Abstract

In this article, I contend that Franco Basaglia’s work of reform in psychiatry can be read as a proposal for an affirmative biopolitical psychiatry. My claim is that Basaglia’s reform is to be regarded not only as a successful dismantling of the old disciplinary psychiatry but also as an ante litteram attempt at preventing what Pierangelo Di Vittorio refers to as a “biopolitical psychiatry.” Di Vittorio’s definition is notably limited, for he seems to overlook Foucault’s conceptual oscillations between affirmative biopolitics and negative biopower. Di Vittorio’s biopolitical psychiatry does not bear any affirmative connotation, and his radically negative perspective should rather be considered as the exertion of biopower in psychiatry, as a negative involution of an affirmative biopolitical psychiatry. I propose to read Basaglia’s entire work of reform, which can be summarised by his famous motto “bracketing mental illness” – that is, disregarding the patient’s diagnosis – as an affirmative biopolitical psychiatry. I suggest that biopolitical psychiatry cannot be understood only in negative terms, as Di Vittorio does, and that Basaglia did not propose to oppose its emergence; rather, he actively fought against disciplinary psychiatry. Basaglia’s reform does not prevent psychiatry from being one of the dispositifs of biopolitics, that is, one of the possible means through which political power reaches the lives of people: for him, this prevention might be impossible or even undesirable. On the other hand, it would preclude psychiatry from becoming a dispositif of biopower, one that would ultimately bring life under such strict control that it would degenerate into a thanatopolitical implosion.