Matthew, which one of RD Laing's books would you say is the best? I'm not interested as much in his philosophical works, but in his practical approach to mental illness.
From Wikipedia:"On mental illness
Laing argued that the strange behavior and seemingly confused speech of people undergoing a psychotic episode were ultimately understandable as an attempt to communicate worries and concerns, often in situations where this was not possible or not permitted. Laing stressed the role of society, and particularly the family, in the development of "madness" (his term). He argued that individuals can often be put in impossible situations, where they are unable to conform to the conflicting expectations of their peers, leading to a "lose-lose situation" and immense mental distress for the individuals concerned. (In 1956, in Palo Alto, Gregory Bateson and his colleagues Paul Watzlawick, Donald Jackson, and Jay Haley[10] articulated a related theory of schizophrenia as stemming from double bind situations where a person receives different or contradictory messages.) The perceived symptoms of schizophrenia were therefore an expression of this distress, and should be valued as a cathartic and trans-formative experience.
Psychiatrist and philosopher Karl Jaspers had previously pronounced, in his work General Psychopathology, that many of the symptoms of mental illness (and particularly of delusions) were "un-understandable", and therefore were worthy of little consideration except as a sign of some other underlying primary disorder. Laing saw psychopathology as being seated not in biological or psychic organs – whereby environment is relegated to playing at most only an accidental role as immediate trigger of disease (the "stress diathasis model" of the nature and causes of psychopathology) – but rather in the social cradle, the urban home, which cultivates it, the very crucible in which selves are forged. This re-evaluation of the locus of the disease process – and consequent shift in forms of treatment – was in stark contrast to psychiatric orthodoxy (in the broadest sense we have of ourselves as psychological subjects and pathological selves). Laing was revolutionary in valuing the content of psychotic behavior and speech as a valid expression of distress, albeit wrapped in an enigmatic language of personal symbolism which is meaningful only from within their situation. According to Laing, if a therapist can better understand his or her patient, the therapist can begin to make sense of the symbolism of the patient's psychosis, and therefore start addressing the concerns which are the root cause of the distress.
Laing expanded the view of the "double bind" hypothesis put forth by Bateson and other anthropologists, and came up with a new concept to describe the highly complex situation that unfolds in the process of "going mad" - an "incompatible knot". Laing compared this to a situation where your right hand can exist but your left hand cannot. In this untenable position, something has got to give, and more often than not, what gives is psychological stability; a self-destruction sequence is set in motion.
Laing never denied the existence of mental illness, but viewed it in a radically different light from his contemporaries. For Laing, mental illness could be a trans-formative episode whereby the process of undergoing mental distress was compared to a shamanic journey. The traveler could return from the journey with (supposedly) important insights, and may have become (in the views of Laing and his followers) a wiser and more grounded person as a result. This was consistent with the critique of the alleged dubious validity of "value judgements" prevalent in Western society, which was common amongst academics in the 1960s and 1970s (for example, the views of Michel Foucault).
[edit] Ontological insecurity, family nexus, and the double-bind
In The Divided Self (1960), Laing contrasted the experience of the "ontologically secure" person with that of a person who "cannot take the realness, aliveness, autonomy and identity of himself and others for granted" and who consequently contrives strategies to avoid "losing his self". [11] Laing explains how we all exist in the world as beings, defined by others who carry a model of us in their heads, just as we carry models of them in our heads. In later writings he often takes this to deeper levels, laboriously spelling out how "A knows that B knows that A knows that B knows ..."! Our feelings and motivations derive very much from this condition of "being in the world" in the sense of existing for others, who exist for us. Without this we suffer "ontological insecurity", a condition often expressed in terms of "being dead" by people who are clearly still physically alive.
In Self and Others (1961), Laing's definition of normality shifted somewhat.[12]
In Sanity, Madness and the Family (1964), Laing and Esterton give accounts of several families, analysing how their members see each other and what they actually communicate to each other. The startling way in which lies are perpetuated in the interest of family politics rings true to many readers from 'normal' families, and Laing's view is that in some cases these lies are so strongly maintained as to make it impossible for a vulnerable child to be able to determine what truth actually is, let alone what the truth of their situation is."
Those two: "Self and Others", and "Sanity, Madness and Family". In the latter he expresses a view of Schizophrenia as an adaptive response to an insane family situation through case studies.
Matthew