
“Any attempt to define what psychopathology is presupposes that we know what normality is. In view of this, any consideration of psychopathology requires an examination of the notions of mental health…..Throughout history, people’s understanding of psychopathology has constantly shifted; different cultures and historical periods have labeled ‘mad’ those whom other times and societies have regarded sane”
Alessandra Lemma in An Introduction to Psychopathology
It has to considered to what extent any one of us has what might be described as sanity and is ‘normal’. I am sure that more than one of us would describe ourselves as normal, other would quite happily demonstrate all the ways in which they are atypical. As a psychology student I remember quite clearly identifying myself with every kind of neurosis we were presented with in the lecture hall. Either way I’m not sure that ‘normality’ is a requisite of either sanity or health. The view to normality presupposes some kind of definition of what a person ought to be in a society to be like everybody else. It is certainly clear to me that this is a nonsense.
One thing is clear, in order that others, with no insight into ourselves regard us as ‘normal’ we are required to do what they do, behave as they behave and feel like they feel. I am confident that this is in no way dissimilar to the opening of almost every dystopian fiction written or realized.
Normality is no doubt useful. Social science uses what is called ‘the normal distribution’ as a means of testing for significance in research. The normal distribution is not a logical or mathematical ‘truth’, it is an empirical observation. It just so happens that when phenomena a measured they tend to fit, on a graph, what looks like a bell shaped curve. That curve also tends to have certain properties that make it identifiable as the normal distribution and, as a consequence it has become a useful constancy to test against for abnormality in a population.
In addition we rely heavily on our ability to predict what the world will be like. Constancy in our environment is an important part of our ability to navigate the environment and surprise can cause a certain anxiety. When the mold is broken, or someone doesn’t quite fit the mold, it is less the actual threat and more the perceived uncertainty that makes us weary. Society has to function, in order that it does we have to rely on the fact that it will do whatever we expect it to do at any given time. In that respect normality and stability are important for us.
However, there is a clear sense in which an absolute need for constancy is pathological. If one take people with neurotic dispositions for example, they may for all purposes live a normal life, however, the threat of ambiguity and uncertainty can be too much. Often times people with anxious personality types abhor what they do not know and are quite willing to impose on their environment their own versions of what is normal (and hence good). There is a clear sense in which dogmatism is an example of this.
The desire to fit the mold, to inhibit the passions in order that we are ‘normal’ is neurotic. It is a function of neurotic minds that the world is black and white according tot heir ideas. Once boundaries for understandable behavior are set they are in effect set in stone. But to what extent does this reflect real life?
I would like to take some time making the issue as unclear as possible. Not for any other reason than to show what lack of clarity the issues has for me en-route to maybe discovering some way of thinking about it.
What is clear is that normality and sanity are in effect synonymous on the one hand but, they in another sense they can quite clearly been seen to stand in opposition to each other. In as much ’sanity’ is concerned there is a synonymy with normal function. However, at the same time there is an equal discrepancy as far as the desire to be normal is manifest. In this latter sense, it is almost as if the very desire for normalcy is in and of itself a kind of insanity, a state of mind that constricts the very freedom of spirit and the individuality of expression that makes the human psyche what it is, a socially creative agent.
It is that sense that true insanity seems the most manifest. I found the following definition of a Lunatic online:
LUNATIC, persons. One who has had an understanding, but who, by disease, grief, or other accident, has lost the use of his reason. A lunatic is properly one who has had lucid intervals, sometimes enjoying his senses, and sometimes not.
I wonder however, to how many people who are not ‘lunatics’ this definition would apply. Personally I am prone to periods of dejection, dysthemia and depression. I have experienced pains in life and am sure that I will continue to experience pain and suffering during my life. However, I have also experienced wonderful highs and in no way do I feel abnormal in this. I don’t think there is anything atypical about the grief that I’ve had. What is more, I am quite sure that my senses have not always served me well. I continue to learn that I am prone to serious flaws in my reasoning but, at the same time would be loath to consider myself a lunatic.
It is worth noting that society as a whole has its own values regarding sanity and insanity. I don’t doubt that there is a regimentation to our own society that imposes restrictions on the limits to which free expression is possible. What those limits are and how they are defined is in my mind a serious question.
A typical response might be that if an individual finds it hard to cope in a society, if an individual is in fact suffering then they may qualify for treatment. This raises to parallel questions. The first is, to what extent is the individual responding to the way in which the society finds them, secondly, to what extent is a certain amount of suffering a prerequisite of life. The point I am making is not only the the world in which we live seems to make almost unreasonable demands on people and their capacity for happiness that I for one have never seen, but at the same time, to what extent are we really living in a kind of dystpopia of which we are in fact unaware?
Our virtues are not defined by our humanity in as much as they defined by our success. And by that success we are quite ready to bleed our humanity. what about our own society as whole? What about the whole of humanity? Is it sane? In early societies there is no doubt that life was hard. There is less doubt that peoples lives were shorter, more was expected of them and the consequences of not submitting to the group were, without any doubt severe. There is no question that the freedom we have to express ourselves in the modern world is a wonderful aspect of our lives today. Within cities that are worlds unto themselves live and breath forests of people, all interwoven, disconnected and striving for survival within the forest. Some people enjoy great freedom, however many also suffer great inequity. Most definitions of sanity have the terms ’soundness of mind’, again, a normative definition. I wonder though, is it so wonderfully normal?
There is little doubt that a society needs to function. In order that it functions it is clear that certain values for typical behavior are set. Anarchy, both of mind, people and a nation at large is in no way different to a state of perfect entropy. A state in which the informational, structural and functional value of the system in question is beyond use. However, at the same time there does seem a human danger that exists in the opposite direction. That danger is that we consolidate our horizons so narrowly that the essence of humanity and human creativity are inhibited to the extent that society ossifies.
There is ample evidence both in historical literature and in modern academic literature to suggest that we take for granted what we believe to be clear cut mental conditions. However there is also something about the very concept of sanity that is an anathema to freedom of mind and of spirit. And without suggesting a better alternative, I would at least like to pose a warning. That as a society of people mutually engaged in the single purpose of working towards a better future, we consider our relationship with the insane and welcome the prospect of difference, if not for the very reason that the minds that appear so different may be the reality that we need in our default to normalcy.
I worked in a psychiatric hospital after I left university. There was little doubt that the patients I worked with would not have been able to manage on their own in the world. However, one thing that struck the strongest cord with me. One that still sounds loud today is that in between the incoherence of that time, between the spoken lines I felt a clear reflection of truth. When the patients were upset they weren’t able to articulate they complaints in a way that made sense in relation to the physical world. But what they meant to say were truths that we as wardens in the hospital were certainly not prepared to accept.