1. Madness and Civilisation
Michel Foucault
Madness and Civilisation

2. Periodisation of Madness
1. Stultifera Navis or Ship of Fools (15-16th Centuries)
2. The Great Confinement (17-18th centuries)
3. The Birth of the Asylum (late 18th-21st centuries)

3. Ship of Fools
The Ship of Fools is not about other people, it is about us.

5. Ship of Fools
`Madness circulates, was part of common decor and language, a daily experience that one seeks to exalt rather than master'.

6. Erasmus In Praise of Folly
the mind of man is so framed that it is rather taken with the false colours than truth; of which if anyone has a mind to make the experiment, let him go to church and hear sermons, in which if there be anything serious delivered, the audience is either asleep, yawning, or weary of it; but if the preacher--pardon my mistake, I would have said declaimer--as too often it happens, falls into an old wives' story, they're presently awake, prick up their ears and gape after it.

7. Age of Confinement / Age of Reason
In France Hôpitale Générale
in Germany Zuchthausen
in Holland Rasphuis
In England Houses of Correction

8. Age of Confinement or Age of Reason
Exclusion
Animality
Heterogeneity
Labour
Spectacle

9. Age of Confinement
“The animal in man no longer has any value as the sign of a beyond; it has become madness without relation to anything but itself.”

10. Age of Reason Bourgeois normative order Labour and Idleness
Human and the inhuman
Reason and unreason
Man and animal

11. Bethlem or Bedlam

12. Age of Confinement
“no longer men whose minds had wandered, but beasts preyed upon by a natural frenzy”
“In the reduction to animality, madness finds both its truth and its cure

13. Age of Confinement
“Madness was no longer talkative and manifest. It enters a silence from which it will not emerge. It is stripped of its language and if one could continue to speak of it, it would be impossible for it to speak of itself.”

14. Birth of the Asylum
Legend of Pinel and Tuke
Liberation and Liberty

15. Pinel – Releasing Lunatics

16. Pinel – Releasing Lunatics

18. Pinel’s moral treatment

19. Pinel’s moral treatment
“The problem is to impose a morality that will prevail from within upon those who are strangers to it… Silence (the guilt is shifted inside)... Recognition (self-imprisonment), Perpetual Judgment (recognition of guilt)”

20. The meaning of reform
“We must re-evaluate the meanings assigned to the liberation of the insane, abolition of constraint, constitution of a human milieu – these are only justifications. In fact Tuke created an asylum where he substituted for the free terror of madness the stifling anguish of responsibility…” (Foucault)

21. Age of Positivism
The mad were turned into objects of the keeper's gaze, subjected to a system of rewards and punishments for the detail of their behaviour. The keeper was to be no longer a flogger of animals, but a moral authority and judge. The inmate was like a child handed over to the steady gaze of the man of reason. This ‘moral’ system of power, based on an objectifying observation, denied validity to the voice of the mad.