will also be a
valuable resource for historians and sociologists of medicine for
its innovative approach to the history of madness. Most
importantly, it will be useful for mental health service users,
survivors, and activists, who seek an alternative and liberating
vision of what it means to be mad.
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