We have made huge progress in understanding the biology of mental illnesses, but comparatively little in interpreting them at the psychological level. The eminent philosopher Jonathan Glover believes that there is real hope of progress in the human interpretation of disordered minds.

The challenge is that the inner worlds of people with psychiatric disorders can seem strange, like alien landscapes, and this strangeness can deter attempts at understanding. Do people with disorders share enough psychology with other people to make interpretation possible? To explore this question, Glover tackles the hard cases—the inner worlds of hospitalized violent criminals, of people with delusions, and of those diagnosed with autism or schizophrenia. Their first-person accounts offer glimpses of inner worlds behind apparently bizarre psychiatric conditions and allow us to begin to learn the “language” used to express psychiatric disturbance. Art by psychiatric patients, or by such complex figures as van Gogh and William Blake, give insight when interpreted from Glover’s unique perspective. He also draws on dark chapters in psychiatry’s past to show the importance of not medicalizing behavior that merely transgresses social norms. And finally, Glover suggests values, especially those linked with agency and identity, to guide how the boundaries of psychiatry should be drawn.

Seamlessly blending philosophy, science, literature, and art, Alien Landscapes? is both a sustained defense of humanistic psychological interpretation and a compelling example of the rich and generous approach to mental life for which it argues.

The French missionary-linguist Émile Petitot (1838–1916) spent twenty years near the Arctic Circle in Canada, publishing numerous works on First Nations languages and practices. Over time, however, he descended into delirium and began to summon imaginary persecutions, pen improbable interpretations of his Indigenous hosts, and burst into schizoid fury. Delving into thousands of pages in letters and memoirs that Petitot left behind, Pierre Déléage has reconstructed the missionary’s tragic story. He takes us on a gripping journey into the illogic and hyperlogic of a mind entranced with Indigenous peoples against the backdrop of repressive church policies and the emergent social sciences of the nineteenth century. Apocalyptic visions from the Bible and prophetic movements among First Nations peoples merged in the missionary’s deteriorating psyche, triggering paroxysms of violence against his colleagues and himself. Whoever wishes to understand the contradictions of living between radically different societies will find this anthropological novella hard to put down.

The advent of chemical or pharmacological therapies has had an enormous impact on the treatment of psychiatric illness. For the chemotherapy to be effective, however, the clinician must take into account many factors in addition to recognition of a syndrome and selection of an appropriate agent and dose. In this extensively revised and expanded edition of a widely used book, Ross Baldessarini concentrates on providing rational, scientific underpinnings for the treatment of patients. In doing so, he bridges the gap between biology, psychology, and clinical practice.

To provide the most up-to-date coverage of the actions and use of psychotropic agents, Professor Baldessarini has enlarged the text to nearly twice its original length and has added sixty-three new tables. More basic preclinical pharmacology is included to guide the thoughtful use of medication. In addition to summarizing this basic knowledge, the text reviews the indications for each drug, the kinds of patients most likely to respond, and side effects and contraindications, and provides summaries of clinical research findings on which rational clinical practice rests.

A chapter is devoted to each of the principal classes of psychotropic drugs: antipsychotic agents, lithium salts and other antimanic agents, antidepressant agents, and antianxiety drugs. Within each chapter is a new section that surveys the future of the field and examines new procedures, theories, and agents. A final chapter covers more general topics such as psychosocial, ethical, and legal aspects of practice in the administration of drugs, as well as the emerging topics of geriatric and pediatric psychopharmacology--material not readily available elsewhere.

An examination of obsession, gender, love, and loss in contemporary rural America.

In Country Songs for Alice, a nonbinary, queer narrator passes through the crucible of love, romance, and heartbreak against the backdrop of rural America—a landscape which offers luminous belonging, even as the hazards of homophobia, loneliness, and isolation loom large. Part roadtrip, part mixtape, these poems are explorations of love, music, romance, pageantry, loneliness, and belonging in the rural places and small towns that seem to preclude queer culture. Country Songs for Alice not only tells the story of a relationship and its dissolution but reclaims country western imagery and aesthetics for a queer audience, dousing the narrator’s experience in the language of cowboys, horses, rodeos, trucks, and desert skies.
 

Michael Walsh’s poetry collection Creep Love explores a family contending with a complex and ongoing crisis, the aftermath of which creates a shockwave that reverberates through these poems. Stories, half-truths, and lies combine into disturbing fable: A young pregnant woman flees her abusive boyfriend only to discover with terror that he is focused on her younger sister. When her younger sister later gives birth to her abusive ex’s other sons, the unsettling presence of the child’s father becomes unavoidable, and the family soon forces the first son to become a family secret.

We come to find out that the father carries a secret of his own. As tensions rise, attacks within the family escalate and finally culminate in an attempted murder. In Creep Love, Walsh captures the terror of this event, and these poems take us through the surprising outcomes. Near death, rather than floating into light due to hypoxia—a temporary release from the grip of compounding trauma—the speaker sinks into all-encompassing darkness. The anxiety of this moment returns him to his body from the edge of death. These poems give witness to the fallout, demonstrating how love can be charged with something ultimately unknowable.
 

Written in 1927 but barred from timely publication by the Lincoln family, The Dark Days of Abraham Lincoln's Widow, as Revealed by Her Own Letters is based on nearly two dozen intimate letters written between Mary Lincoln and her close friend Myra Bradwell mainly during the former's 1875 incarceration in an insane asylum. By the 1920s most accounts of Mrs. Lincoln focused on her negative qualities and dismissed her as "crazy." Bradwell's granddaughter Myra Helmer Pritchard wrote this distinctly sympathetic manuscript at the behest of her mother, who wished to vindicate Mary Lincoln in the public eye by printing the private correspondence. Pritchard fervently defends Mrs. Lincoln's conduct and sanity, arguing that she was not insane but rather the victim of an overzealous son who had his mother committed.

The manuscript and letters were thought to have been destroyed, but fortunately the Lincolns' family lawyer stored copies in a trunk, where historian Jason Emerson discovered them in 2005. While leaving the manuscript intact, Emerson has enhanced it with an introduction and detailed annotations. He fills in factual gaps; provides background on names, places, and dates; and analyzes Pritchard's interpretations, making clear where she was right and where her passion to protect Mrs. Lincoln led to less than meticulous research and incorrect conclusions. This volume features an easy-to-follow format that showcases Pritchard's text on the left-hand pages and Emerson's insightful annotations on the right-hand pages. 

Following one of the most revered and reviled, famous and infamous of the First Ladies, this book provides a unique perspective of Mrs. Lincoln's post-White House years, with an emphasis on her commitment to a sanitarium. Emerson's contributions make this volume a valuable addition to the study of the Lincoln family. This fascinating work gives today's Lincoln enthusiasts the chance to read this intriguing interpretation of the former First Lady that predates nearly every other book written about her.

A Telegraph Book of the Year
A Washington Post Notable Work
A Times Book of the Year
A Hughes Award Finalist

“An indisputable masterpiece…comprehensive, fascinating, and persuasive.”
—Wall Street Journal

“Brimming with wisdom and brio, this masterful work spans the history of psychiatry. Exceedingly well-researched, wide-ranging, provocative in its conclusions, and magically compact, it is riveting from start to finish. Mark my words, Desperate Remedies will soon be a classic.”
—Susannah Cahalan, author of Brain on Fire

“Compulsively readable…Scull has joined his wide-ranging reporting and research with a humane perspective on matters that many of us continue to look away from.”
—Daphne Merkin, The Atlantic

"Scull's fascinating and enraging book is the story of the quacks and opportunists who have claimed to offer cures for mental illness...Madness remains the most fascinating—arguably the defining—aspect of Homo sapiens."
—Sebastian Faulks, Sunday Times

“I would recommend this fascinating, alarming, and alerting book to anybody. For anyone referred to a psychiatrist it is surely essential.”
—The Spectator

For more than two hundred years disturbances of the mind have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, from which one can be cured. But is this true?

From the birth of the asylum to the latest drug trials, Desperate Remedies brings together a galaxy of mind doctors working in and out of institutional settings: psychologists and psychoanalysts, neuroscientists and cognitive behavioral therapists, as well as patients and their families desperate for relief. Surprising, disturbing, and compelling, this passionate account of America’s long battle with mental illness challenges us to revisit some of our deepest assumptions and to confront the epidemic of mental illness so visible all around us.

A look at the history of psychiatry’s foundational impact on the lives of queer and gender-variant people.
 
In the mid-twentieth century, American psychiatrists proclaimed homosexuality a mental disorder, one that was treatable and amenable to cure.  Drawing on a collection of previously unexamined case files from St. Elizabeths Hospital, In the Shadow of Diagnosis explores the encounter between psychiatry and queer and gender-variant people in the mid- to late-twentieth-century United States. It examines psychiatrists’ investments in understanding homosexuality as a dire psychiatric condition, a judgment that garnered them tremendous power and authority at a time that historians have characterized as psychiatry’s “golden age.” That stigmatizing diagnosis made a deep and lasting impact, too, on queer people, shaping gay life and politics in indelible ways. In the Shadow of Diagnosis helps us understand the adhesive and ongoing connection between queerness and sickness.
 

In the Roman and Byzantine Near East, the holy fool emerged in Christianity as a way of describing individuals whose apparent madness allowed them to achieve a higher level of spirituality. Insanity and Sanctity in Byzantium examines how the figure of the mad saint or mystic was used as a means of individual and collective transformation in the period between the birth of Christianity and the rise of Islam. It presents a novel interpretation in revealing the central role that psychology plays in social and historical development.

Early Christians looked to figures who embodied extremes of behavior—like the holy fool, the ascetic, the martyr—to redefine their social, cultural, and mental settings by reading new values in abnormal behavior. Comparing such forms of extreme behavior in early Christian, pagan, and Jewish societies, and drawing on theories of relational psychoanalysis, anthropology, and sociology of religion, Youval Rotman explains how the sanctification of figures of extreme behavior makes their abnormality socially and psychologically functional. The sanctification of abnormal mad behavior created a sphere of ambiguity in the ambit of religious experience for early Christians, which brought about a deep psychological shift, necessary for the transition from paganism to Christianity.

A developing society leaves porous the border between what is normal and abnormal, between sanity and insanity, in order to use this ambiguity as a means of change. Rotman emphasizes the role of religion in maintaining this ambiguity to effect a social and psychological transformation.

Uncovers a powerful relationship between pathology and money: beginning in the nineteenth century, the severity of mental illness was measured against a patient’s economic productivity.
 
Madness and Enterprise reveals the economic norms embedded within psychiatric thinking about mental illness in the North Atlantic world. Over the course of the nineteenth century, various forms of madness were subjected to a style of psychiatric reasoning that was preoccupied with money. Psychiatrists across Western Europe and the United States attributed financial and even moral value to an array of pathological conditions, such that some mental disorders were seen as financial assets and others as economic liabilities. By turning to economic conduct and asking whether potential patients appeared capable of managing their financial affairs or even generating wealth, psychiatrists could often bypass diagnostic uncertainties about a person’s mental state.

Through an exploration of the intertwined histories of psychiatry and economic thought, Nima Bassiri shows how this relationship transformed the very idea of value in the modern North Atlantic, as the most common forms of social valuation—moral value, medical value, and economic value—were rendered equivalent and interchangeable. If what was good and what was healthy were increasingly conflated with what was remunerative (and vice versa), then a conceptual space opened through which madness itself could be converted into an economic form and subsequently redeemed—and even revered.

In the 1960s and 1970s, a popular diagnosis for America’s problems was that society was becoming a madhouse. In this intellectual and cultural history, Michael E. Staub examines a time when many believed insanity was a sane reaction to obscene social conditions, psychiatrists were agents of repression, asylums were gulags for society’s undesirables, and mental illness was a concept with no medical basis.

 The first study to describe how social diagnostic thinking emerged, Madness Is Civilization casts new light on the politics of the postwar era.

Newly published lectures by Foucault on madness, literature, and structuralism.
 
Perceiving an enigmatic relationship between madness, language, and literature, French philosopher Michel Foucault developed ideas during the 1960s that are less explicit in his later, more well-known writings. Collected here, these previously unpublished texts reveal a Foucault who undertakes an analysis of language and experience detached from their historical constraints. Three issues predominate: the experience of madness across societies; madness and language in Artaud, Roussel, and Baroque theater; and structuralist literary criticism. Not only do these texts pursue concepts unique to this period such as the “extra-linguistic,” but they also reveal a far more complex relationship between structuralism and Foucault than has typically been acknowledged.

It’s the American dream—unfettered freedom to follow our ambitions, to forge our identities, to become self-made. But what if our culture of limitless self-fulfillment is actually making millions desperately ill? One of our leading interpreters of modernity and nationalism, Liah Greenfeld argues that we have overlooked the connection between egalitarian society and mental illness. Intellectually fearless, encompassing philosophy, psychology, and history, Mind, Modernity, Madness challenges the most cherished assumptions about the blessings of living in a land of the free.

Modern nationalism, says Greenfeld, rests on bedrock principles of popular sovereignty, equality, and secularism. Citizens of the twenty-first century enjoy unprecedented freedom to become the authors of their personal destinies. Empowering as this is, it also places them under enormous psychic strain. They must constantly appraise their identities, manage their desires, and calibrate their place within society. For vulnerable individuals, this pressure is too much. Training her analytic eye on extensive case histories in manic depression and schizophrenia, Greenfeld contends that these illnesses are dysfunctions of selfhood caused by society’s overburdening demands for self-realization. In her rigorous diagnosis, madness is a culturally constituted malady.

The culminating volume of Greenfeld’s nationalism trilogy, Mind, Modernity, Madness is a tour de force in the classic tradition of Émile Durkheim—and a bold foray into uncharted territory. Often counter-intuitive, always illuminating, Mind, Modernity, Madness presents a many-sided view of humanity, one that enriches our deepest understanding of who we are and what we aspire to be.

Beginning in 1956, Stella Chess and Alexander Thomas tracked the lives of 133 children from infancy to young adulthood, examining in detail their psychological development over a twenty-five-year period. The result was the groundbreaking New York Longitudinal Study. This book, first published in 1984, presents a complete report of the study, including analyses of the data and exploration of such fundamental questions as gender differences, antecedents of adult behavior patterns, and factors that contribute to depression and other disorders. Special emphasis is given to the clinical evaluation and treatment of patients with behavioral abnormalities. The authors discuss key findings: the important role of parental guidance, the continuities and discontinuities across developmental stages, the crucial effects of temperament on psychological development, and the usefulness of a “goodness of fit” model for understanding the relationship between person and environment and for describing the evolution of behavior disorders.

A book that bends time and fragments narrative.

In Small Altars, Justin Gardiner delves into the world of comic books and superheroes as a means for coming to terms with the many struggles of his brother’s life, as well as his untimely death, offering a lyric and honest portrayal of the tolls of mental illness, the redemptive powers of art and familial love, and the complex workings of grief.  
 

According to a major health survey, nearly half of all Americans have been mentally ill at some point in their lives—more than a quarter in the last year. Can this be true? What exactly does it mean, anyway? What’s a disorder, and what’s just a struggle with real life?

This lucid and incisive book cuts through both professional jargon and polemical hot air, to describe the intense political and intellectual struggles over what counts as a “real” disorder, and what goes into the “DSM,” the psychiatric bible. Is schizophrenia a disorder? Absolutely. Is homosexuality? It was—till gay rights activists drove it out of the DSM a generation ago. What about new and controversial diagnoses? Is “social anxiety disorder” a way of saying that it’s sick to be shy, or “female sexual arousal disorder” that it’s sick to be tired?

An advisor to the DSM, but also a fierce critic of exaggerated overuse, McNally defends the careful approach of describing disorders by patterns of symptoms that can be seen, and illustrates how often the system medicalizes everyday emotional life.

Neuroscience, genetics, and evolutionary psychology may illuminate the biological bases of mental illness, but at this point, McNally argues, no science can draw a bright line between disorder and distress. In a pragmatic and humane conclusion, he offers questions for patients and professionals alike to help understand, and cope with, the sorrows and psychopathologies of everyday life.