'Insane' is a book for all those with an affiliation to, knowledge of or interest in psychiatry. Or, of course, for everyone who like their books breaking with conventions. Goetz drags you down, step by step, into the crags of psychiatry (of the early 80s) and beyond; steaming with punk. This is not the umpteenth pamphlet against psychiatry as such. 'Insane' is a triptych of madness. The main character is Raspe, a reference to Jan-Carl Raspe (one of the members of the 'Rote Armee Fraktion'). The RAF once terrorised society, in 'Insane' Raspe feels terrorised by society.
In Part One, 'Away', Goetz drops you right away into a impressionistic collage of all the characters in the book. Here, no distinction in importance is made between patients, doctors and friends of Raspe. One tumbles from one character to the other, only seeing glimpses; which makes part one a joy to read.
Part Two, 'Inside', is the most classic, with a conventional narrative arc. Here, Goetz sketches the life and the practices inside a psychiatric hospital, and more in detail of a closed ward. Raspe is a young, ideological and a bit naive psychiatrist, hoping to leave his therapeutic mark. It almost reads like a historical document, it feels like it's written to the life. Raspe is shocked how easily he's involved in everyday work of the doctors, losing touch with his ideals; medical treatment, sometimes electroshock therapy, the total lack of psychotherapy, the total lack of empathy and respect for the patients. The nurses are the ones who try to introduce more humane ways to deal with the patients. Raspe is naive in thinking that it's possible to heal patients who are staying in a closed ward. He tries and at first sight it seems like he's succeeding, but soon enough the patients are returning to the closed ward. Raspe forgets that stability and relief of the mental pain for the patients is the foremost treatment. More and more the patients blend in Raspe's mind as a big blur of misery. After one year, sick of the mentality of the medics and the hopelessness of the patient's future, Raspe has a breakdown.
Part Three, 'Order', is the most challenging section for the reader. It lacks order in all possible ways. Raspe slips away into a condition of depressive ('so much lying and sleeping, lying and sleeping and nothing but') and manic (the raging against the machine, and 'because in life, against life, the only salvation is through work') episodes, fused with paranoid (the police station opposite his home) and psychotic (he feels responsible for the sinking of a ship the other side of the world, and he thinks he is the one to save Lebanon) tendencies. Raspe dives into CULTURE, the Munich 'underground' scene, writing a fanzine, working as a journalist, trying to write a novel and a film. It's not always clear when Goetz or Raspe are talking. Goetz makes no concessions to the reader. Part Three is written out of the logic of a mentally ill, almost impossible to grasp for the outsider. The second half of Part Three is one big raging against the insanity of the cultural scene. It's a pity the translator didn't include notes to clarify the German cultural scene at the beginning of the 80s. Google wasn't enough to clarify all the references by myself. But I think I was able to understand the essence of what Goetz wanted to say.
All in all I'm very happy to have read this book, and thanks to Fitzcarraldo for publishing this cult book in an English translation. I would gladly have given this book 5 stars, if it was not for the references I missed.