Category Archives: Mental Ilness History

Outline of A Future Science of Humanity

Liah Greenfeld

Humanity as a symbolic phenomenon

The possible emergence of a new intellectual center of the world in East and South Asia, offsetting and eventually nullifying vested interests in the United States [see Social Science from the Turn of the 20th Century], could create the conditions necessary for the rise of a science of humanity, one that would be capable of progressively accumulating objective knowledge of its subject matter. Intellectually, the first step in that direction would be to identify the quality that distinguishes humanity from the subject matter of biology, defining humanity as an ontological category in its own right. Comparative zoology provides the empirical basis for such an identification. Comparing human beings with other animals immediately highlights the astonishing variability and diversity of human societies and human ways of life (what humans actually do in their roles as parents, workers, citizens, and so on) and the relative uniformity of animal societies, even among the most social and intelligent animals, such as wolves, lions, dolphins, and primates. Keeping in mind the minuscule quantitative difference between the genome of Homo sapiens and that of chimpanzees (barely more than 1 percent), it is clear that the enormous difference in variability of ways of life cannot be accounted for genetically—that is, in terms of biological evolution. Instead, it is explained by the fact that, while all other animals transmit their ways of life, or social orders, primarily genetically, humans transmit their ways of life primarily symbolically, through traditions of various kinds and, above all, through language. It is the symbolic transmission of human ways of life (both the symbolic transmission itself and the human ways of life that are necessarily so transmitted) to which the term “culture” implicitly refers. Culture in this sense qualitatively—and radically—separates human beings from the rest of the biological animal kingdom.

This empirical evidence of human distinctiveness shows that humanity is more than just a form of life—i.e., a biological species. It represents a reality of its own, nonorganic kind, justifying the existence of an autonomous science. The justification is provided not by the existence as such of society among humans but by the symbolic manner in which human societies are transmitted and regulated. Stating the point explicitly in this way shifts the focus of inquiry from social structures—the general focus of social sciences—to symbolic processes and opens up a completely new research program, in its significance analogous to the one that Darwin established for biology. Humanity is essentially a symbolic—i.e., cultural, rather than social—phenomenon.

When the science of humanity at last comes into being, it will make use of the information collected in the social sciences but will not be a social science itself. Its subject matter, whichever aspects of human life it explores, will be the symbolic process on its multiple levels—the individual level of the mind and the collective levels of institutions, nations, and civilizations (see below Institutions, nations, and civilizations)—and the multitude of specific processes of which it consists. The science of humanity will be the science of culture, and its subdisciplines will be cultural sciences.

In contrast to the current social sciences, but like biology and physics, the science of humanity will have an inherent general standard for assessing particular claims and theories. As an autonomous reality, humanity is necessarily irreducible to the laws operating within the organic reality of life and to the laws operating within the physical reality of matter. It nevertheless exists within the boundary conditions of those laws—i.e., within the (organic and physical) reality created by the operation of those laws. Consequently, it is impossible without those boundary conditions. All the regularities of autonomous phenomena existing within the boundary conditions of other phenomena of a different nature (i.e., organic regularities existing within the boundary conditions of matter and cultural regularities existing within the boundary conditions of life) must be logically consistent with the laws operating within those boundary conditions. Therefore, every regularity postulated about humanity—every generalization, every theory—beginning with the definition of its distinctiveness, must entail mechanisms that relate that regularity to the human animal organism—mechanisms of translation or mapping onto the organic world. Indeed, the recognition that humanity is a symbolic reality implies such mechanisms, which connect every regularity in that reality to human biological organisms through the mind—the symbolic process supported by the individual brain.

The postulation of the mind and other distinguishing characteristics of humanity follows directly from the recognition of humanity as a symbolic reality, because such characteristics are logically implied in the nature of symbols. Symbols are arbitrary signs: the meanings they convey are defined by the contexts in which they are used. Every context changes with the addition of every new symbol to it—which is to say, every context changes constantly. Every present meaning depends on the context immediately preceding it and conditions the contexts and meanings following it, the changes thus occurring in time. That fact means that symbolic reality is a temporal phenomenon—a process. (It must always be remembered that the concept of structure in discourse about culture can only be a metaphor; nothing stands still in culture—it is essentially historical, in other words.) The symbolic process—that is, the constant assignment and reassignment of meanings to symbols (their interpretation)—happens in the mind, which is implicitly recognized as distinct from the brain (or from whatever other physical organ it may be associated with) in languages in which “mind” is a concept. The mind, supported by and in contrast to the brain, is itself a process—analogous, for instance, to the physical processes of digestion, happening to food in the stomach, or breathing, happening to air in the lungs. More specifically, it is the processing of symbolic stimuli—culture—in the brain. That fact makes culture both a historical and a mental phenomenon. In the science of humanity, moreover, it necessitates a perennial focus on the individual (methodological individualism, indeed already recommended by Weber), the individual being defined as a culturally constituted being and the mind being seen as individualized culture (“culture in the brain”). It also precludes the reification of social structures of whatever kind, be they classes, races, states, or markets. Although the mind is the creative element in culture (the symbolic process in general and the specific processes of which it consists on the collective level), its creativity is necessarily oriented by cultural stimuli operating on it from the outside. The symbolic process, just like the organic process of life, takes place on the individual and the collective levels at once, involving both continuity and contingency. Like genetic mutations in the process of life, change is always a possibility, but its nature (and thus the direction of evolution in the case of life and the direction of history in the case of humanity) can never be predicted.

Identity, will, and the thinking self

From the nature of symbols and symbolic processes one can also formulate hypotheses regarding the inner structure or anatomy of the mind, which can then be methodically tested against empirical evidence—historical, psychological, psychiatric, and even neuroscientific. The variability of human social orders, which is a function of the fact that human ways of life are constituted and transmitted symbolically rather than genetically, implies that, in contrast to all other animals, who are born into a specific ordered world, clearly organized by their genes, human beings are born into a world with numerous, potentially mutually exclusive, possibilities, and very early on in life (from early childhood) they must be able to adapt themselves to the possibilities that happen to be realized around them. Not being genetically equipped for any particular possibility, humans, in the first years of their lives, must grow adaptive mechanisms for focusing on such possibilities. Those mechanisms are the constituent processes of the mind.

Two of those processes can be logically deduced from the essentially indeterminate (arbitrary, potentially variable) nature of human social orders: identity and will. No other animal (with the exception of pets, whose world is the same as their human companions and is thus, by definition, also cultural) has a need for identity and will: their positions vis-à-vis other members of their group and their actions under all likely circumstances—that is, the circumstances of the species’ adaptive niche—are genetically dictated. Being genetically unique, each animal has individuality, but only human individual character has (and is mostly a reflection of) this adaptive subjective dimension. Identity and will constitute functional requirements of the individual’s adaptation to the indeterminate cultural environment. They represent the different aspects of the self, or “I”—identity being a relationally-constituted self and will being the acting self, or agency.

Identity may be understood as symbolic self-definition: the image of one’s position in a sociocultural “space” within a larger image of the relevant sociocultural terrain. The larger image is an individualized microcosm of the particular culture in which one is immersed, a mental map of the variable aspects of the sociocultural environment, analogous to representations of the changing spatial environment yielded by place cells, discovered in neurological experiments with rodents. Like the indication of a rat’s place on the spatial mental map, the human identity map defines the individual’s possibilities of adaptation to the sociocultural environment. Because that environment is so complex, however, the human individual, unlike a rat, is presented in the map with various possibilities of adaptation, which cannot be objectively and clearly ranked. They must be ranked subjectively—i.e., the individual must choose or decide which of them to pursue. This subjective ranking of options is a function of the general character of the mental map (for instance, what place on it is occupied by God and the afterlife, or by the nation, or by one’s favorite sports team, etc.) and where one is placed on it in relation to such other presences.

While identity serves as a representation (and agent) of a particular culture (the culture in which the individual is immersed), will is a function of the symbolic process in general—i.e., it reflects the intentionality of symbols. Human actions (except involuntary reflexes) are not determined reactions but products of decision and choice. The nature of the human response to any stimulus is indeterminate: it is the will that steps in, as it were, in a split-second intermediate stage between stimulus and reaction, deciding in that moment what the response will be. The word “consciousness” is frequently applied to these moments of decision, but, unless rendered problematic by special circumstances, both identity and will are largely unconscious processes in the sense that humans very rarely think about or become consciously aware of them.

Given the character of the human environment, the logical reasons for the existence of identity and will are rather obvious: both “structures” are necessary for the individual’s adaptation to that environment and, therefore, for the individual’s survival. Discoverable only logically, they remain hypothetical until tested against empirical evidence. This is not so as regards the thinking component of the mind—the thinking “I,” or the “I” of self-consciousness (which can also be called “the ‘I’ of Descartes,” because it is to that notion that Descartes referred in his famous dictum, cogito, ergo sum. Each person is aware of a thinking “I.” Its existence is known directly through experience—in other words, empirically. This knowledge is absolute, or certain, in the sense that it is impossible to doubt. It is, in fact, the only certain knowledge available to human beings. The thinking “I” is not necessary for the individual’s adaptation to the sociocultural environment and to his or her survival in it, but human existence in general would be impossible without it. It is a necessary condition for the culture process on the collective level. As the “I” of self-consciousness, the thinking “I” makes possible self-consciousness for any individual human; as the process of self-conscious thought, the one explicitly symbolic process among all symbolic mental processes, it makes possible indirect learning and thereby the transmission of human ways of life across generations and distances. It is not just a process informed and directed by our symbolic environment, but an essentially symbolic process, similar to the development of language, musical tradition, elaboration of a theorem—and to the transmission of culture, in general—in the sense that it actually operates with formal symbols, the formal media of symbolic expression. This is the reason for the dependence of thought on language, which has been frequently noted. Thought extends only as far as the possibilities of the formal symbolic medium in which it operates.

How can one test the anatomy of the mind, most of which is discoverable only through logical deduction? As in medicine, malfunction provides an excellent empirical test. Under normal conditions, the three “structures” of the mind are perfectly integrated, but in cases of mental illness integrated minds disintegrate into the three components, each of which can then be observed in its specific malfunction. This is particularly clear in the case of functional mental disease of unknown organic basis, such as depressive disorders (unipolar or bipolar) and schizophrenia—which in fact are generally identified by clinicians with the loss of aspects of the self or its complete disintegration. Depressive disorders, for example, specifically affect the will: depressed patients lose motivation, sometimes to such an extent that they find it difficult to get out of bed or to do the simplest things. In the manic stage of manic-depressive disorder (bipolar disorder), patients lose control of themselves altogether, being unable to will themselves to act or to stop acting, in retrospect explaining that they “lost their mind” or that the person who acted or did not act “wasn’t me.” The impairment of the will in bipolar disorder entails self-loathing (in the case of depression) and extremely high self-confidence (during acute mania)—i.e., an uncertain, oscillating sense of identity. Both depressive disorders and schizophrenia express themselves in delusions, or beliefs that one is what one definitely is not. Accordingly, both the overall nature of one’s mental map and one’s place on it radically change. In schizophrenia in particular, the thinking “I” completely separates from the mind, and patients experience their own thoughts as implanted from outside and their self-consciousness as being watched or observed by someone else. At the same time, their thinking (which they experience as alien) faithfully reflects the tropes and commonplaces of their cultural environment.

Certain subdisciplines of the science of humanity will make the cultural process on the individual level of the mind their special subject. One possible branch, analogous to cellular biology, might study the interrelations between different symbolic components of the human mental process. Another, analogous to biochemistry or biophysics, might study the interrelations between the symbolic and the organic components of the mental process—that is, the interrelations between the mind and the brain. The formation, transmission, changes, and pathologies of identity, will, and the thinking self will be central subjects in these subdisciplines, which will necessarily inform, and be informed by, the study of the cultural process on the collective level, just as cellular biology, biochemistry, and biophysics are interconnected with the focused study of particular forms of life, from kingdoms to species (e.g., entomology, primatology) and with subdisciplines such as genetics, ecology, and evolutionary biology, which focus on macro-level life processes.

Institutions, nations, and civilizations

Knowledge accumulated (and left uninterpreted) in the course of the history of the social sciences—specifically, knowledge that amounts to comparative history—when examined from the perspective of the science of humanity and in light of the recognition of the symbolic and mental nature of the subject, allows one to identify several layers of the cultural process on the collective level. Those layers can be distinguished analytically, though not empirically, given that all cultural processes are happening simultaneously in several of these layers in various combinations, which in every particular case are subject to empirical investigation.

There are three autonomous layers. In order of increasing generality they are: (1) the layer of social institutions, or established “ways of thinking and acting” (as Durkheim defined them) in the various spheres of social life, such as economy, family, politics, and so on; (2) the layer of nations (in the past, mostly religions), understood as functionally-integrated, geopolitically bounded systems of social institutions; and (3) the layer of civilizations, the most durable and causally significant of the three layers. Civilizations are family sets of autonomous systems, sharing the same (civilizational) first principles (e.g., monotheism and logic) and, although not systematically related to each other, interdependent in their development. The mind is the active element in the collective cultural process at all layers, constantly involved in their perpetuation and change while being constantly affected, constrained, and stimulated by them. Civilizations constitute the independent and thus the fundamental layer of the cultural process on the collective level, in the sense of depending on no other cultural process on that level but only on the mind in their origins. They are a framework subsuming all the others and subsumed in none, causally significant in every layer below and—together with mind—ultimately responsible for cultural diversity in the world.

The only concept from the social sciences that can be appropriated and built upon within the science of humanity is Durkheim’s concept of anomie, which implicates the psychological mechanisms that connect cause and effect in any particular case (connecting the mind and culture in one process) and therefore lends itself easily to investigation by empirical evidence. Anomie refers to a condition of systemic inconsistency among collective representations, directly affecting individual experience and creating profound psychological discomfort. The discomfort motivates participants in the situation in question to resolve the bothersome inconsistency. Thus the concept encompasses the most generally applicable theory of sociocultural change—a change in identity, which leads to changes in established ways of thinking and acting within more or less extended areas of experience.

Applications of the science of humanity: nationalism, economic growth, and mental illness

This minimal exposition of the ground principles of the science of humanity already provides a sufficient basis for raising and answering, logically and empirically, questions regarding phenomena that the current social sciences are capable of approaching, if at all, only speculatively. As examples, one can focus on three such phenomena that have been at the center of public discussion since at least the late 19th century: nationalism, economic growth, and functional mental illness. The amount of information collected about them is enormous; all three have been subjects of voluminous descriptive and “theoretical” (speculative) literature. Yet, this literature has not been able to explain them, failing to answer the fundamental question of what causes these phenomena, or why they exist. The practical effects of this inability to understand the forces controlling human life cannot be exaggerated.

Within the framework of the science of humanity, one would approach nationalism, economic growth, and functional mental illness without any preconceptions other than that they are symbolic, by definition historical phenomena—i.e., products of new symbolic contexts, created by the reinterpretation of certain collective representations by certain minds at certain specific moments in the cultural process. The first step would be to establish when and where—in what circumstances—these moments occurred. An appearance of new vocabularies (to explicitly record new experiences and transmit new meanings) is by far the best, though not the only, indicator. In the case of nationalism, the name itself orients research toward European languages. Their examination before the concept enters broad circulation—that is, beginning in the 18th century and moving backward—reveals that the concept of the nation as generally understood today—as the people to which one belongs, from which one derives one’s essential identity, and to which one owes allegiance—first appeared in the early 16th century in England, signaling a dramatic change in the meanings of the words nation and people. Before that time, nation referred to exceedingly small groups of very highly placed individuals, representatives of temporal and ecclesiastical rulers at church councils, each such group a tiny elite making decisions determining the collective fates of large populations, and people denoted the overwhelming majorities within those populations—i.e., their common, or lower, classes, the “rabble” or plebs. Whereas membership in the conciliar nation communicated a sense of great power and dignity, there was none in being one of the people; membership in a people meant being a nobody. This distinction existed within the context of the European feudal “society of orders,” which divided the population of every Christian principality into separate categories of humanity, as different from each other as species of animals are. Indeed, they were thought to differ even in the nature of their blood (which could not be mixed): the small upper military order of the nobility (comprising 2 to 4 percent of the population) was believed to have blue blood, while the huge lower order of the people was believed to have red blood.

In the second half of the 15th century, however, protracted conflict between the two branches of the English royal family, known as the Wars of the Roses, actually destroyed the blue-blooded upper order. A new (in fact plebeian) family assumed the crown; the new king needed help from the new aristocracy to carry out his rule; a period of mass, generally upward, mobility began; and enterprising individuals who knew that their blood was “red” found themselves occupying positions which formerly could be occupied only by those whose blood was “blue.” Their experience was positive but not understandable to them. Attempting to explain it to themselves and to make it seem legitimate, they stumbled upon the paradoxical but extremely appealing idea that the English people themselves were a nation. The equation of the two concepts, people and nation, symbolically elevated the masses, making all of the English equal. Their identity—the place of each individual on his or her mental map of the sociocultural terrain—was transformed as it became the dignified national identity that is inclusively granted to members of a sovereign community of fundamentally equal members.

Schematically, the circumstances in which nationalism emerged can be described as follows: the personal experience of a significant number of well-placed (influential) individuals contradicts existing collective representations, resulting in an irritating anomic situation; because the experience is positive, these individuals reinterpret collective representations in a way that makes it normal (understandable and legitimate); the image of reality and personal identity change to reflect this reinterpretation, establishing different ways of thinking and, therefore, acting in the society at large. The change in identity and the image of social reality in the first place affects status arrangements (i.e., the organization of social positions, the system of social stratification): nationalism creates a polity-wide community of equals, making individuals interchangeable and mobility between strata possible, expected, and ultimately dependent on individual choice (making one free) and effort. This, in turn, changes the nature of political institutions. Defined as the decision-making elite (nation), the entire community must now be represented in the government: the impersonal state, as the abstraction of popular sovereignty, replaces the personal government of kings. Other specific institutions are similarly affected. Eventually, the dignity implied in nationalism brings to it new converts, and national consciousness spreads first to England’s colonies and neighbors and then farther and farther around the world.

The growing influence of England and then Great Britain, which rapidly emerged as the preeminent European power carefully watched everywhere, was an important factor in the attention nationalism initially attracted, and England’s own precocious nationalism was the reason why the country’s influence grew. Nationalism is an inherently competitive form of consciousness. National membership endows with dignity the personal identity of every national, making national populations deeply invested in the dignity of the nation as a whole, or its standing among other nations (into which the national image of reality from the moment of its emergence divides the world). Standing among others is always relative and cannot be achieved once and for all. Nations are impelled to compete for dignity—prestige, respect of others—constantly. They choose to compete for it in those areas which offer them the best chances to end up on top: Russia, for instance, from the outset of its existence as a nation in the 18th century staked its national dignity on military strength, adding to it, when the time was right, the splendor of its high culture (science, literature, ballet, and so on) but never competing in the economic arena. England, the first nation, became ardently competitive when it faced no challengers, having its pick of competitive arenas. Answering the need to justify the personal experience of upward mobility, English nationalism prioritized the individual, and it was natural for England to challenge the world to economic competition, which directly involved the great majority of its people. Nationalist competitiveness—a race whose finish line is ever-receding, because the prize is a nation’s standing relative to others—drove the classes engaged in economic activity to produce a new, modern economy, the one since called “capitalist,” which differed drastically from the traditional economies that had existed everywhere before nationalism. Whereas traditional economies were oriented toward subsistence, nationalism reoriented the English and then other economies toward growth. With economic performance the basis of international prestige, nations opting for competition in the economic arena cannot afford to stop growing, whatever the costs—political, psychological, or other. This explains another central dimension of modern life, which has preoccupied social thinkers for at least 250 years and which the social sciences have never been able to account for, and thus regard as “natural”: economic growth, and specifically the reorientation of national economies toward economic growth beginning in the late 16th century.

The reorientation of the English economy (the first to reorient) toward growth occurred within decades of the emergence of national identity and consciousness. Another phenomenon that closely accompanied that cultural (symbolic and mental) change was the noticeable rise in rates of functional mental illnesses, which would eventually be identified as schizophrenia and affective disorders. Although individual cases of such illnesses had been recorded well before the 15th century (indeed as far back as the Bible and ancient Greece), with the rise of nationalism they became a public-health and social problem of the first order. Other societies that acquired national identity and consciousness after England also experienced sharply increased incidences of such illnesses, which continued to rise as nationalism spread in them, reaching epidemic proportions in some countries (e.g., the United States).

For more than 200 years, psychiatry, which emerged in response to this problem, has attempted to combat functional mental disease, which nevertheless remains unexplained and, as a result, incurable (though their symptoms can sometimes be alleviated through medication or therapeutic intervention). Considered in the framework of the science of humanity as outlined above, however, its causes become clear. Nationalism necessarily affects the formation of individual identity. A member of a nation can no longer learn who or what he or she is from the environment, as would an individual growing up in an essentially religious and rigidly stratified, nonegalitarian order, in which each person’s position and behavior are defined by birth and (supposedly) divine providence. Beyond the very general category of nationality (national identity), a modern individual must decide what he or she is and should do and, on that basis, construct his or her own personal identity. Schizophrenia and depressive (unipolar and bipolar) illnesses are caused specifically by the values of equality and freedom as self-realization, which make every individual his or her own maker. The rates of such mental diseases increase in accordance with the extent to which a particular society is devoted to these values—inherent in the nationalist image of reality (i.e., in the national consciousness)—and the scope of freedom of choice within it. Conflicting collective representations do not allow for the construction of a meaningful mental map, and blurred or nonexistent identity impairs the will and dissolves the self, destroying the mind as individualized culture and leaving the individual to experience his or her thinking “I,” untethered to identity and will, as an alien presence.

The various historical connections between different layers of the cultural process come into sharper focus when one considers the spread of nationalism into Japan and China—that is, beyond the family of cultures, all embedded in monotheism, in which nationalism emerged. Nationalism was introduced in Japan by the Western powers who bent the small country to their will by their show of military strength in 1853, deeply humiliating its elites. Recognizing the implications of nationalism for collective dignity, these elites convert to the new consciousness, the country became extremely competitive, and within a few decades it emerged as a formidable military and economic power. The humiliation of China’s defeat in the First Sino-Japanese War (1894–95) was the reason for the birth of Chinese nationalism; Chinese elites also adopted it in an effort to restore the dignity of their empire. The colossal Chinese population remained unengaged until the ideological turn initiated by Deng Xiaoping (1904–97) connected national dignity to economic performance, thereby dignifying the population’s main activity. Accordingly, both nationalism and capitalism (understood as an economic system oriented toward growth) spread in Japan and China. But, unlike monotheistic civilizations—in which, by definition, reality is imagined as a consistently ordered universe and which, therefore, place great value on logical consistency—cultures (and minds) within the Sinic civilization (all cultures rooted in China) are not bothered by contradictions. As a result, conflicting collective representations (anomie), which are implicit in the freedom and equality implied by nationalism, do not have there the disorienting psychological effects that they have in societies embedded in monotheism. Remarkably, East Asian societies, as epidemiologists have repeatedly stressed, remain largely immune from functional mental illness.

The prospect of a science of humanity, like the pursuit of objective knowledge through the method of conjecture and refutation about any aspect of empirical reality, holds great promise. But it can develop only in conditions that would allow for its institutionalization. Although such conditions do not exist today, they may yet exist in the future.

The Modern Mental Disease

By Liah Greenfeld

Modern humans—that is, people who live in societies such as ours, democratic, prosperous, relatively secure, and offering its members numerous life-choices, people like you and me, in other words—are different from humans who lived or live in other types of societies. We experience life differently from them: perceive reality differently and feel emotions that other humans did not have.

Human experience was revolutionized in the 16th century England. In the previous posts we have already discussed such new emotions as ambition, love, happiness, and their connection to the new form of consciousness, which came to be called “nationalism” and formed the cultural framework of modernity. Nationalism implied a special image of society as a sovereign community of equal members (a “nation”) and of reality in general. In its original, English, form it was essentially democratic. As it spread, it carried the seeds of democracy everywhere. Considering a living community sovereign (the source of all laws), it implicitly but drastically reduced the relevance of God and, even when combined with religion and presented in a religious idiom, which happened often, was to all intents and purposes secular. It was dramatically different, in other words, from the fundamentally religious, hierarchical consciousness which it replaced, and it shaped the way we live today. Among other things, the new consciousness made the human individual one’s own maker: it implied we had the choice to decide what we want to be; it dramatically increased the value of human life, encouraging us to realize it to the fullest extent—in other words, it gave us dignity and freedom. The society built on its premises of equality and popular sovereignty was an open society, in which the individual had the right to define one’s own identity, a society which made one’s identity one’s own business.  It is not coincidental that the new emotions discussed in previous posts, which emerged when the English society was redefined as a “nation,” were in some way connected to the individual’s ability to define oneself and that the two great modern passions—ambition and love—in fact answered a new need which this ability created: the need for help in identity-formation.

Unfortunately all these benefits of nationalism—the dignity, freedom, and equality, both empowering and encouraging the individual to choose what to be – did not come unaccompanied by costs, and for all the enrichment of our life experience contributed by love and happiness, these costs would be impossible to disregard.  The liberty to define oneself has made the formation of the individual identity problematic. A member of a nation cannot learn who or what s/he is from the environment, as would an individual growing up in an essentially religious and rigidly stratified, non-egalitarian order, where everyone’s position and behavior are defined by birth and divine providence. Beyond the very general category of nationality, a modern individual must decide what s/he is and should do, and thus construct one’s identity oneself.  Modern culture cannot provide individuals within it with consistent guidance, with which other cultures provide its members. By providing inconsistent guidance (for we are inevitably guided by our cultural environment), it in fact actively disorients us. Such cultural insufficiency is called anomie. Already over a century ago, it was recognized as the most dangerous problem of modernity. For many people, the necessity to construct one’s identity, to choose what to make of oneself, became an unbearable burden.

At the same time as the English society was redefined as a nation, and ambition, happiness, and love made their first appearances among our emotions, a special variety of mental illness, different from a multitude of mental illnesses known since antiquity, was first observed. It expressed itself in degrees of mental impairment, derangement, and dysfunction, the common symptoms of which were social maladjustment (chronic discomfort in one’s environment) and chronic discomfort (dis-ease) with one’s self, the sense of self oscillating between self-loathing and megalomania and in rare cases deteriorating into the terrifying experience of a complete loss of self. Some of the signs of the new disorder were similar to the symptoms of familiar mental abnormalities. In particular, the new illness, like some previously known conditions, would express itself in abnormal affect—extreme excitement and paralyzing sadness. But, in distinction to the known conditions in which these symptoms were temporary, in the new ailment they were chronic and recurrent. The essence of the new disorder, however, was its delusionary quality, that is the inability to distinguish between the inner world and the outside, which specifically disturbed the experience of self, confusing one regarding one’s identity, making one dissatisfied with, and/or insecure it, it, splitting one’s self in an inner conflict, even dissolving it altogether into the environment. Sixteenth-century English phrases such as “losing one’s mind,” “going out of one’s mind,” and “not being oneself” captured this disturbed experience, which expressed itself in out-of-control behaviors (that is, behaviors out of one’s control, out of the control of the self), and, as a result, in maladjustment and functional incapacitation.

None of the terms in the extensive medical vocabulary of the time (which included numerous categories of mental diseases) applied to the new mental illness; neither could it be treated with the means with which the previously known mental illnesses were treated. It required a new term—and was called “madness.” It also called into being the first hospital in the sense in which we understand the word (the famous Bedlam), the first medical specialization, eventually named “psychiatry,” and special legislation regarding the “mad.”  It is this clearly bipolar and delusional disease which would be three centuries later classified as distinct syndromes of schizophrenia and affective (depressive and manic-depressive) disorders.

We shall follow the history of this modern disease and analyze it in the following posts.

[Originally published on Psychology Today]

Love, Madness, Terrorism: Connected?

By Liah Greenfeld

In the 16th century, in England, several remarkable things happened:

Social mobility, inconceivable before, became legitimate and common;

The ideal of Romantic love between a man and a woman emerged and “true love,” as we understand it today, was added to the human emotional range;

The word “people,” which earlier referred to the lower classes, became synonymous with “nation,” which at the time had the meaning of “an elite”;

Numerous new words appeared, among them “aspiration,” “happiness,” and “madness”;

The English society, previously a society of hierarchically arranged orders of nobility, clergy, and laborers under the sovereignty of God and his Vicar in Rome, was redefined as a sovereign community of equals;

The nature of violent crime, personal and political, changed, with crime that was not rational in the sense of self-interested becoming much more common;

The attitude to pets, especially dogs and cats, changed, transforming these animals in many cases from living multi-purpose tools to our friends and soul-mates;

The pursuit of growth — rather than survival, as was the case before – became the goal of the economy;

Mental diseases which were later to be named “schizophrenia,” “manic-depressive illness,” and “depression” were first observed, shifting the interest of the medical profession, in particular, from other, numerous, mental diseases that were known since the times of antiquity.

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Shakespeare and Mental Illness

Alan A. Stone, Touroff-Glueck Professor of Law and Psychiatry in the faculty of law and the faculty of medicine at Harvard University, in Psychiatric Times, March 12, 2013:

The ancient Greek dramas of Aeschylus, Sophocles, and Euripides gave Western civilization its foundational myths: Prometheus, Oedipus, Antigone, and the Oresteia. Two thousand years passed until Shakespeare arrived and, according to literary critics, achieved something perhaps more important: he “invented the human!”1 I think of this invention as the secular conception of the human condition. Yes secular! it is a vision of the moral adventure of life constrained by no religious orthodoxy.

Scholars debate whether Shakespeare was Catholic or Protestant. He often draws on both the Old and New Testaments of the Bible and the Book of Common Prayer, but God is missing from his greatest plays. Nonetheless, to paraphrase Simon Russell Beale, the great British actor, to perform in those plays is to experience “redemption and transcendence.” Shakespeare’s understanding of the human condition miraculously transcends his culture, time, and place…     Continue reading

The Cradle of Madness

By David Phillippi

In the same 16th century England which brought the world ambition and love (see Madness: A Modern Phenomenon), a new form of mental disease—madness—appeared. While previously known forms of mental illness were temporary, related perhaps to an infection, an accident damaging the brain, a pregnancy, a bodily illness like “pox” (syphilis), or old age, madness was chronic—usually appearing at a fairly young age (without evidence of an organic cause) and lasting till death. Another of its names, lunacy, reflected the suspicion of a physical cause—specifically implicating the waxing and waning of the moon in the periodic alterations in the character and symptoms of the sufferers. The word insanity entered English at that time too, apparently referring to the same phenomenon as madness and lunacy.

The chronic nature of madness made it a legal issue from the very beginning; the first provision in English law for mentally disturbed individuals—referred to, specifically, as “madmen and lunatics”— dates back only to 1541. Also in the middle of the 16th century, Bethlehem Hospital—more commonly known as Bedlam, the world’s first mental asylum—became a public institution, transferred to the city of London in 1547. While there was probably little to be praised in terms of humane treatment and comfortable accommodations, Bedlam continued to expand into the 17th century to meet what seemed to be a growing need to house the severely mentally ill.

Physicians of the day sought to describe and understand this new phenomenon, but their methods, sources, and interpretations were thoroughly mixed. Their reliance on classical Greek and Latin terms of mental disturbance resulted in a liberal blend of (their interpretation of) the old ideas with the new reality, and though they attempted to draw distinctions between conditions, they were far from clear. The cause was usually assumed to be organic. The common attribution of madness to an imbalance of the four humors shows the strong influence of the classical medical understanding. (The use of the term melancholy as a name for mental illness in general or a particular variety of it is a prime example). Insanity might also be explained by the stars under which one was born. Some authors distinguished between organic madness and spiritual madness caused by demonic influence. Still others focused on mental states that could in turn affect the body.

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Madness: A Modern Phenomenon

By David Phillippi

For most of human history, in most societies, identity was not something one had to go searching for – it was given at birth. For most individuals, the socio-cultural space relevant to their lives was easy to map out, and directions for proper navigation were well understood from a young age. Life may have been extremely difficult in the physical sense, but at least it was not confusing – people knew their proper place.

As Greenfeld has demonstrated in her first major work, Nationalism: Five Roads to Modernity, this changed in 16th century England following the War of Roses, which wrecked the nobility and left the rigidly stratified society of orders in disarray. In its place, a new consciousness emerged–nationalism–the modern consciousness, which redefined the possibilities for life in England and in the other societies to which it soon spread. We call this new consciousness nationalism simply because “nation” was the name given to the society in which it emerged by those 16th century Englishmen who first experienced its dignifying effects.

Nationalism is a fundamentally secular and humanistic consciousness based on the principles of popular sovereignty and egalitarianism. (Three distinctive features which most often take shape along with this consciousness are an open class structure, the state form of government, and an economy oriented towards sustained growth). At the beginning of the 16th century, someone among the newly elevated English aristocracy began equating the word “nation,” which had formerly referred to as a political and cultural elite, with the word “people,” which referred originally to the lower classes. This equation of “nation” and “people” both reflected and reinforced the new reality of English society, where the principles of popular sovereignty and egalitarianism made the nation and all its members an elite. No longer confined to a particular station in life by a closed societal structure ordained by Divine Providence, man became his own ruler, the maker of his own destiny. This elevation in dignity for every member of the nation meant that life in the here and now gained much greater importance–eternity was no longer the realm of the meaningful. This is the source of the secularism of modern society–God was not consciously abolished, but was essentially replaced by man.

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