Monomania

"This book is about the obsessive strategies people use to keep the arbitrary out of their lives; it is about the fanaticism and intolerance linked to their ideas of perfection and permanence.... Those readers who have brushed against the dangers of the idée fixe, who have come close to surrendering to something or someone diabolically seductive or coercive, will recognize in these characters their own encounter with a dangerously systematized world."—From the introduction. Monomania explores the cultural prominence of the idée fixe in Western Europe during the nineteenth and twentieth centuries. Marina van Zuylen revives the term monomania to explore the therapeutic attributes of obsession. She introduces us to artists and collectors, voyeurs and scholars, hypochondriacs and melancholics, whose lives are run by debilitating compulsions that may become powerful weapons against the tyranny of everyday life. In van Zuylen's view, there is a productive tension between disabling fixations and their curative powers; she argues that the idée fixe has acted as a corrective for the multiple disorders of modernity. The authors she studies—Charles Baudelaire, Sophie Calle, Elias Canetti, George Eliot, Gustave Flaubert, and Thomas Mann among them—embody or set in motion different manifestations of this monomaniacal imperative. Their protagonists or alter egos live more intensely, more meaningfully, because of the compulsive pressures they set up for themselves. Monomania shows that transforming life into art, or at least into the artful, drives out the anxiety of the void and puts in its place something so orderly and meaningful that it can take on the aura of a religion.

Since its third edition in 1980, the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association has acquired a hegemonic role in the health care professions and has had a broad impact on the lay public. The publication in May 2013 of its fifth edition, the DSM-5, marked the latest milestone in the history of the DSM and of American psychiatry. In The DSM-5 in Perspective: Philosophical Reflections on the Psychiatric Babel, experts in the philosophy of psychiatry propose original essays that explore the main issues related to the DSM-5, such as the still weak validity and reliability of the classification, the scientific status of its revision process, the several cultural, gender and sexist biases that are apparent in the criteria, the comorbidity issue and the categorical vs. dimensional debate. For several decades the DSM has been nicknamed “The Psychiatric Bible.” This volume would like to suggest another biblical metaphor: the Tower of Babel. Altogether, the essays in this volume describe the DSM as an imperfect and unachievable monument – a monument that was originally built to celebrate the new unity of clinical psychiatric discourse, but that ended up creating, as a result of its hubris, ever more profound practical divisions and theoretical difficulties.