In The Spiritual Gift of Madness, Seth Farber interviews half a dozen people who have had negative experiences with western psychology as well as experts in mental health. His thesis is the mental health system as it is values medication over other types of therapy and, because of this misguided focus, harms the very people it is attempting to help.
He is a champion of the Mad Pride movement, a group that seeks to celebrate and assist those suffering from mental health issues to embrace who they are rather than medicating it away.

“… helping the mad does not mean drugging or coaxing them into a state of “adjustment,” but rather appreciating the state of madness for what it is: an existential clearing in the jungle of our insane modern society that potentially leads into the realm of true sanity, which, in the world today, means a state of creative maladjustment.” pg 124
I should mention that Farber doesn’t use “mad” in a negative way, rather he uses it to highlight how individuals with different viewpoints from the rest of society are marginalized and sedated into silence. He puts forward the idea that insanity is believing everyone must view the world in the same manner or be ostracized for it. He holds up society’s repeated failures to handle issues like global warming to racial and gender equality as evidence of the insanity of the world.
“Now one of the things that’s so detrimental about the hospitalization is the power impact of being treated like a patient – people end up believing they’re chronically mentally ill.” pg 44
Farber believes mental illness is a transition to a new, potentially powerful state of being that, as a modern society, we quash before it’s completed. He points out that many of the great prophets and visionaries from history had, what we would now call, complete breakdowns before their epic breakthroughs.

“… a few weeks of mania could give one access to a sense of understanding that it could take ‘years of meditation’ to achieve, access to visions of ‘the wholeness’ of the universe and ‘the interconnected nature of love, access to a sense of time and space that allows one to discern what is and what is not important.'” pg 21
Instead of medication and psychiatric facilities, Farber would like to see the creation of safe havens for people going through this process so they could assimilate whatever is going on in their minds before going back to the rest of society. That would be for the experiencer’s protection as well as the public.
I think Farber brings up important issues in this book. As someone who has struggled with mental illness, I’ve viewed the system from the inside and recognize some of the problems he points out. There’s the stigma of the diagnosis and the embarrassment of feeling separated from “normal”. There’s the expectation you will take your meds from the day you’re labeled until you die, no matter the side effects.
But, worst of all, is feeling like you can’t trust what’s going on in your head because it went so spectacularly wrong before and what’s to prevent it from going sideways again.
I agree some changes need to be made to the system and, as a society, perhaps we can do a better job minimizing stigma, maximizing communication, and helping people live in a happy and healthy manner that they choose.
However, I feel like Farber goes too far in his insistence that the “mad” are the future. That somehow they hold the keys to a paradise on earth if only we’d let them share their messages unfettered.

In the midst of my psychosis in 2009, I wouldn’t have wanted any of the nightmares in my head to permanently affect my future or my family. If there are lessons to be learned from it, maybe it’s an individual message for the people undergoing the change rather than expecting it to be universal lessons, applicable for everyone.
But, that’s my two cents. I certainly don’t have all the answers, but The Spiritual Gift of Madness asks some interesting questions.
Recommended for seekers who are interested in a different way to both approach and treat those with mental illnesses or for those who have gone “through the looking glass” and are now viewing the world from the other side, like me and the people in this book and many, many others.
Thanks for reading!
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