How to Reason Beyond Reason? Toward a Philosophical Understanding of Madness
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To analyze the situation of madness on the ground, we need a grounded perspective, close to the situation at hand. The closer we come to the subject under scrutiny, the clearer its outlines, fine-grained details, and its dynamics, and the better we reach an explanation and understanding. The closer the approach, however, the higher the chances are of becoming myopic and losing the connections with broader—or higher—perspectives: the view from above. It has been due to philosophical and historical approaches from above to the practices of philosophically inspired psychiatry that we may gain new insights into what is going on on the ground—and underground. This article by Garson provides such a view that may lead to a change in perspective, a new way to draw boundaries on the ground, to discover similarities and dissimilarities through space and time, without thereby losing the lived connection to the problematic ground.
Garson proposes to replace a binary opposition of madness (in the sense of sick or insane) versus sanity (in the sense of healthy), with a triad of concepts, sanity, madness, and idiocy, taken from the work of philosophers of psychiatry avant la lettre in the early modern times, Locke, Kant, Wigan, and Heinroth. This triad is to be understood in terms of reason, where idiocy consists of the diminishment of some aspects of reason, while madness would be characterized by a perversion of reason. By examining how this perversion—or more neutrally said, this change—of reason was conceived by the four thinkers, Garson sheds a new light on research and theory within the philosophy of madness and the philosophy of psychiatry today. He examines the question of “how is it that the mad person “has” reason, but is still not reasonable?” with the help of the four authors mentioned above (of which I discuss three).
In answering this question, Garson refers specifically to my work as an example of “exactly the kind of ontology we need for rethinking madness in a positive manner—not necessarily ‘positive’ in the sense of good, helpful, or ennobling, but in the sense of going beyond a mere lack, absence, or failure.” I wholeheartedly agree with this assessment, [End Page 317] and Garson’s proposal of this tripartite schema is helpful and valuable for thinking through how we can further nourish a positive view of madness, especially with reference to Mad Pride.
Locke and Heinroth
Garson discusses some fragments from Locke and concludes that according to Locke “the mad person, in contrast to the idiot, possesses reason by virtue of possessing an intact inferential capacity. What ultimately makes them mad, and not reasonable, is that their premises are flawed by the unhinged power of association.” So, with Locke the capacity for inferential logic is not disturbed, and in that sense reason is intact. The unreasonable behavior would be due, according to Locke, to an unbridled increase in imagination and associations, which are taken for reality. Instead of reason the capacity to align imagination and reality is afflicted. When we translate this Lockean view into contemporary terms, we could say that it is not their cognition, their way of processing stimuli that is problematic, but their being overwhelmed by impressions or stimuli. This is akin to “bottom-up” theories: Something is wrong with perception or experience, and ‘higher’ capacities of cognition and reasoning remain intact. Reason may seem ‘perverted,’ but at a closer look, this is a result of their being victim to anomalous experience, too many stimuli or too strong imaginations.
Heinroth also explicitly distinguishes madness from idiocy, that is, from a diminishment of mental capacities. Instead, he considers madness as a reaction to what Garson calls “a reality that is too awful to bear.” Madness is then “a wholesome desire of nature to cure a perversion through another perversion.” Again, madness is then not in itself a diminishment of reason, but an attempt to cure something that went wrong, in a way that is also only seemingly wrong (perverted reason). Madness then is again within reason, but this core of intact reason is...
