Is Democracy Therapeutic? A Deweyan Reading of the Institutions of Antipsychiatry

Abstract

AbstractThis article presents a Deweyan reading of the processes of critique, experimentation, and reform that took hold of a minority of psychiatric institutions in Western Europe during the nineteen-sixties and seventies, under the influence of the so-called Italian and British antipsychiatry movements. Framed within a specific understanding of the sixties, the article examines these complex theoretical and institutional operations against the background of John Dewey’s idea of democracy, which it interprets, above all else, as the constant provision of material, intellectual, and human resources for the people to directly transform their environment and themselves in increasingly complex and creative ways. After acknowledging the historical and conceptual discontinuities that exist between these two autonomous bodies of knowledge, the first section presents a summary of Dewey’s philosophy. Next the article sheds light on Basaglia’s and Laing’s antipsychiatric projects by interpreting them as a sustained effort to distinguish between schizophrenia as a first and a second disease, an epistemological search in the midst of which each of them ended up creating new institutions that necessarily embarked their inmates on a radical process of Deweyan growth. The key role of the sixties counterculture is emphasized at this point, and examples from Gorizia’s and Trieste’s asylums, as well as British community households, are read in terms of Basaglia’s and Laing’s negative and affirmative dialectics, respectively. Finally, in the last two sections, the article argues that antipsychiatry’s analysis of psychotic behavior significantly enlarges Dewey’s understanding of the circuit of growth and experience, and that Dewey’s ideas of growth and experience provided, in turn, a missing criterion for defining mental health and deriving coherent therapeutic and institutional concretions.