Preface

• 此書開始寫作時，作者說如同石像鬼一般雙肩棲著般地被看著（medical gaze?）
  • 獻給他的學生們→acknowledgement中有詳細的寫作被受幫助的過程
  • 無法去脫離是否在寫作過程中受到疾病之疑慮
    • manic depression-to the point of psychosis
• Target group at the Humanities Research Institute in Irvine California 1996
  • 作者此本民族誌的契機為參加當地的manic depression support groups
    • 同時也先前也寫了manic depression and ADHD的文化現象 as acknowledgement
  • 先前提到的石像鬼並非帶了兩頂帽子所致
    • 同為病人以及作者
      • 因為擁有被診斷的資格而夠native points of view
      • might provide a route for me (xvi previous second paragraph topic sentence)
    • 但group本身的私密需要絕對細膩的保密
      • 污名的恐懼（fear of stigma）
      • 造成田野工作的工藝（craft）
        • taking note, recording
        • consider carefully before requesting interviews
        • my reason for this are important to clarify
          • the stigma against mental illness is so great that my knowing someone’s phone number and address, which I would need to do a lengthy, confidential interview could be threatening.
            • lost job and relationship
  • Madness(from mental illness) 作為概念使用的代價
    • grouping mental phenomena with physical phenomena
      • implying optimistically that both have biological causes and potential cures. 彷彿一般生理疾病地樂觀去看待。
      • ROB the experience of being mentally ill of its ‘’complex darkness’’
        • ‘’Denial of human weight and complexity’’
          • 在種族議題上是足以能夠對話。（cross talk種族）
  • Trained to lead support groups for people with manic depression
    • 學校裡的社工說NOT APPLY to her students because not able to function in the intellectually demanding environment at Princeton
      • manic depression=nonfunctional person
  • 此書的目標是Broader cultural and historical context
    • 但書是非反精神醫學
    • disorder帶來的是secrecy and fear of collective responsibility,
    • NOT HANDBOOK
    • AIm to explore the daily experience of those who , for better or worse, are partipating in the world that psychopharmochology has opened up
  • ‘’Crazy’’ 在‘’gay’’文化出櫃歷程是否能夠可行？（cross talk性別）
    • 理性與非理性的分界並非武斷，如同性別spectrum

Introduction

• Productivity=manic behavior=valuable human resource in 1996-

  • Manic CEO=good=contagious to success

    • but also need treatment=bad signs of weakness
      • Too often, the depressive lows swallow up a person’s live

  • 此書中作者將會探索美國關於mania and manic depress的文化理解以及實作（cultural understanding and practices）

    • 涉及對於生命、死亡、權力（power）、弱點以及能與不能，與心智（mind）和身體(body)，在此範疇內如何融合
      • 以及如何因種族、族群而異
    • 去理解當代精神醫學以及神經醫學如何在這樣的歷史以及文化底下創造科學的、理性的真實

  • GQ Ted turner as man of the year ‘’help of his manic energy’’

    • Howard Dean=fear disgust and revulsion
    • why?

  • 作者的manic depression主觀經驗認為不能只當作一種資產（asset）

    • question of rationality and academic abilities
    • also a signal of special creativity
• Rational and Irrational
  • 從柏拉圖以及雅里斯多德談起，至今法律仍然如此
    • 理性作為人性的原型以及倫理上的自由
    • 瘋狂則是作為缺乏時，沒有被釋放的熱情，是動物性的，造成錯誤以及邪惡
      • 但與超自然連結而被尊敬
    • 利益（interest）上的考量
      • 完美的人＝理性、男性、成人的希臘人擁有資產以及投票權
    • Redd: bipolar II 的chronic hypomanic personality= irrational
      • operating on a different reality
      • her ability to appreciate the nature and quality of the act was impaired
      • factors to consider judgements of right and wrong
        • not insane
        • rose-colored glasses
      • Jailed or hospitalized?
        • Emil Kraeplin, peculiar mixture of sense and maniacal activity
        • 此架設是基於正常人都是完全理性之存有（自希臘以降）
          • 作者當然覺得理性是spectrum
          • It takes the strong grip of cultural assumptions to supress evidence of the of the myriad ways people experience the irrational- awake or asleep(p.8 line 7)
            • the operation of central institute
      • Open the terrain between the comfortabl rational and the teerifying irrational, allowing more complex kinds of description to merge.
        • on Mania for 2 reasons(p.8 last paragraph)
          • 躁（mania）比較少被書寫，相對於憂鬱(或許流行病學上比較高)
          • 躁本身是manic dpression在政治經濟學上作為可欲求的物來對待。
        • 主要的argument（p.9）

Brain and genes（p.11）

• 此本書不處理sts或科學社會學的範疇，處理的是belief(信念)
• 在此信念中，其本體論落在brain，以及還有其基因構築的mental disorder，造成了田野裏外的人們理解障礙

The drug factor(p. 13)

• 流行病學上來說情緒疾患是不斷增加的。
• 新的一系列的藥物出場，加強了上述的現象