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Paul Lerner Fall Semester 2009 Office: SOS 276 Tel. 740-1653 Email: firstname.lastname@example.org Classroom: THH 114 Lecture Times: 11-12:20 T, Th Office Hours: Wed. 10-12 & by appointment
Teaching Assistant: Elizabeth Logan (email@example.com). Discussion Sections: Fridays 9-9:50 THH 119; 10-10:50 THH 112 Madness, Science and Society in the Modern West Course Description and Goals For some two centuries Western medicine has been trying to construct a science of the mind and its functions. Over this period various approaches to understanding mental disorders have arisen and (in most cases) then fallen out of favor, and mental illnesses have been repeatedly reclassified, re-categorized and re-conceptualized since the beginnings of professional psychiatry. Similarly, treatment methods and ways of handling mentally ill patients have fluctuated over time, from the so-called moral treatment of the late eighteenth century, through the rise of psychiatric science in the nineteenth, the birth of psychotherapy and psychoanalysis in the early twentieth, the era of somatic cures in the mid twentieth, and our own age of psychopharmacology. This course explores the roughly two centuries-long history of psychiatry and studies the formation of scientific knowledge about the mind, self and psyche. How have perceptions and representations of insanity changed over time and across cultures? How have different societies and regimes defined, diagnosed, categorized and dealt with mentally ill people? In what ways do ideas about madness reflect broader cultural currents and social transformations? How is knowledge about the mind part of larger systems of power and social organization? How have diagnoses and treatments of mental illness reflected and intensified notions of gender, race and class? Finally, how do market forces shape conceptualizations and treatments of mental illness and sanity? The class investigates these and other issues through primary source readings — by doctors and patients — and through historical, sociological and theoretical accounts of psychiatry’s history — by both clinicians and historians. We will also use literature and film to study the representation of mental illness and mental science in several contexts. Assignments include a midterm, a final exam, a paper and weekly writing assignments for section. Requirements and Grading • Class participation. Class sessions will consist of a mixture of lecture and discussion. Attendance is mandatory, and it is essential that you come to every class session prepared, i.e.
that you have read and thought about the assigned material and that you participate actively in discussions. (If you know in advance that you will have to miss a class, please let me know.) • Midterm Exam. In class, October 13. • Paper. 9-12 pages, due at the beginning of class on December 3. • Final Exam. Tuesday, December 15, 8-10 AM. • Short Writing Assignments. Due in Friday sections. • Final Grade. Grades will be calculated by the following formula: Midterm (20%), Paper (25%), Final Exam (25%), Short Writing Assignments (20%), Class Participation (10%). Required Reading: The following books, required for this class are available at the bookstore and on reserve at Leavey Library: Healy, David, Mania : a Short History of Bipolar Disorder (Baltimore: Johns Hopkins Press, 2008) 9780801888229 Metzl, Jonathan, Prozac on the Couch : prescribing gender in the era of wonder drugs (Durham: Duke, 2003) 082 233061X Rabinow, Paul, (ed), The Foucault Reader (New York: Pantheon) 0394713400 Gay, Peter (ed), The Freud Reader (New York: Norton) 0393314030 Gilman, Charlotte Perkins, The Yellow Wallpaper (New York: The Feminist Press) 0912670096 Shorter, Edward A History of Psychiatry. From the Era of the Asylum to the Age of Prozac (New York: Wiley) 047115749X Required Films The following movies can be viewed in Leavey Library. You should watch them on your own by the date indicated or, if schedules permit, we will organize evening screenings. The Madness of King George dir. Nicholas Hytner, 1995 (September 10) Spellbound dir. Alfred Hitchcock, 1945 (October 27) One Flew Over the Cuckoo’s Nest dir. Milos Forman, 1975 (November 24)
Students with Disabilities Students requesting academic accommodations due to disabilities must register with Disability Services and Programs (DSP) as early in the semester as possible (STU 301, tel. 740-0776). Please bring me your letter of verification for approved accommodations early in the semester, and let me know if you need any assistance with this process. Topics, Schedule & Assignments (Readings marked with CR can be found in the course reader.) August 25 Course Introduction
I Pre-Modern Madness and the Origins of Psychiatry August 27 Pre-Modern Madness Reading: Andrew Boorde, “The Kyndes of Madness;” Thomas Willis, “Hysteria and the Nervous Stock” etc.; John Locke, “An Essay Concerning Human Understanding” CR
September 1 The Origins of Psychiatry, 1 Reading: The Foucault Reader, pp. 124-167, 273-289 September 3 The Origins of Psychiatry, take 2 Reading, Shorter, A History of Psychiatry, chapter 1 II Moral Treatment and the World of the Asylum September 8 Pinel: The First Psychiatrist? Reading: Philippe Pinel, A Treatise on Insanity, Section 2 CR September 10 The Case of George III George III: “Report from the Committee Appointed to Examine the Physicians Who Have Attended His Majesty” (1788) CR Film: The Madness of King George September 15 The Asylum and the Age of Therapeutic Optimism Reading: W.A.F. Browne, “The Asylum as Utopia” CR September 17 From Curing to Storing: The End of Optimism Reading: Shorter, History, ch. 2; Healy, Mania, pp. 37-51 September 22 Asylum Architecture: Space and Power Reading: Foucault Reader, pp. 239-256
III From the Asylum to the Laboratory: Early Psychiatric Science September 24 Conquering Hysteria: Charcot and the Neurological Paradigm Reading: Charcot, Clinical Lectures on Diseases of the Nervous System CR, The Freud Reader, pp. 48-55 September 29 A German Century? Reading: Shorter, History, ch. 3; Healy, Mania, ch. 3 IV Nervous Crisis: Gender and Turn-of-the-Century Epidemics October 1 ` October 6 From the Mind to the Nerves Reading: Shorter, History, ch. 4, Elaine Showalter, “Managing Women’s Minds” (Female Malady, ch. 3) CR The Neurasthenic Woman Reading: Charlotte Perkins Gilman, The Yellow Wallpaper; Silas Weir Mitchell, Fat and Blood and How to Make Them CR The Rise and Fall of Hysteria Showalter, “Feminism and Hysteria” (Female Malady, ch. 6) CR Midterm Exam in Class
October 8 October 13
V Freud and the Psychodynamic Revolution October 15 October 20 October 22 October 27 Early Freud Reading: The Freud Reader, 3-19; 60-79; Shorter, History, ch. 5 (skim) Freud and the Unconscious Reading: Freud Reader, 143-172, 573-584 The Dora Case Reading: Freud Reader, 173-239 Freud on Sexuality and the Problem of Trauma Reading: Freud Reader, 239-293, 594-628 Film: Spellbound
VI The Return of the Body: Somatic Cures and Medical Ethics in the Twentieth Century October 29 Therapeutic Breakthrough Shorter, History, ch. 6
The New Therapeutic Regimen Reading: Sargant and Slater, An Introduction to Physical Methods of Treatment in Psychiatry, ch. 8, CR The Mentally Ill under the Nazis: From Eugenics to “Euthanasia” Reading: Burleigh and Wippermann, The Persecution of the ‘Hereditarily Ill,” CR; Burleigh, “Psychiatry, German Society and Nazi ‘Euthanasia’ CR, Foucault Reader, 258-272
VII Psychiatry and Its Critics in the Age of Prozac November 10 The Birth of Psychopharmacology Reading: Shorter, History, ch. 7; Kramer, Listening to Prozac, pp. 47-66; Healy, Mania, ch. 4 November 12 Psychoanalyzing Ms. Prozac Reading: Kramer, Listening, Introduction & chs. 1-2; Metzl, Prozac on the Couch, ch. 1 November 17 The Crisis of Psychoanalysis Reading: Metzl, Prozac, chs. 2-3 November 19 Rewriting the Narrative Reading: Metzl, Prozac, ch. 5 & Conclusion November 24 The Anti-Psychiatry Movement Reading: R. D. Laing, “The Experience of Schizophrenia,” CR; Thomas Szasz, The Myth of Mental Illness (Selections) CR Film: One Flew Over the Cuckoo’s Nest November 26 No Class, Thanksgiving Holiday December 1 December 3 Mental Health and the Market Reading: Healy, Mania, ch. 8 & Coda Diagnoses & Prognoses Papers are Due
December 15 Final Exam, 8-10 AM