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What is Madness? [Hardcover]

Darian Leader
4.8 out of 5 stars  See all reviews (6 customer reviews)
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Book Description

6 Oct 2011

Madness, in our culture, is defined by visibility. From the popular press to TV soaps and films, the depiction of madness always borders on the extreme: violent outbursts, fits, hallucinations.

But what if madness is not exactly what we think it to be? What if it is the rule rather than the exception? And what if its defining features are not visible and dramatic but, on the contrary, highly discreet, shared by average citizens who will never come to psychiatric attention? What if, in other words, there is a difference between being mad and going mad?

Beginning and ending with the case of Harold Shipman - a mass-murderer so apparently 'normal' that some of his patients said they would still be treated by him even after his conviction - psychoanalyst Darian Leader explores the idea of discreet madness, and argues that it is only through revising our concept of what madness is that we will have the tools to help those who have gone mad to rebuild their lives.


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Product details

  • Hardcover: 368 pages
  • Publisher: Hamish Hamilton (6 Oct 2011)
  • Language: English
  • ISBN-10: 0241144884
  • ISBN-13: 978-0241144886
  • Product Dimensions: 16.2 x 3.3 x 24 cm
  • Average Customer Review: 4.8 out of 5 stars  See all reviews (6 customer reviews)
  • Amazon Bestsellers Rank: 224,470 in Books (See Top 100 in Books)

Product Description

Review

In this important, lucid book, psychoanalyst asks us revise the concept of madness . . . Leader is as much a philosopher as a psychoanalyst and his ideas are engrossing and enlightening (Metro )

Wonderful (Bookseller )

The mad . . . have been segregated and often confined; for fear, perhaps, that they will contaminate the rest of us. But as Darain Leader brilliantly shows, things are never so simple (Hanif Kureshi Independent )

What is Madness? is a humane and timely book (New Statesman )

[Says] something that very much needs to be said (Irish Times )

Leader, psychoanalyst and witty, probing writer, explores the long history of misunderstanding and mistreatment that shaped our views of mental distress. Consult him for a myth-busting diagnosis of the method in our madness (Independent )

About the Author

Darian Leader is a psychoanalyst practising in London and a member of the Centre for Freudian Analysis and Research and of the College of Psychoanalysts - UK. He is the author of Why do women write more letters than they post?, Promises lovers make when it gets late, Freud's Footnotes and Stealing the Mona Lisa, and co-author, with David Corfield, of Why Do People Get Ill?

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Most Helpful Customer Reviews
37 of 38 people found the following review helpful
5.0 out of 5 stars Brilliant, humane book 3 Oct 2011
By Porlock
Format:Hardcover
I loved this book. I've been in hospital for psychosis a few times, but I think it would be an interesting read for anyone. It doesn't just talk about and to people who have been floridly psychotic though, but explores how many people who are without symptoms have a 'psychotic structure'. This structure is seen as equal to, no less pathological than, neurotic structures. The emphasis is very much on how most people live without visible symptoms like voice hearing through a tie that keeps them together - a particular type of job, an identification, often a particular type of activity. It really focuses on how identifying what kept someone together is the way forward in mental health - rather than just dosing people up with medication. It's really beautifully written and incredibly humane and moving. The only criticism I have is that I would have liked to see a whole chapter on Leader's work with an individual patient (though there are loads of examples from people he has worked with throughout)! I really hope this book gets people thinking about madness as a creative solution, and the type of detailed, painstaking therapy Leader describes becomes more available. A brilliant read.
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9 of 9 people found the following review helpful
4.0 out of 5 stars Thoughtful exponent of psychoanalysis 18 May 2012
By A Ryder
Format:Hardcover|Amazon Verified Purchase
I was intrigued by positive reviews for a book which would seem to do itself no favours with its title question. 300 pages may be a long definition by dictionary standards, but explaining madness, like explaining consciousness or the size of the universe, in just one book seems like an impossible task.

Darian Leader guides his readers through his theories, the practice of which has clearly helped a number of his clients. The central theory posited - that psychosis is a combination of nature and nurture and can lay dormant for years or for a lifetime - sounds reasonable and is illustrated by several compelling examples. Leader's treatment of his clients relies on using their own attempts to find meaning, whether by a sustained delusion, use of language etc. which over time allows them to adjust and cope with their lives. His professional and human interest in those he helps is obvious, and he insists that treatment should not simply be aimed at stopping behaviour which might, rather than a symptom, be an attempt to relieve suffering.

He explains some of Freud's work in terms simple enough for the lay reader to grasp, but this lay reader, at least, remained slightly sceptical that Freud or even Lacan's size really does fit all. While the chapters on causes of psychosis and triggers of psychotic episodes seem thorough, I was left feeling that any number of not-unusual situations would produce madness, both the state of being and of going mad, in many children. This is not to say that I agree with the reviewer who felt that problems would be solved by better housing, more love etc. Psychosis is clearly quite distinct from melancholia or paranoia, or even neurosis. Leader's point is that psychotics don't have the basic elements, or building blocks, in place to deal with life situations because of a halt in development. He also admits that the constructs that help the psychotic are perhaps just more outlandish versions of the fantasies that help us all to cope with reality.

The absence of a fifth star is for two reasons: one is my lacking the knowledge to place this within the framework of current theories of mental health, and the other is that even if you advocate psychoanalysis for people with psychoses, the length of time needed in therapy would make it unlikely that most people could find either a therapist or the funds.
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26 of 28 people found the following review helpful
5.0 out of 5 stars A new way to think about madness 10 Oct 2011
Format:Hardcover
This book is full of stories and as gripping as a good novel. It offers really subtle and tolerant ways of thinking about madness. When a good friend of mine had a psychotic episode I was quite shocked by the way she was treated by her doctors. She is now heavily drugged and barely able to have a conversation. This book offers an alternative approach to treatment that preserves the humanity of the patient. It ought to be made compulsory reading for all trainee psychiatrists. And it's a great read for the interested bystander too.
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