It is a challenge which, within
Christian
thought and practice, takes up the forms of the ordeal.
Foucault-Psychiatric-Power-1973-74
36 37; and, G.
Vlastos, "Religion and medicine in the cult of Asclepius: a review article" Review oj Religion, vol.
13,1948 1949, pp.
269 290.
The notion of Kaipo^ {kairos) defines the occasion, the opportunity to be seized, and con- sequently the time of possible action. Hippocrates ( 4 6 0 377 B. C. ) devotes a chapter of his Des Maladies, I, to this notion, in (Euvres completes, ed. Littre (Paris, J. -B. Bailliere, 1849) vol. VI, ch. 5, "Ol the opportune and inopportune" pp. 148 151; English translation, "Diseases 1" in Hippocrates, vol. V, trans. Paul Potter (Cambridge, Mass. : Harvard University Press, The Loeb Classical Library, 1988). See, P. Joos, "Zufall. Kunst und Natur
bei dem Hippokratitkern" Janus, no. 46, 1957, pp. 238 252; P. Kucharski, "Sur la notion pythagoncienne de kairos11 Revue philosophique de la France et de Vetranger, vol. CLII, no. 2, 1963, pp. 141-169; and P Chantraine, "KoupoS" in Dictionnaire etymologique de la langue grecque. Histoire des mots (Pans: Klincksieck, 1970) vol. II, p. 480.
7. 8.
9.
10.
11. Foucault is alluding here to the Heideggerian problematic that, in a discussion with G. Preti, he then associated with that of Husserl in the same reproach of calling into "question all our knowledge and its loundations ( . . . ) on the basis of that which is
25 January 1974 255
? 256
PSYCHIATRIC POWER
12.
original (. . . ) at the expense of all articulated historical content," M. Foucault, "Les prob- lemes de la culture. Un debat Foucault Preti" (September 1972) Dits et Ecrits, vol. 2, p. 372. So it is the Heideggerian conception of history that is intended here. See especially, M. Heidegger, (1) Sein und Zeit (Halle: Nemeyer, 1927); English translation, Being and Time, trans. J. Macquarrie and E. Robinson (Oxlord: Blackwells, 1967); (2) Vom Wesen des Grundes (Halle: Nemeyer, 1929); English translation, The Essence of Reasons, trans. Terrence Malick (Evanstan: Northwestern University Press, 1969); (3) Vom Wesen der Wahreit (Frankfurt: Klostermann, 19/l3); English translation, The Essence of Truth, on Plato's parable of the cave allegory and Theaetetus, trans. T. Sadler (London: Continuum, 2002); (4) Hol^wege (Frankfurt: Klostermann; 1952); English translation, Off the Beaten Track, trans. J. Young and K. Haynes (Cambridge: Cambridge University Press, 2002); (5) Vortrage und Aufsat^e (Pfullingen: Neske, 1954); ( 6 ) Nietzsche, vol. 2 (Pfullingen: Neske, 1961); English translation, Nietzsche, vol. 2: The Eternal Recurrence of the Same, trans. David Farrell Krell (San Francisco: Harper & Row, 1984). On the relations between Foucault and Heidegger, see M. Foucault, (1) Les Mots et les choses, ch. 9, "L'Homme et ses doubles" ? IV and vi; The Order of Things, ch. 9, "Man and his doubles" sections 4 and 6; (2) "L'Homme est-il mort? " (interview with C. Bonnefoy, June 1966) Dits et Ecrits, vol. 1, p. 542; (3) "Ariane s'est pendue" (April 1969) Dits et Ecrits, vol. 1, p. 768 and p. 770; (4) "Foucault, le philosophe, est en train de parler. Pensez" (29 May 1973) Dits et Ecrits, vol. 2, p. 424; (5) "Prisons et asiles dans le m^canisme du pouvoir" (interview with M. D'Eramo, March 1974), Dits et Ecrits, vol. 2, p. 521; ( 6 ) "Structuralisme et poststructuralisme" (interview with G. Raulet, Spring 1983) Dits et tents, vol. 4, p. 455; English translation, "Structuralism and Post-Structuralism," trans. Jeremy Harding, Essential Works of Foucault, 2, p. 456; (7) "Politique et ethique: une interview," Dits et Ecrits,vol. 4, p. 585; "Politics and Ethics: An Interview" trans. P. Rabinow, The Foucault Reader, pp. 373-374; ( 8 ) "Le retour de la morale" (interview with G. Barbedette and A. Scala, 29 May 1984) Dits et Ecrits, vol. 4, p. 703; English translation, "The Return of Morality" trans. Thomas Levin and Isabelle Lorenz, in Michel Foucault, Politics, Philosophy, Culture. Interviews and Other Writings, 1977-19&4, ed. Lawrence D. Kritzman (New York and London: Routledge, 1988);
( 9 ) "Verite, pouvoir et soi" (interview with R. Martin, 25 October 1982) Dits et Ecrits, vol. 4, p. 780.
In the third lecture of the 1970 1971 course, "The Will to Knowledge (savoir')" Foucault proposed the "opposite view" of a history of the "will to knowledge (connaitre)," in which truth has "the immediate, universal and bare form of observation, external to the proce dure of judgment," proposing the need to "write a history ol the relationships between truth and torture (supplice)," in which "truth is not observed but decided in the form of the oath and the invocation prescribed by the ritual of the ordeal. " A regime, consequently, in which "truth is not linked to the possible light and gaze brought to bear on things by a subject, but to the obscurity of the future and disturbing event. " Other fragments oi such a history are put lorward in the ninth lecture of the 1971-1972 course, "Penal Theories and Institutions," which deals with the system of proof in procedures of the oath, ordeals, and judicial duel from the tenth to the thirteenth century. Foucault was inspired by M. Detienne, Les Maitres de verite dans la Grece archaique (Paris: Maspero, 1967); English translation, The Masters of Truth in Archaic Greece, trans. Janet Lloyd (New York: Zone Books, 1999).
The thirteenth lecture of the course "Penal Theories and Institutions" dedicated to "the confession, the test" explains the meaning ol the detour through what Foucault calls "juridico-political matrices" such as the test, the inquiry, etcetera, and distinguishes three levels of analysis: (a) an "historical description of the sciences," in which "the history of the sciences" consists; (b) an "archeology of knowledge" which takes the relationships ol knowledge and power into account; and (c) a "dynastic of knowledge" which, thanks to the freeing of the juridico political matrices which authorize the archeology, is situated "at the level which combines the most prolit, knowledge and power" (course manuscript con suited thanks to the kindness of Daniel Defert). Foucault takes up this distinction between the "archeological" and "dynastic" in an interview with S. Hasumi, September 1972 "De l'archeologie a la dynastique," Dits et Ecrits, vol. 2, p. 406. On "archeology," see the many definitions given by Foucault: (1) in Dits et Merits, vol. 1: "Michel Foucault, Les Mots et les
13.
? Choses" pp. 498-499; "Sur les fa^ons d'ecrire l'histoire" p. 595; "Reponse a une question" p. 681, and "Michel Foucault explique son dernier livre" pp. 771 772; (2) in Dits et Ecrits, vol. 2: "La volonte de savoir" p. 2-12; "La verite et les formes juridiques" pp. 643-644; English translation, "Truth and Juridical Forms," trans. Robert Hurley, Essential Works of Foucault, 3; ( 3 ) m Dits et Ecrits, vol. 3: "Cours du 7 janvier 1976" p. 167; English translation, lecture of 7 January 1976, "Society Must Be Defended" ch. 1, pp. 10 11; "Dialogue sur le pou- voir", pp. 468-469; (4) in Dits et Ecrits, vol. 4: "Entretien avec Michel Foucault" p. 57; "Structuralisme et poststructuralisme" p. 443; English translation, "Structuralism and Post Structuralism," trans. Jeremy Harding, Essential Works of Foucault, 2, pp. 444 445-
14. In fact Foucault will not keep to this program apart from some comments on the role of childhood in the generalization ol psychiatric knowledge and power in the 1974-1975 College de France lectures of 5,12, and 19 March: Les Anormaux, pp. 217 301; Abnormal, pp. 231 321.
15- From the Old English, ordal, judgment, the "judgment of God" or "ordeal," means to settle contentious questions with the idea that God intervenes in the case to judge during tests likes those of "fire," the "branding iron," "cold or boiling water," and the "cross," etcetera. See L. Tanon, Histoire des tribunaux de /'Inquisition en France (Pans: L. Larose and Forcel, 1893) on the penalties of "lire" (pp. 464-479) and the "cross" (pp. 490-498). As J. -P. Levy emphasizes in his, La Hierarchie des preuves dans le droit savant du Moyen Age, depuis la renaissance du droit romain jusqu'a la fin du xivc siecle (Paris: Sirey, 1939), in this procedure "the trial is not an investigation with the aim of finding out the truth ( . . . ) . It is originally
a struggle, and later, an appeal to God; the concern with making the truth come out is left up to Him, but the judge does not seek it himselt" (p. 163).
Foucault referred to the question of the ordeal in the third lecture of the 1970-1971 College de France lectures, "The Will to Knowledge," in which he noted that in "the treat
ments to which madness was subjected, we find something like this ordeal test of the truth. " The ninth lecture of the 1971 1972 lectures, devoted to accusatory procedure and
the system of proof, refers to it (see above note 12). See also, M. Foucault, "La verite et les
iormes juridiques"; "Truth and Juridical Forms. " See, A. Esmein, Histoire de la procedure criminelle en France, et specialement de la procedure inquisitoire depuis le xiii' siecle jusqu'a nos jours (Paris: Larose et Forcel, 1882) pp. 260 283; E. Vacandard, "L'Eglise et les ordalies" in
filudes de critique et d'histoire religieuse, vol. I (Paris: V. Lecoffre, 1905) pp. 189 214; G. Glotz, Etudes sociales et juridiques sur I'antiquite grecque, ch. 2, "L'ordalie" (Paris: Hachette, 1 9 0 6 ) pp. 69 97; A. Michel, "Ordalies" in, A. Vacant, ed. , Dictionnaire de theologie catholique, vol. XI (Paris: Letouzey et Ane, 1930) col. 1139-1152; Y. Bongert, Recherches sur les cours la'iques du xe au xiif siecles (Paris: A et J. Picard, 1949) pp. 215-228; H. Nottarp, Gottehurteilstudien (Munich: Kosel Verlag, 1956); and J. Gaudemet, "Les ordalies au Moyen Age: doctrine, legislation et pratique canonique" in Recueil de la Societe Jean Bodin (Brussels: 1965) vol. XVII, Part 2, La Preuve.
16. In the basically accusatory procedures that involved taking God as witness so that he pro- duces the accuracy or retraction oi the accusation, confession was not enough to pronounce sentence. See, H. C. Lea, A History of the Inquisition of the Middle Ages, vol. 1, pp. 407-408;
A. Esmein, Histoire de la procedure criminelle, p. 273; andj. P. Levy, La Hierarchie des preuves, pp. 19 83. On confession, see Surveiller et Punir, pp. 42-45; Discipline and Punish, pp. 37-40.
17. Torture, unlike the sovereign means of proof by ordeal--the expression of God's testimony--was a way of provoking judicial confession. The inquisitorial procedure was integrated into canon law in 1232 when Pope Gregory IX called upon the Dominicans to establish a tribunal of Inquisition specifically lor the search lor and punishment ol heretics. Recourse to judicial torture was approved by the bull, Ad Extirpanda, of Pope Innocent IV of 15 May 1252, and later, in 1256, by that of Alexander IV, Ut Negotium Fidei. Referring to the question of the Inquisition in the third lecture of the 1970-1971 lectures, "The Will to Knowledge," Foucault said that "it is a matter of something other than obtaining a truth, a confession ( . . . ) .
It is a challenge which, within Christian thought and practice, takes up the forms of the ordeal. " See Surveiller et Punir, pp. 43-47; Discipline and Punish, pp. 38-42; "Michel Foucault. Les reponses du philosophe" Dits et Ecrits, vol. 2, pp. 810-811. See, H. C. Lea, A History of the Inquisition, vol. 1, ch. 9, "The Inquisitorial Process," pp. 399 429, and on torture, pp. 417-427; L. Tanon, Histoire des tribunaux de I'Inquisition, section III,
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PSYCHIATRIC POWER
18.
19.
20.
21.
"Procedure des tribunaux de 1'Inquisition," pp. 326 440; E. Vacandard, L'Inquisition. Etude historique et critique sur le pouvoir coercitif de I'Eglise (Paris: Bloud et Gay, 1907, 3 ed. ) p. 175; H. Leclercq, "Torture" in F. Cabrol, H. Leclercq, H. I. Marrou, eds. Diclionnaire d'archeologie chretienne et de liturgie, vol. XV (Paris: Letouzey et Ane, 1953) col. 2447-2459; P. Fiorelli, La Tortura giudi^iaria nel diritto comune (Milan: Giuiire, 1953). On the Inquisition in general, see, J. Guiraud, Histoire de /'Inquisition au Moyen Age, in two volumes (Paris: A. Picard, 1935 1938); and H. Maisonneuve, Etudes sur les origines de /'Inquisition (Paris: J. Vrin, 1960, 2nd ed. ).
This question was the topic ol the third lecture of the 1971 1972 lectures, "Penal Theories and Institutions," devoted to confession, investigation and proof. See the course summary, "Theories et institutions penales" Dits et Ecrits, vol. 2, pp. 390-391, English translation "Penal Theories and Institutions" Essential Works oj Foucault, 1, pp. 18 20.
See, M. Eliade, Forgerons et Alchimistes (1956) (Paris: Flammarion, 1977 rev. ed. ): "No virtue or erudition could do without the initiatory experience which was alone able to bring about the break of level implied in the 'transmutation' " (p. 136) and "Every initia
tion includes a series ol ritual tests which symbolize the neophyte's death and resurrection"
(p. 127).
As Lucien Braun will recall in a paper on "Paracelse et Palchimie," "the alchemist's approach must be relentlessly that ol a seeker on the look out (. . . ). Paracelsus sees con stant parturition in the alchemical process, in which the subsequent moment is always a surprise in relation to the one preceding it" in J. C. Margolin and S. Matton, eds. A/c/iimie
et Philosophie a la Renaissance (Actes du colloque international de Tours, yt-7 decembre 1991) (Paris: Vrin, 1993) p. 210. See also, M. Eliade, pp. 126-129, on the phases of the "opus alchymicum. "
See, W. Ganzenmuller, (1) Die Alchcmie im Mittelalter (Paderborn: Bonilacius, 1938), French translation by G. Petit Dutaillis, UAlchimie au Moyen Age (Paris: Aubier, W O ) , and ( 2 ) studies collected in Beitrdge %ur Geschichte der Technologic und der Alchimie (Weinheim: Verlag Chemie, 1956); F. Sherwood Taylor, The Alchemists, Founders oj Modern Chemistry (New York: H. Schuman, 19/l9); R. Alleau, Aspects de I'alchimie traditionnelle (Paris: Editions de Minuit, 1953); T. Burckhardt, Alchimie, Sinn und Wellbild(Olten: Walter Verlag, 1960); M. Caron and S. Hutin, Les Alchimistes (Pans: Le Scuil, 1964, 2nd cd. ); H. Buntz, E. Ploss, H. Roosen Runge, and H. Schipperges, Alchimia: Ideologic und Technologic (Munich: Heinz Moos Verlag, 1970); B. Husson, Anthologie de I'alchimie (Paris: Belfond, 1971); F. A. Yates, Giordano Bruno and the Hermetic Tradition (London: Routledge and Kegan Paul, 1964). Foucault broaches the question ol alchemy in his third lecture (23 May 1973)
on "La verite et les lormes juridiques"; "Truth andjuridical Forms," and in "La maison des fous" Dits et Ecrits, vol. 2, pp. 693-694.
Hippocrates was born in 460 A. D. on the Dorian island oi Cos in Asia Minor and died around 375 A. D. at Larissa in Thessaly. His works, written in the Ionian dialect of the learned, constitute the core of what became the Hippocratic corpus. See, Gossen, "Hippocrates" in A. F. Pauly and G. Wissowa, eds. , Realencyclopadie der classischen Altertumswissenschaft, vol. VIII (Stuttgart: Metzler, 1901) col. 1810-1852; M. Pohlenz, Hippokrates und die Begriindung der wissenschaftlichen Median (Berlin: De Gruyter, 1938); C. Lichtenthaeler, La Medicine hippocratique (studies in French and German) in 9 volumes (Geneva: Droz, 1948 1963); L. Edelstein, "Nachtrage: Hippokrates," in Realencyclopadie, supplement VI, 1953, col. 1290-1345; R. Joly, Le Niveau de la science hippocratique. Contribution a la psychologic de I'histoire des sciences (Paris: Les Belles Lettres, 1966); J.
Jouanna, Hippocrate. Pour une archeologie de I'ecole de Cnide (Paris: Les Belles Lettres, 1974). The basic edition ol the works oi Hippocrates is the bilingual Littre edition (see above, note 10). The basic, bilingual, English edition is the Loeb Classical Library edition ol Hippocrates, in 8 volumes (Cambridge, Mass. : Harvard University Press, 1923-1995). Thomas Sydenham (1624-1689) was an English practitioner known for the changes he introduced into medical knowledge. As Foucault notes in Histoire de lafolie, pp. 205 207 (omitted from the English translation), he organized knowledge ol pathology according to new norms by making a method ol observation, taking into account the symptoms described by the patient, against the medical systems, like Galenism or iatrochemistry, which relied on a speculative approach--earning him the name "the English
22.
23.
? 24.
Hippocrates"--and by developing a "naturalist" description ol diseases offering the possibility ol reducing clinical cases to morbid "species" delined in a botanical style. He published the results of his observations in his Observationes medicae circa morborum aculorum historiam et curationem. Methodic curandi febres, propiis observalionibus superstructa ( L o n d o n : Kettilby, 1676); English translation, Medical Observations Concerning the History and Cur of Acute Diseases, trans. R. G. Latham, in The Works of Thomas Sydenham, M. D. , vol. 1 (London: The Sydenham Society, 1848). See, K. Faber, Thomas Sydenham, dcr englische Hippocrates, und die Krankheitsbegri/je der Renaissance (Munich: Medizinische Wochenschrift, 1932) pp. 29 33; E. Bergholl, Entwicklungsgeschichte des Krankheitsbegrijjes (Vienna: W. Maudrich, 1947) pp. 68 73; and L. S. King, "Empiricism and rationalism in the works ol Thomas Sydenham," Bulletin of the History of Medicine, vol. 44, no. 1, 1970, pp. 1 11.
As Foucault recalls in Histoire de la folie, pp. 3 0 5 3 0 8 (Madness and Civilisation, pp. 146 150) Sydenham was among those who contributed to a prelerence lor an explanation of hysteria in terms ol physiological disorders of the nerves, attributed to disorders ol the "animal spirits," against the traditional explanation which relerred to the uterus and the humoral model of the "vapors": "it is not any corruption ol either the semen or the menstrual blood, to which, according to many writers, this disease is to be relerred. It is rather the faulty disposition ol the animal spintis" Dissertatio cpistolaris ad G. Cole de obser- valionis nuperis circa curationem variolarum, confuentium, necnon de ajjeclione hysterica ( L o n d o n : Kettilby, 1682); English translation, "Epistolary Dissertation" trans. R. G. Latham, The Works oj Thomas Sydenham, vol. 2,1850, p. 95; French translation in, CEuvres de medecine pra- tique, vol. II, trans. A. F. Jault and J. B. Baumes (Montpellier: J. Tourel, 1816), p. 85. See, I. Veith, "On hysterical and hypochondnacal allections," Bulletin of the History of Medicine, vol. 30, no. 3, 1956, pp. 233 240, and I. Veith, Hysteria: the History of a Disease (Chicago: Chicago University Press, 1965). More generally, see, C. Daremberg, Histoire des sciences medicates, comprcnanl /'anatomic, la physiologic, la medecine, la chirurgie et tes doctrines de patholo-
gic generate, vol. II ( Paris: J. B. Bailliere, 1870), ch. 23, "Sydenham, sa vie, ses doctrines, sa pratique, son influence," pp. 706-7Vv, K. Dewhurst, Dr Thomas Sydenham ( 162/I-16C^9): His Life and Original Writings (London: Wellcome Historical Medical Library, 1966). Foucault bases himself on the work, relerred to in the manuscript, oljohn Barker, Essai sur la conjormite de la medecine des anciens el des modernes, en comparaison entre la pratique d'Hippocrate, Galien, Syndenham et Boerhaave dans les maladies aigue's, trans. R. Schomberg (Paris: Cavalier, 1749) pp- 75 76: "Of necessity, it is indispensable lor the doctor to have a basic knowledge of the doctrine ol crises and critical days ( . . . ) to be able to discover whether or not the heat ol the humors is as it should be, at what moment to expect the cri sis, of what kind it will be, and whether or not it will prevail over the disease. " See also J. B. Aymen, Dissertation fsur] les Jours critiques (Paris: Rault, 1752). The importance ol the notion is indicated by the fact that the article "Crise" in the Encyclopedic ou Dictionnaire raisonne des sciences, des arts et des metiers ol D'Alembert and Diderot was written by a great name in medicine, Theophile Bordeu (1722 1776) and Iills 18 lolio pages (vol. IV, Lausanne: Societe typographique, 1754).
The Kaipo^ designates the moment in the evolution ol the illness when a decisive change occurs: "There is crisis in diseases when they increase, get weaker, are transformed into another disease or end" Hippocrates, Afjeclions, ? 8, in CEuvres completes, vol. VI (1847); English trans lation, Affections, in Hippocrates, vol. V, trans. Paul Potter (Cambridge, Mass: Harvard University Press, Loeb Classical Library, 1988). See, G. Hamelin, "Crtse" in Dictionnaire ency- clopedique des science medicates, T1 series, vol. XXIII (Paris: Masson/Asselin, 1879) pp. 258 319; P. Chantraine "xcupo^" in Dictionnaire etymotogique de la langue grecque, vol. II, p. 584; L. Bourgey, Observation et experience chevies medecins de la Collection Hippocratique(Paris: Vnn, 1953) pp. 236-247. On the Greek medical terms: N. Van Brock, Recherches sur le vocabulaire medical du grec ancien. Soins et guerison (Pans: Klincksieck, 1961). See Foucault, "La maison des fous" Dits et Ecrits, vol. 2, pp. 693 694.
25.
26. This is more or less the definition put torward by Sydenham in his Observationes medicae, Section 1, ch. 1, ?
The notion of Kaipo^ {kairos) defines the occasion, the opportunity to be seized, and con- sequently the time of possible action. Hippocrates ( 4 6 0 377 B. C. ) devotes a chapter of his Des Maladies, I, to this notion, in (Euvres completes, ed. Littre (Paris, J. -B. Bailliere, 1849) vol. VI, ch. 5, "Ol the opportune and inopportune" pp. 148 151; English translation, "Diseases 1" in Hippocrates, vol. V, trans. Paul Potter (Cambridge, Mass. : Harvard University Press, The Loeb Classical Library, 1988). See, P. Joos, "Zufall. Kunst und Natur
bei dem Hippokratitkern" Janus, no. 46, 1957, pp. 238 252; P. Kucharski, "Sur la notion pythagoncienne de kairos11 Revue philosophique de la France et de Vetranger, vol. CLII, no. 2, 1963, pp. 141-169; and P Chantraine, "KoupoS" in Dictionnaire etymologique de la langue grecque. Histoire des mots (Pans: Klincksieck, 1970) vol. II, p. 480.
7. 8.
9.
10.
11. Foucault is alluding here to the Heideggerian problematic that, in a discussion with G. Preti, he then associated with that of Husserl in the same reproach of calling into "question all our knowledge and its loundations ( . . . ) on the basis of that which is
25 January 1974 255
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PSYCHIATRIC POWER
12.
original (. . . ) at the expense of all articulated historical content," M. Foucault, "Les prob- lemes de la culture. Un debat Foucault Preti" (September 1972) Dits et Ecrits, vol. 2, p. 372. So it is the Heideggerian conception of history that is intended here. See especially, M. Heidegger, (1) Sein und Zeit (Halle: Nemeyer, 1927); English translation, Being and Time, trans. J. Macquarrie and E. Robinson (Oxlord: Blackwells, 1967); (2) Vom Wesen des Grundes (Halle: Nemeyer, 1929); English translation, The Essence of Reasons, trans. Terrence Malick (Evanstan: Northwestern University Press, 1969); (3) Vom Wesen der Wahreit (Frankfurt: Klostermann, 19/l3); English translation, The Essence of Truth, on Plato's parable of the cave allegory and Theaetetus, trans. T. Sadler (London: Continuum, 2002); (4) Hol^wege (Frankfurt: Klostermann; 1952); English translation, Off the Beaten Track, trans. J. Young and K. Haynes (Cambridge: Cambridge University Press, 2002); (5) Vortrage und Aufsat^e (Pfullingen: Neske, 1954); ( 6 ) Nietzsche, vol. 2 (Pfullingen: Neske, 1961); English translation, Nietzsche, vol. 2: The Eternal Recurrence of the Same, trans. David Farrell Krell (San Francisco: Harper & Row, 1984). On the relations between Foucault and Heidegger, see M. Foucault, (1) Les Mots et les choses, ch. 9, "L'Homme et ses doubles" ? IV and vi; The Order of Things, ch. 9, "Man and his doubles" sections 4 and 6; (2) "L'Homme est-il mort? " (interview with C. Bonnefoy, June 1966) Dits et Ecrits, vol. 1, p. 542; (3) "Ariane s'est pendue" (April 1969) Dits et Ecrits, vol. 1, p. 768 and p. 770; (4) "Foucault, le philosophe, est en train de parler. Pensez" (29 May 1973) Dits et Ecrits, vol. 2, p. 424; (5) "Prisons et asiles dans le m^canisme du pouvoir" (interview with M. D'Eramo, March 1974), Dits et Ecrits, vol. 2, p. 521; ( 6 ) "Structuralisme et poststructuralisme" (interview with G. Raulet, Spring 1983) Dits et tents, vol. 4, p. 455; English translation, "Structuralism and Post-Structuralism," trans. Jeremy Harding, Essential Works of Foucault, 2, p. 456; (7) "Politique et ethique: une interview," Dits et Ecrits,vol. 4, p. 585; "Politics and Ethics: An Interview" trans. P. Rabinow, The Foucault Reader, pp. 373-374; ( 8 ) "Le retour de la morale" (interview with G. Barbedette and A. Scala, 29 May 1984) Dits et Ecrits, vol. 4, p. 703; English translation, "The Return of Morality" trans. Thomas Levin and Isabelle Lorenz, in Michel Foucault, Politics, Philosophy, Culture. Interviews and Other Writings, 1977-19&4, ed. Lawrence D. Kritzman (New York and London: Routledge, 1988);
( 9 ) "Verite, pouvoir et soi" (interview with R. Martin, 25 October 1982) Dits et Ecrits, vol. 4, p. 780.
In the third lecture of the 1970 1971 course, "The Will to Knowledge (savoir')" Foucault proposed the "opposite view" of a history of the "will to knowledge (connaitre)," in which truth has "the immediate, universal and bare form of observation, external to the proce dure of judgment," proposing the need to "write a history ol the relationships between truth and torture (supplice)," in which "truth is not observed but decided in the form of the oath and the invocation prescribed by the ritual of the ordeal. " A regime, consequently, in which "truth is not linked to the possible light and gaze brought to bear on things by a subject, but to the obscurity of the future and disturbing event. " Other fragments oi such a history are put lorward in the ninth lecture of the 1971-1972 course, "Penal Theories and Institutions," which deals with the system of proof in procedures of the oath, ordeals, and judicial duel from the tenth to the thirteenth century. Foucault was inspired by M. Detienne, Les Maitres de verite dans la Grece archaique (Paris: Maspero, 1967); English translation, The Masters of Truth in Archaic Greece, trans. Janet Lloyd (New York: Zone Books, 1999).
The thirteenth lecture of the course "Penal Theories and Institutions" dedicated to "the confession, the test" explains the meaning ol the detour through what Foucault calls "juridico-political matrices" such as the test, the inquiry, etcetera, and distinguishes three levels of analysis: (a) an "historical description of the sciences," in which "the history of the sciences" consists; (b) an "archeology of knowledge" which takes the relationships ol knowledge and power into account; and (c) a "dynastic of knowledge" which, thanks to the freeing of the juridico political matrices which authorize the archeology, is situated "at the level which combines the most prolit, knowledge and power" (course manuscript con suited thanks to the kindness of Daniel Defert). Foucault takes up this distinction between the "archeological" and "dynastic" in an interview with S. Hasumi, September 1972 "De l'archeologie a la dynastique," Dits et Ecrits, vol. 2, p. 406. On "archeology," see the many definitions given by Foucault: (1) in Dits et Merits, vol. 1: "Michel Foucault, Les Mots et les
13.
? Choses" pp. 498-499; "Sur les fa^ons d'ecrire l'histoire" p. 595; "Reponse a une question" p. 681, and "Michel Foucault explique son dernier livre" pp. 771 772; (2) in Dits et Ecrits, vol. 2: "La volonte de savoir" p. 2-12; "La verite et les formes juridiques" pp. 643-644; English translation, "Truth and Juridical Forms," trans. Robert Hurley, Essential Works of Foucault, 3; ( 3 ) m Dits et Ecrits, vol. 3: "Cours du 7 janvier 1976" p. 167; English translation, lecture of 7 January 1976, "Society Must Be Defended" ch. 1, pp. 10 11; "Dialogue sur le pou- voir", pp. 468-469; (4) in Dits et Ecrits, vol. 4: "Entretien avec Michel Foucault" p. 57; "Structuralisme et poststructuralisme" p. 443; English translation, "Structuralism and Post Structuralism," trans. Jeremy Harding, Essential Works of Foucault, 2, pp. 444 445-
14. In fact Foucault will not keep to this program apart from some comments on the role of childhood in the generalization ol psychiatric knowledge and power in the 1974-1975 College de France lectures of 5,12, and 19 March: Les Anormaux, pp. 217 301; Abnormal, pp. 231 321.
15- From the Old English, ordal, judgment, the "judgment of God" or "ordeal," means to settle contentious questions with the idea that God intervenes in the case to judge during tests likes those of "fire," the "branding iron," "cold or boiling water," and the "cross," etcetera. See L. Tanon, Histoire des tribunaux de /'Inquisition en France (Pans: L. Larose and Forcel, 1893) on the penalties of "lire" (pp. 464-479) and the "cross" (pp. 490-498). As J. -P. Levy emphasizes in his, La Hierarchie des preuves dans le droit savant du Moyen Age, depuis la renaissance du droit romain jusqu'a la fin du xivc siecle (Paris: Sirey, 1939), in this procedure "the trial is not an investigation with the aim of finding out the truth ( . . . ) . It is originally
a struggle, and later, an appeal to God; the concern with making the truth come out is left up to Him, but the judge does not seek it himselt" (p. 163).
Foucault referred to the question of the ordeal in the third lecture of the 1970-1971 College de France lectures, "The Will to Knowledge," in which he noted that in "the treat
ments to which madness was subjected, we find something like this ordeal test of the truth. " The ninth lecture of the 1971 1972 lectures, devoted to accusatory procedure and
the system of proof, refers to it (see above note 12). See also, M. Foucault, "La verite et les
iormes juridiques"; "Truth and Juridical Forms. " See, A. Esmein, Histoire de la procedure criminelle en France, et specialement de la procedure inquisitoire depuis le xiii' siecle jusqu'a nos jours (Paris: Larose et Forcel, 1882) pp. 260 283; E. Vacandard, "L'Eglise et les ordalies" in
filudes de critique et d'histoire religieuse, vol. I (Paris: V. Lecoffre, 1905) pp. 189 214; G. Glotz, Etudes sociales et juridiques sur I'antiquite grecque, ch. 2, "L'ordalie" (Paris: Hachette, 1 9 0 6 ) pp. 69 97; A. Michel, "Ordalies" in, A. Vacant, ed. , Dictionnaire de theologie catholique, vol. XI (Paris: Letouzey et Ane, 1930) col. 1139-1152; Y. Bongert, Recherches sur les cours la'iques du xe au xiif siecles (Paris: A et J. Picard, 1949) pp. 215-228; H. Nottarp, Gottehurteilstudien (Munich: Kosel Verlag, 1956); and J. Gaudemet, "Les ordalies au Moyen Age: doctrine, legislation et pratique canonique" in Recueil de la Societe Jean Bodin (Brussels: 1965) vol. XVII, Part 2, La Preuve.
16. In the basically accusatory procedures that involved taking God as witness so that he pro- duces the accuracy or retraction oi the accusation, confession was not enough to pronounce sentence. See, H. C. Lea, A History of the Inquisition of the Middle Ages, vol. 1, pp. 407-408;
A. Esmein, Histoire de la procedure criminelle, p. 273; andj. P. Levy, La Hierarchie des preuves, pp. 19 83. On confession, see Surveiller et Punir, pp. 42-45; Discipline and Punish, pp. 37-40.
17. Torture, unlike the sovereign means of proof by ordeal--the expression of God's testimony--was a way of provoking judicial confession. The inquisitorial procedure was integrated into canon law in 1232 when Pope Gregory IX called upon the Dominicans to establish a tribunal of Inquisition specifically lor the search lor and punishment ol heretics. Recourse to judicial torture was approved by the bull, Ad Extirpanda, of Pope Innocent IV of 15 May 1252, and later, in 1256, by that of Alexander IV, Ut Negotium Fidei. Referring to the question of the Inquisition in the third lecture of the 1970-1971 lectures, "The Will to Knowledge," Foucault said that "it is a matter of something other than obtaining a truth, a confession ( . . . ) .
It is a challenge which, within Christian thought and practice, takes up the forms of the ordeal. " See Surveiller et Punir, pp. 43-47; Discipline and Punish, pp. 38-42; "Michel Foucault. Les reponses du philosophe" Dits et Ecrits, vol. 2, pp. 810-811. See, H. C. Lea, A History of the Inquisition, vol. 1, ch. 9, "The Inquisitorial Process," pp. 399 429, and on torture, pp. 417-427; L. Tanon, Histoire des tribunaux de I'Inquisition, section III,
23, January 1974 257
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PSYCHIATRIC POWER
18.
19.
20.
21.
"Procedure des tribunaux de 1'Inquisition," pp. 326 440; E. Vacandard, L'Inquisition. Etude historique et critique sur le pouvoir coercitif de I'Eglise (Paris: Bloud et Gay, 1907, 3 ed. ) p. 175; H. Leclercq, "Torture" in F. Cabrol, H. Leclercq, H. I. Marrou, eds. Diclionnaire d'archeologie chretienne et de liturgie, vol. XV (Paris: Letouzey et Ane, 1953) col. 2447-2459; P. Fiorelli, La Tortura giudi^iaria nel diritto comune (Milan: Giuiire, 1953). On the Inquisition in general, see, J. Guiraud, Histoire de /'Inquisition au Moyen Age, in two volumes (Paris: A. Picard, 1935 1938); and H. Maisonneuve, Etudes sur les origines de /'Inquisition (Paris: J. Vrin, 1960, 2nd ed. ).
This question was the topic ol the third lecture of the 1971 1972 lectures, "Penal Theories and Institutions," devoted to confession, investigation and proof. See the course summary, "Theories et institutions penales" Dits et Ecrits, vol. 2, pp. 390-391, English translation "Penal Theories and Institutions" Essential Works oj Foucault, 1, pp. 18 20.
See, M. Eliade, Forgerons et Alchimistes (1956) (Paris: Flammarion, 1977 rev. ed. ): "No virtue or erudition could do without the initiatory experience which was alone able to bring about the break of level implied in the 'transmutation' " (p. 136) and "Every initia
tion includes a series ol ritual tests which symbolize the neophyte's death and resurrection"
(p. 127).
As Lucien Braun will recall in a paper on "Paracelse et Palchimie," "the alchemist's approach must be relentlessly that ol a seeker on the look out (. . . ). Paracelsus sees con stant parturition in the alchemical process, in which the subsequent moment is always a surprise in relation to the one preceding it" in J. C. Margolin and S. Matton, eds. A/c/iimie
et Philosophie a la Renaissance (Actes du colloque international de Tours, yt-7 decembre 1991) (Paris: Vrin, 1993) p. 210. See also, M. Eliade, pp. 126-129, on the phases of the "opus alchymicum. "
See, W. Ganzenmuller, (1) Die Alchcmie im Mittelalter (Paderborn: Bonilacius, 1938), French translation by G. Petit Dutaillis, UAlchimie au Moyen Age (Paris: Aubier, W O ) , and ( 2 ) studies collected in Beitrdge %ur Geschichte der Technologic und der Alchimie (Weinheim: Verlag Chemie, 1956); F. Sherwood Taylor, The Alchemists, Founders oj Modern Chemistry (New York: H. Schuman, 19/l9); R. Alleau, Aspects de I'alchimie traditionnelle (Paris: Editions de Minuit, 1953); T. Burckhardt, Alchimie, Sinn und Wellbild(Olten: Walter Verlag, 1960); M. Caron and S. Hutin, Les Alchimistes (Pans: Le Scuil, 1964, 2nd cd. ); H. Buntz, E. Ploss, H. Roosen Runge, and H. Schipperges, Alchimia: Ideologic und Technologic (Munich: Heinz Moos Verlag, 1970); B. Husson, Anthologie de I'alchimie (Paris: Belfond, 1971); F. A. Yates, Giordano Bruno and the Hermetic Tradition (London: Routledge and Kegan Paul, 1964). Foucault broaches the question ol alchemy in his third lecture (23 May 1973)
on "La verite et les lormes juridiques"; "Truth andjuridical Forms," and in "La maison des fous" Dits et Ecrits, vol. 2, pp. 693-694.
Hippocrates was born in 460 A. D. on the Dorian island oi Cos in Asia Minor and died around 375 A. D. at Larissa in Thessaly. His works, written in the Ionian dialect of the learned, constitute the core of what became the Hippocratic corpus. See, Gossen, "Hippocrates" in A. F. Pauly and G. Wissowa, eds. , Realencyclopadie der classischen Altertumswissenschaft, vol. VIII (Stuttgart: Metzler, 1901) col. 1810-1852; M. Pohlenz, Hippokrates und die Begriindung der wissenschaftlichen Median (Berlin: De Gruyter, 1938); C. Lichtenthaeler, La Medicine hippocratique (studies in French and German) in 9 volumes (Geneva: Droz, 1948 1963); L. Edelstein, "Nachtrage: Hippokrates," in Realencyclopadie, supplement VI, 1953, col. 1290-1345; R. Joly, Le Niveau de la science hippocratique. Contribution a la psychologic de I'histoire des sciences (Paris: Les Belles Lettres, 1966); J.
Jouanna, Hippocrate. Pour une archeologie de I'ecole de Cnide (Paris: Les Belles Lettres, 1974). The basic edition ol the works oi Hippocrates is the bilingual Littre edition (see above, note 10). The basic, bilingual, English edition is the Loeb Classical Library edition ol Hippocrates, in 8 volumes (Cambridge, Mass. : Harvard University Press, 1923-1995). Thomas Sydenham (1624-1689) was an English practitioner known for the changes he introduced into medical knowledge. As Foucault notes in Histoire de lafolie, pp. 205 207 (omitted from the English translation), he organized knowledge ol pathology according to new norms by making a method ol observation, taking into account the symptoms described by the patient, against the medical systems, like Galenism or iatrochemistry, which relied on a speculative approach--earning him the name "the English
22.
23.
? 24.
Hippocrates"--and by developing a "naturalist" description ol diseases offering the possibility ol reducing clinical cases to morbid "species" delined in a botanical style. He published the results of his observations in his Observationes medicae circa morborum aculorum historiam et curationem. Methodic curandi febres, propiis observalionibus superstructa ( L o n d o n : Kettilby, 1676); English translation, Medical Observations Concerning the History and Cur of Acute Diseases, trans. R. G. Latham, in The Works of Thomas Sydenham, M. D. , vol. 1 (London: The Sydenham Society, 1848). See, K. Faber, Thomas Sydenham, dcr englische Hippocrates, und die Krankheitsbegri/je der Renaissance (Munich: Medizinische Wochenschrift, 1932) pp. 29 33; E. Bergholl, Entwicklungsgeschichte des Krankheitsbegrijjes (Vienna: W. Maudrich, 1947) pp. 68 73; and L. S. King, "Empiricism and rationalism in the works ol Thomas Sydenham," Bulletin of the History of Medicine, vol. 44, no. 1, 1970, pp. 1 11.
As Foucault recalls in Histoire de la folie, pp. 3 0 5 3 0 8 (Madness and Civilisation, pp. 146 150) Sydenham was among those who contributed to a prelerence lor an explanation of hysteria in terms ol physiological disorders of the nerves, attributed to disorders ol the "animal spirits," against the traditional explanation which relerred to the uterus and the humoral model of the "vapors": "it is not any corruption ol either the semen or the menstrual blood, to which, according to many writers, this disease is to be relerred. It is rather the faulty disposition ol the animal spintis" Dissertatio cpistolaris ad G. Cole de obser- valionis nuperis circa curationem variolarum, confuentium, necnon de ajjeclione hysterica ( L o n d o n : Kettilby, 1682); English translation, "Epistolary Dissertation" trans. R. G. Latham, The Works oj Thomas Sydenham, vol. 2,1850, p. 95; French translation in, CEuvres de medecine pra- tique, vol. II, trans. A. F. Jault and J. B. Baumes (Montpellier: J. Tourel, 1816), p. 85. See, I. Veith, "On hysterical and hypochondnacal allections," Bulletin of the History of Medicine, vol. 30, no. 3, 1956, pp. 233 240, and I. Veith, Hysteria: the History of a Disease (Chicago: Chicago University Press, 1965). More generally, see, C. Daremberg, Histoire des sciences medicates, comprcnanl /'anatomic, la physiologic, la medecine, la chirurgie et tes doctrines de patholo-
gic generate, vol. II ( Paris: J. B. Bailliere, 1870), ch. 23, "Sydenham, sa vie, ses doctrines, sa pratique, son influence," pp. 706-7Vv, K. Dewhurst, Dr Thomas Sydenham ( 162/I-16C^9): His Life and Original Writings (London: Wellcome Historical Medical Library, 1966). Foucault bases himself on the work, relerred to in the manuscript, oljohn Barker, Essai sur la conjormite de la medecine des anciens el des modernes, en comparaison entre la pratique d'Hippocrate, Galien, Syndenham et Boerhaave dans les maladies aigue's, trans. R. Schomberg (Paris: Cavalier, 1749) pp- 75 76: "Of necessity, it is indispensable lor the doctor to have a basic knowledge of the doctrine ol crises and critical days ( . . . ) to be able to discover whether or not the heat ol the humors is as it should be, at what moment to expect the cri sis, of what kind it will be, and whether or not it will prevail over the disease. " See also J. B. Aymen, Dissertation fsur] les Jours critiques (Paris: Rault, 1752). The importance ol the notion is indicated by the fact that the article "Crise" in the Encyclopedic ou Dictionnaire raisonne des sciences, des arts et des metiers ol D'Alembert and Diderot was written by a great name in medicine, Theophile Bordeu (1722 1776) and Iills 18 lolio pages (vol. IV, Lausanne: Societe typographique, 1754).
The Kaipo^ designates the moment in the evolution ol the illness when a decisive change occurs: "There is crisis in diseases when they increase, get weaker, are transformed into another disease or end" Hippocrates, Afjeclions, ? 8, in CEuvres completes, vol. VI (1847); English trans lation, Affections, in Hippocrates, vol. V, trans. Paul Potter (Cambridge, Mass: Harvard University Press, Loeb Classical Library, 1988). See, G. Hamelin, "Crtse" in Dictionnaire ency- clopedique des science medicates, T1 series, vol. XXIII (Paris: Masson/Asselin, 1879) pp. 258 319; P. Chantraine "xcupo^" in Dictionnaire etymotogique de la langue grecque, vol. II, p. 584; L. Bourgey, Observation et experience chevies medecins de la Collection Hippocratique(Paris: Vnn, 1953) pp. 236-247. On the Greek medical terms: N. Van Brock, Recherches sur le vocabulaire medical du grec ancien. Soins et guerison (Pans: Klincksieck, 1961). See Foucault, "La maison des fous" Dits et Ecrits, vol. 2, pp. 693 694.
25.
26. This is more or less the definition put torward by Sydenham in his Observationes medicae, Section 1, ch. 1, ?
