This book is virtually impossible to find, and the pdf I found is missing editorial introductions and a final essay, but Fanon’s texts remain.
The underlying thread of Fanon’s psychiatry is the colonial inheritance of medical/psychiatric practice. In medics contexts what cannot be “diagnosed” does not exist. In the body of the colonized subject, this relationship is exacerbated. Fanon views madness as potentially social, something that comes not as a result of denying reality but attempting to face it. When met with ineffability, the social structure of capitalism cannot but deny its humanity. In his practice, Fanon advocated for the subjectivity of his patients. Likewise, he participated in efforts to collectivize the psychiatric hospitals, seeing profound results. The text ends with an essay on the colonial subject, and the experience of colonialism as a psychiatric detriment to the person - in particular the relationship between labor, surveillance, and psychiatric internalization of the settler gaze.
A profound work, but perhaps the most profound is Fanon’s reflections of the communal transformation of the psychiatric hospital. He writes:
“Christmas, with its deeply embedded traditions, provided us with an opportunity… Religious hymns, choirs, carols… hands trembling with emotion. When we proposed the patients organize regular festivities… we hardly encountered any opposition. We attend merely as spectators. When the paranoid patient responsible for the musics number kept watch on the catatonic patient out of the corner of her eye to make sure she wasn’t losing the thread, pinching her when necessary to get her moving again.”