44 books like Madhouse

This classic account by a renowned sociologist is critical reading for those interested in the anti-psychiatry movement, a crusade that viewed psychiatry as more coercive than therapeutic and, in some cases, questioned the reality of mental illness itself. For one year, Goffman embedded himself in St. Elizabeth’s mental hospital in Washington, DC, where he ultimately concluded that the defining features of the asylum – similar to those of prisons and other “total institutions” – did more to shape the patient’s behavior than the supposed illness for which the patient had been admitted in the first place. Goffman’s observations left a significant impact on popular ideas about asylum care and helped contribute to widespread deinstitutionalization several decades later.

I love this book first and foremost because it is essentially the OG of madwomen narratives. Written in 1892, it is a super-creepy, sensory, trippy exploration of one woman’s sanity slowly being shredded by male medical “expertise”—in this case, a doctor’s prescription for postpartum depression: utter isolation in a bedroom with no intellectual stimulation... in order to alleviate postpartum depression (?!). Unsurprisingly, rather than “recovering,” the heroine drags readers down a terrifying rabbit hole of hallucination, self-destruction, and—ultimately—murder.

It’s a masterful, Hitchcockian deep dive into psychosis written over a half-century before Psycho. But it’s also an extremely satisfying example of feminist revenge-writing; Perkins not only drew on her own experience after suffering this “treatment” but sent a copy directly to her practitioner after its publication. Pow!

I found it fascinating to read Ethan Watters’ analysis of how American concepts of mental illness are exported and globalized, usually with disastrous consequences.

During a cultural moment when social justice, cultural relativism, and imperialism have entered the public consciousness, this book is more relevant than ever. With its focus on mental health labels and diagnoses, specifically, this book helped me understand how our notions of illness, psychological distress, and mental health don’t necessarily translate into other societies.

I loved thinking about familiar diagnoses here in the US, such as anorexia, depression, and PTSD, and reading about well-meaning initiatives that bring these labels into foreign contexts. By attempting to superimpose our conception of mental illness onto people in other countries, we inadvertently diminish the social networks and resilience of the societies we aim to help.

As a therapist who is sometimes weary of our cultural stories about psychological suffering, this… show more.

I once worked on a film shoot at the infamous Friern Barnet Asylum in London, an imposing building that boasts the longest corridor in Europe at over a third of a mile long. It was my job to lock up after filming was over each night, and to do so, I had to walk the long corridor with just a flashlight for company… and the ghosts rumoured to haunt the building! I have never forgotten the feeling of dread and despair in that place, and my heart went out to the patients who were isolated in the creepy basement wards. Barbara Taylor gives an inside perspective on this fearsome institution in her book, which is both an achingly honest account of mental illness and addiction, and a critique of community care.

“What does it mean to be called crazy in a crazy world?” asks Will Hall, the host of Madness Radio. Hall is one of the most gifted media hosts whom I have ever been interviewed by, as he is especially talented in drawing out his subjects. Hall is unique in that he is also a therapist who was once diagnosed with schizophrenia. Outside Mental Health is a collection of his interviews with more than 60 scientists, journalists, doctors, activist ex-psychiatric patients, and artists who provide alternative visions to psychiatry’s medical model—a paradigm that has been nonproductive and counterproductive for many people.

I recommend this book by Edward Shorter because it was an invaluable tool in my research.

The author does an amazing job pulling together centuries of psychiatric history into a book that was very easy to understand. He goes into detail about different therapies used throughout history, the brilliant minds who brought everything together as well as what patients experienced in the asylum over the decades. 

Mad Science is a comprehensive, engaging, and readable scientific and social critique of current mental health practices. It effectively argues that the fundamental claims of modern American psychiatry are based on misconceived, flawed, and distorted science, and it details psychiatry’s scientifically invalid disorders, unreliable diagnostic methods, ineffective drugs, and damaging use of coercion. The authors are scholars, researchers, and clinicians (Kirk, a professor emeritus of social welfare at UCLA; Gomory, an associate professor of social work at Florida State University; and Cohen, a professor in social welfare at UCLA). 

I found Alternatives Beyond Psychiatry to be an extremely helpful collection of reports and alternative approaches from an international cast of mental health professionals, ex-patients, lawyers, and social scientists. Peter Stastny is a psychiatrist, documentary filmmaker, and a founder of the International Network Towards Alternatives and Rights-Based Supports; and Peter Lehmann is the founder of Peter Lehmann Publishing and co-founder of the Association for Protection against Psychiatric Violence. Alternatives Beyond Psychiatry includes exciting alternative visions along with concrete self-help and approaches for professionals.

The epic 900-page Discovery of the Unconscious is a phenomenally detailed and well-researched book that still challenges many of today’s psychological ‘truths.’ Ellenberger takes as his starting point models of the unconscious developed by Pierre Janet, Sigmund Freud, Alfred Adler, and Carl Jung, which still influence many contemporary therapeutic treatments. He then skilfully links these models of the unconscious mind back to exorcism, magnetism, and hypnotism. Ellenberger’s detailed account of the use of magnetism and hypnosis by Jean Martin Charcot and others is fascinating because he explains exactly how Charcot's approaches premised new “uncovering” models devised by Nietzsche and the neo-Romantic movement. He also explains how Charcot’s work related to the growing interest in instincts and sexuality inspired by Darwin that culminated in the Freudian unconscious. In doing so, Ellenberger exposes what was genuinely new in the modern unconscious, and which parts of it have a much longer history. The… show more.

I’ve long been suspicious of the medical model of mental health.

My own work with people struggling with mental health challenges convinced me that simply regarding them as ‘mentally ill’ and in need of medication was not helpful. The reality I encountered was far more multidimensional, with psychological, social, and spiritual matters being just as important as the biological, if not more so.

This edited collection brings together critical analyses of the medical model from a wide range of authors. The basic message is that we need to rethink conceptions of mental illness and recognize that there is immense potential for discrimination and oppression if these wider aspects are not taken into consideration.

Anyone who doubts the wisdom of the medical model will find this book very informative.