Madness of the Philosophers, Madness of the Clinic

Daniel Berthold's "Talking Cures: A Lacanian Reading of Hegel and Kierkegaard on Language and Madness" is an eloquent discussion of speech, silence, and the 'talking cure' in the three figures highlighted in the title. There is much to admire in this paper. The treatment of speech and silence in the thought of Hegel and Kierkegaard, with many well-chosen quotations, offers much for reflection, both with respect to these philosophers and more generally with respect to the human condition. This is a paper that deserves more than one reading. I find nothing to criticize here and intend the following as further discussion of the themes Berthold has brought to us. Taking his cue from Lacan and reading back into the nineteenth-century figures from the perspective of Lacan's emphasis on language and what he (Lacan) terms the Symbolic, Berthold explores the question of madness in Hegel and Kierkegaard. In my remarks, I connect Berthold's analysis with older traditions of madness, distinguishing what I call the madness of the philosophers and the madness of the clinic.

With the phrase, madness of the philosophers, I refer to a longstanding philosophic tradition that opposes reason and passion and attributes madness to an excess of the latter. In Berthold's paper, Hegel is the representative of this position, with his description of madness as a regression into the primitive "life of feeling." As Berthold puts it:

For Hegel, madness is a "reversion" or "withdrawal" or "sinking back" of the rational consciousness into the primitive world of instincts and drives, or what Hegel calls "the life of feeling" (Gufühlsleben), which he locates in "the soul," where the "mind is still in the grip of nature". . . The soul is "the form of the dull stirring, the inarticulate breathing of the spirit through its unconscious individuality" (in seiner besusstlosen Individualität) . . . The mind becomes "mastered" by the archaic, unconscious drives of the soul: "the natural self . . . gains mastery over the . . . rational consciousness."

(2009, 301)

Taking off from Lacan in his interpretation of Hegel, Berthold associates reason with language—or, in Lacan's terminology—the register of the Symbolic. Hegel's "life of feeling"—or of passion—is inarticulate, primitive, and vulnerable to madness.

Berthold analyzes Kierkegaard in these categories. On the one hand, Kierkegaard is driven to silence, subjectivity, and inwardness as the native ground of faith. On the other hand, he recognizes something maddening in his extreme solitude, and acknowledges his need to write as a form of self-therapy: "If I stop [writing] for a few days, right away I become ill. . . . So powerful an urge, so ample, so inexhaustible [is my need to write], subsist[ing] day after day for . . . years." Kierkegaard's compromise is his "indirect communication." By Berthold's account, Kierkegaard's silence does not rate very high for Hegel and Lacan. For Hegel it represents a regression into the primitive "life of feeling." For Lacan, Kierkegaard's silent inner self is "a myth—a 'shapeless vapor,' 'absolutely nothing.'" As we shall see, Kierkegaard's ambivalence toward silence and speech (or writing) does not fit neatly into the equation of silence and madness.

What, however, in contrast to this madness of the philosophers, is the madness of the clinic?¹ It is madness caused by disease, whether the latter be understood in ancient terminology of humors, or more modern terminology of brain disease. For a quick review of how clinical madness has played off against the madness of the philosophers, we can turn to the philosophers themselves, invoking Plato as our first guide, because he speaks of both kinds of madness. On the one hand, with his tripartite division of the soul, he is one of the inaugurators of the philosophic vision of madness as an overcoming of the rational part of the soul by the appetitive side. On the other hand, he implicitly endorses the Hippocratic, medical view of madness with a statement like this: "A man who commits one of these crimes might be suffering from insanity, or be as good as insane either because...