In the history of madness, two events signal this change with singular clarity: in 1657, the founding of the Hôpital Général, and the Great Confinement of the poor; and in 1794, the liberation of the mad in chains at Bicêtre. Between these two singular and symmetrical events, something happened, whose ambiguity has perplexed historians of medicine: blind repression in an absolutist regime, according to some, and, according to others, the progressive discovery, by science and philanthropy, of madness in its positive truth. In fact, beneath these reversible meanings, a structure was taking shape, which did not undo that ambiguity but was decisive for it. This structure explains the passage from the medieval and humanist experience of madness to the experience that is our own, which confines madness in mental illness.
French philosopher (1926–1984)
Paul-Michel Doria Foucault (15 October 1926 – 25 June 1984) was a French philosopher, historian of ideas, writer, political activist, literary critic, and Professor of the History of Systems of Thought at the Collège de France from 1970 until his death in 1984. Foucault's theories primarily address the relationship between power and knowledge, and how they are used as a form of social control through societal institutions. He revolutionized the academic study of the history of medicine, sexuality, penality, the liberal state and classical ethics, and contributed to the philosophy of language and aesthetics.
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The constitution of madness as mental illness, at the end of the eighteenth century, bears witness to a rupture in a dialogue, gives the separation as already enacted, and expels from the memory all those imperfect words, of no fixed syntax, spoken falteringly, in which the exchange between madness and reason was carried out. The language of psychiatry, which is a monologue by reason about madness, could only have come into existence in such a silence.
One can say that the author is an ideological product, since we represent him as the opposite of his historically real function. (When a historically given function is represented in a figure that inverts it, one has an ideological production.) The author is therefore the ideological figure by which one marks the manner in which we fear the proliferation of meaning.
The painter is turning his eyes towards us only in so far as we happen to occupy the same position as his subject. We, the spectators, are an additional factor. Though greeted by that gaze, we are also dismissed by it, replaced by that which was always there before we were: the model itself. But, inversely, the painter's gaze, addressed to the void confronting him outside the picture, accepts as many models as there are spectators; in this precise but neutral place, the observer and the observed take part in a ceaseless exchange.
But let there be no misunderstanding: it is not that a real man, the object of knowledge, philosophical reflection or technological intervention, has been substituted for the soul, the illusion of theologians. The man described for us, whom we are invited to free, is already in himself the effect of a subjection more profound than himself. A 'soul' inhabits him and brings him to existence, which is itself a factor in the mastery that power exercises over the body. The soul is the effect and instrument of a political anatomy; the soul is the prison of the body.
There has been an inversion in the hierarchy of the two principles of antiquity, “Take care of yourself” and “Know yourself.” In Greco-Roman culture, knowledge of oneself appeared as the consequence of the care of the self. In the modern world, knowledge of oneself constitutes the fundamental principle.
Il me semble que la tache politique actuelle dans une société comme la notre c’est de critiquer le jeu des institutions apparemment les plus neutres et les plus indépendantes, de les critiquer et les attaquer de telle manière que la violence politique qui s’exerçait obscurément en elles (les institutions) surgissent et qu’on puisse lutter contre elles.
By power... I do not understand a general system of domination exercised by one element or one group over another, whose effects... traverse the entire body social... It seems to me that first what needs to be understood is the multiplicity of relations of force that are immanent to the domain wherein they are exercised, and that are constitutive of its organization; the game that through incessant struggle and confrontation transforms them, reinforces them, inverts them; the supports these relations of force find in each other, so as to form a chain or system, or, on the other hand, the gaps, the contradictions that isolate them from each other; in the end, the strategies in which they take effect, and whose general pattern or institutional crystallization is embodied in the mechanisms of the state, in the formulation of the law, in social hegemonies. The condition of possibility of power... should not be sought in the primary existence of a central point, in a unique space of sovereignty whence would radiate derivative and descendent forms; it is the moving base of relations of force that incessantly induce, by their inequality, states of power, but always local and unstable. Omnipresence of power: not at all because it regroups everything under its invincible unity, but because it is produced at every instant, at every point, or moreover in every relation between one point and another. Power is everywhere: not that it engulfs everything, but that it comes from everywhere.