A Culture of Psychosis: A psychosocial case study approach to contemporary ‘ordinary psychosis’

Calum Neill

There are many approaches that have attempted to historicize particular forms and conceptualizations of madness (Foucault, 1968; Porter, 1977). Much has also been published describing experiences – or outlining clinical case studies of – psychosis. What has proved rarer, and more challenging – perhaps due to the degree of multi-disciplinarity required - is the production of properly psychosocial case studies that both historicize clinical/biographical material and bring a developed clinical/psychoanalytic sensibility to the conditions of a case. Such a multidisciplinary approach is more important than ever today given the apparent increase in cases of ‘ordinary’ (asymptomatic, stable or ‘quiet’) psychosis. Clinicians have reported a new profile of patient, one who suffers less from traits typically characteristic of repression (psychologically meaningful symptoms amenable to interpretation) and more from ‘direct’ and often bodily afflictions (panic disorders, somatization, self-harm, sexual/aggressive-enactments) along with forms of ‘autistic’ social withdrawal. The proposed research project aims to investigate this changing set of clinical issues – which might be tentatively grouped within the category of ‘ordinary psychosis’ – via the development of a specialized methodology: a psychosocial case study approach. In this methodology, clinical/biographical material will be historicized, explored via modes of critical thematic/discourse analysis, before both the case details and associated socio-historical circumstances are subjected to a psychoanalytically informed analysis. The research thus aims to make a contribution – methodological and conceptual – in terms of how we think both ordinary psychosis in society and what we might call today’s society of ordinary psychosis.

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