182THE WRETCHED OF THE EARTHCOLON1AL WAR AND MENTAL DISORDERS183making him thoroughly fit into a social environment <strong>of</strong> <strong>the</strong> colonialtype.Because it is a systematized negation <strong>of</strong> <strong>the</strong> o<strong>the</strong>r, a frenzieddetermination to deny <strong>the</strong> o<strong>the</strong>r any attribute <strong>of</strong> humanity, colonialismforces <strong>the</strong> colonized to constantly ask <strong>the</strong> question:"Who am I in reality?"The defensive positions born <strong>of</strong> this violent confrontation between<strong>the</strong> colonized and <strong>the</strong> colonial constitute a struchHe which<strong>the</strong>n reveals <strong>the</strong> colonized personality. In order to understand this"sensibility" we need only to study and appreciate <strong>the</strong> scopedepth <strong>of</strong> <strong>the</strong> wounds inflicted on <strong>the</strong> colonized during a singleday under a colonial regime. We must remember in any case thata colonized people is not just a dominated people. Under <strong>the</strong>German occupation <strong>the</strong> French remained human beings. Under<strong>the</strong> French occupation <strong>the</strong> Germans remained human beings.Algeria <strong>the</strong>re is not simply domination but <strong>the</strong> decision, literally,to occupy nothing else but a territory. The Algerians, <strong>the</strong> womendressed in haiks, <strong>the</strong> palm groves, and <strong>the</strong> camels form a landscape,natural backdrop for <strong>the</strong> French presence.A hostile, ungovernable, and fundamentally rebellious Natureis in fact synonymous in <strong>the</strong> colonies with <strong>the</strong> bush, <strong>the</strong>mosquitoes, <strong>the</strong> natives, and disease. Colonization has succeededonce this untamed Nature has been brought undercontrol. Cutting railroads through <strong>the</strong> bush, draining swamps,and ignoring <strong>the</strong> political and economic existence <strong>of</strong> <strong>the</strong> nativepopulation are in fact one and <strong>the</strong> same thing.When colonization remains unchallenged by armed resistance,when <strong>the</strong> sum <strong>of</strong> harmful stimulants exceeds a certainthreshold, <strong>the</strong> colonized's defenses collapse, and many <strong>of</strong> <strong>the</strong>mend up in psychiatric institutions. In <strong>the</strong> calm <strong>of</strong> this period <strong>of</strong>triumphant colonization, a constant and considerable stream <strong>of</strong>mental symptoms are direct sequels <strong>of</strong> this oppression.Today <strong>the</strong> all-out national war <strong>of</strong> liberation waged by <strong>the</strong>gerian people for seven years has become a breeding ground formental disorders.22 We include here cases <strong>of</strong>Algerian and Frenchpatients under our care which we think particularly meaningful.We need hardly add that our approach here is not that <strong>of</strong> ascientific work, and we have avoided any semiological, nosological,or <strong>the</strong>rapeutic discussion. The few technical terms used hereare solely meant as points <strong>of</strong> reference. We must, however, insiston two points:A.s a general rule, clinical psychiatry classifies <strong>the</strong> various disorderspresented by our patients under <strong>the</strong> heading "psychotic reaction."In doing so, priority is given to <strong>the</strong> sihlation that triggered<strong>the</strong> disorder, although here and <strong>the</strong>re mention is made <strong>of</strong> <strong>the</strong> roleplayed by <strong>the</strong> subject's psychological, affective, and biologicalhistory, and that <strong>of</strong> his milieu. We believe that in <strong>the</strong> cases presentedhere <strong>the</strong> triggering factor is principally <strong>the</strong> bloody, pitilessatmosphere, <strong>the</strong> generalization <strong>of</strong> inhuman practices, <strong>of</strong> people'slasting impression that <strong>the</strong>y are witnessing a veritable apocalypse.Case no. 2 <strong>of</strong>Series A is a typical psychotic reaction, but casenos. 1, 2, 4, and 5 <strong>of</strong> Series B suppose a much vaguer causality,although we cannot really point to a particular triggering situation.Here it is <strong>the</strong> war, this colonial war that very <strong>of</strong>ten takeson <strong>the</strong> aspect <strong>of</strong> a genuine genocide, this war which radicallydisrupts and shatters <strong>the</strong> world, which is in fact <strong>the</strong> triggering22 In <strong>the</strong> unpublished introduction <strong>of</strong> <strong>the</strong> first two editions <strong>of</strong> L'an V de larevolution algerienne (Studies in a Dying Colonialism), we already indicatedthat an entire generation <strong>of</strong> Algerians, steeped in collective, gratuitous homicidewith all <strong>the</strong> psychosomatic consequences this entails, would be France'shuman legacy in Algeria. The French who condemn torture in Algeria constantlyadopt a strictly French point <strong>of</strong> view. This is not a reproach, anaffirmation: <strong>the</strong>y want to safeguard <strong>the</strong> conscience <strong>of</strong> present and potentialtorturers and try and protect French youth from moral degradation. We, forour part, can but approve such an approach. Some <strong>of</strong> <strong>the</strong> observations collectedhere, notably case histories nos. 4 and 5 <strong>of</strong> series A, sadlv illustrate andjustify this obsessive fear <strong>of</strong> French democrats. Ourdemonstrate that any torture deeply dislocates, aspersonality <strong>of</strong> <strong>the</strong> tortured.
184THE WRETCHED OF THE EARTHsituation. These are brief psychotic disorders, if we want to use<strong>the</strong> <strong>of</strong>ficial term, but putting particular emphasis on war in generaland <strong>the</strong> specific circumstances <strong>of</strong> a colonial war. After <strong>the</strong> twomajor world wars <strong>the</strong>re was a host <strong>of</strong> publications on <strong>the</strong> mentalpathology <strong>of</strong> soldiers engaged in action as well as <strong>the</strong> civilianrefugees and bombing victims. The novel physiognomy <strong>of</strong> some<strong>of</strong> <strong>the</strong> case histories mentioned here provides confirmation, ifwe still needed it, that this colonial war is a new phenomenoneven in <strong>the</strong> pathology it produces.Ano<strong>the</strong>r well-established notion that deserves in our opinionto be reevaluated is that <strong>the</strong>se psychotic reactions are relativelybenign. Anniversary reactions, i.e., cases where <strong>the</strong> entire personalityhas been definitively dislocated, have <strong>of</strong> course beendescribed, but always as exceptional cases. We believe on <strong>the</strong>contrary that <strong>the</strong> pathological processes tend as a rule to be frequentlymalignant. These disorders last for months, wage a massiveattack on <strong>the</strong> ego, and almost invariably leave behind avulnerability virtually visible to <strong>the</strong> naked eye. In all evidence<strong>the</strong> future <strong>of</strong> <strong>the</strong>se patients is compromised. The following examplewill illustrate our standpoint.In a certain African country, independent for some years now,we have had <strong>the</strong> opp0rtunity <strong>of</strong> treating a patriot and formerresistance fighter. The man, in his thirties, would come and askus for advice and help, since he was afflicted with insomnia toge<strong>the</strong>rwith anxiety attacks and obsession with suicide around acertain date in <strong>the</strong> year. The critical date corresponded to <strong>the</strong>day he had been ordered to place a bomb somewhere. Tenpeople had perished during <strong>the</strong> attack. 2323 The circumstances surrounding <strong>the</strong> symptoms are interesting for severalreasons. Several months after his country had gained independence hehad made <strong>the</strong> acquaintance <strong>of</strong> nationals from <strong>the</strong> former colonizing nation.They became friends. These men and women welcomed <strong>the</strong> newly acquiredindependence and unhesitatingly paid tribute to <strong>the</strong> courage <strong>of</strong> <strong>the</strong> patriotsin <strong>the</strong> national liberation struggle. The militant was <strong>the</strong>n overcome by a kind<strong>of</strong> vertigo. He anxiously asked himself whe<strong>the</strong>r among <strong>the</strong> victims <strong>of</strong> his bombCOLONIAL WAR AND MENTAL DISORDERS185This militant, who never for a moment had thought <strong>of</strong> recanting,fully realized <strong>the</strong> price he had had to pay in his person fornational independence. Such borderline cases pose <strong>the</strong> question<strong>of</strong> responsibility in <strong>the</strong> context <strong>of</strong> <strong>the</strong> revolution.The observations quoted here cover <strong>the</strong> period 1954 to 1959.Certain patients were examined in Algeria ei<strong>the</strong>r in hospitals orprivate practice. The o<strong>the</strong>rs were treated in <strong>the</strong> National LiberationArmy's medical facilities.SERIES AFive cases have been collected here, all involving Algeriansor Europeans who had clearly defined symptoms <strong>of</strong> severe reactivedisorders.Case No. I-Impotence in an Algerian following <strong>the</strong> rapehis wifeB--is a twenty-six-year-old man. He has been referred to usby <strong>the</strong> Medical Services <strong>of</strong> <strong>the</strong> National Liberation Front for persistentmigraines and insomnia. A former taxi driver, he has beena militant in <strong>the</strong> nationalist parties since <strong>the</strong> age <strong>of</strong> eighteen. In1955 he became a member <strong>of</strong> an FLN (Front de LiberationNationale) unit. On several occasions he used his taxi to carrypropaganda leaflets and political leaders. Confronted with awidening crackdown, <strong>the</strong> FLN decided to wage war in <strong>the</strong> urban<strong>the</strong>re might have been individuals similar to his new acquaintances. It wastrue <strong>the</strong> bombed cafe was known to be <strong>the</strong> haunt <strong>of</strong> notorious racists, butnothing could stop any passerby from entering and having a drink. From thatday on <strong>the</strong> man tried to avoid thinking <strong>of</strong> past events. But paradoxically a fewdays before <strong>the</strong> critical date <strong>the</strong> first symptoms would break out. They havebeen a regular occurrence ever since.In o<strong>the</strong>r words, our actions never cease to haunt us. The way <strong>the</strong>y are ordered,organized, and reasoned can be a posteriori radically transformed. It isby no means <strong>the</strong> least <strong>of</strong> <strong>the</strong> traps history and its many determinations set forus. But can we escape vertigo? Who dares claim that vertigo does not prey onevery life?~~----.-.~-.
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OTHER WORKS BY FRANTZ FANON PUBLISH
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