Fugère A
Sante Ment Que. 1978;3(2):27-45.
At the end of the 19th century, Henry Howard appeared as the first Quebec "aliéniste" to attempt to develop an inclusive theoretical treatise on the question of madness. Why this sudden upheaval ? There existed numerous european theories ; that might have sufficed. The author attempts to show the multiple connections of this theoretical pro-lect to the socio-political problems of québécois society. Howard tries, from the perspective of the theory which he elaborates, to intervene in the major discussions affecting Quebec: ultra montanism, the problem of universal compusory education, public morality. At a more professional level he attempts to intervene in the legal dispute opposing judicial and medical competence in the cases of insanity pleas, as well as in the question of the scientific and social status of the "aliéniste". The involvement in these struggles manifests itself in Howard's treatise as much at the level of the concepts themselves, and their architecture, as at the thematic level and in the applications which he naturally draws. It is not onty external and contingent but works on the text from the inside as well. The article attempts to suggest that at the very moment that the treatise on the alienated-which would become the "science" that we know today- seeks to structure itself into a theory, it cannot break its attachment to its determining social context and that, ignoring its ideological role it, in truth, succeeds only in creating illusion and the impression of a progressive process, all the while being circumstantial and having a verted interest.
19世纪末,亨利·霍华德成为首位试图就疯癫问题撰写全面理论专著的魁北克“精神病医生”。为何会突然出现这种剧变?当时已有众多欧洲理论,本可能已足够。作者试图展现这一理论论述与魁北克社会社会政治问题的多重联系。霍华德从他所阐述的理论视角出发,试图介入影响魁北克的重大讨论:教宗至上主义、普及义务教育问题、公共道德。在更专业层面,他试图介入在精神错乱抗辩案件中司法与医学权限相对立的法律争端,以及“精神病医生”的科学和社会地位问题。在这些斗争中的参与在霍华德的专著中既体现在概念本身及其架构层面,也体现在主题层面以及他自然得出的应用层面。这不仅是外在的和偶然的,也从内部作用于文本。本文试图表明,就在关于精神错乱的论述——这将成为我们如今所知的“科学”——试图构建为一种理论之时,它无法切断与决定性社会背景的联系,而且,忽视其意识形态作用,实际上它只是在制造幻觉和进步进程的印象,同时具有偶然性和隐蔽的利益倾向。