Abstract

Throughout European history, madness has been associated with two states: movement and confinement. These apparently contradictory states converge in an obscene state, in the etymological sense of the word: offstage. In this article, based on data from ethnographic work in the Barcelona mental health care network, it is argued that "being ob-scene" results when madness challenges hegemonic social processes of inculcation and persuasion that induce acceptance of behavioral patterns considered appropriate, and lead patients to identify with the interests of therapists. Madness defies not reason, as it is widely supposed, but common sense understood as a cultural system. Its refractory nature leads to the stigmatizing management of madness in expert systems that seeks to subsume the experience of affected persons in predictable nosological categories.

Highlights

  • Throughout European history, madness has been associated with two states: movement and confinement

  • Esta refracción es la que induce a una gestión estigmatizante de la locura en los sistemas expertos que busca subsumir la vivencia de los afectados en categorías nosológicas previsibles

  • Ante a incapacidade manifesta de criar uma hegemonia de senso comum, a persuasão perde sua capacidade como instrumento biopolítico para deixar passo a uma ocultação que opera tanto no nível das práticas terapêuticas como dos próprios afetados

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Summary

Introduction

Throughout European history, madness has been associated with two states: movement and confinement. O confinamento, por sua vez, inclui entre outras modalidades o manicômio como lugar de reclusão (não se sabe bem o quê) da sem-razão, do caos, da falta de senso comum, da desordem, do medo, da diferença, da dissidência, mas que persiste durante séculos como uma forma de controle social.

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