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Sanity and Madness as Human Experiences
What if the line between sanity and madness was not as definite as we’ve been taught? In The Divided Self, Scottish psychiatrist R.D. Laing challenges conventional psychiatric wisdom by suggesting that psychosis—particularly schizophrenia—is not a meaningless disease but a comprehensible form of human experience. He argues that the so-called “mad” person is trying, under unbearable conditions, to preserve his sense of self and existence. Madness, in Laing’s view, is not the absence of meaning but rather a desperate, distorted struggle for authenticity.
Laing’s book, first published in 1960, emerged at a time when psychiatry viewed schizophrenia primarily as a biological brain disease. But Laing turned that model on its head. Drawing from existential philosophy, particularly the works of Heidegger, Sartre, and Binswanger, he proposed that mental illness must be understood as a way of “being-in-the-world.” For Laing, what we label as madness often begins as the individual’s attempt to survive psychological violence, to protect what he calls his “true self” from encroaching threats—family, society, or even the self’s own divided layers.
The Existential Turn in Psychiatry
Laing’s approach was revolutionary because it turned psychiatry into a form of philosophy. He asked psychiatrists to abandon the language of symptoms and instead to listen—to try to understand how life feels from inside the patient’s world. Instead of labelling hallucinations and delusions as defective brain signals, Laing saw them as expressions of profound existential distress. “No one has schizophrenia,” he writes. “A person is schizophrenic.” This subtle change of grammar reframes psychosis as a way of being—a state of profound disconnection and fragmentation, not an objectified illness to be eradicated.
His existential-phenomenological perspective insists that a person cannot be described meaningfully without understanding their lived world. This means that the psychotic person’s behavior—no matter how bizarre—has a logic if one can reconstruct the world as it appears to them. For example, a man who says he is made of glass may not be ‘insane’ in a random sense; he may be expressing an unbearable sense of fragility and transparency in the face of others’ scrutiny.
A Divided Self and a False Self
Central to Laing’s argument is his portrayal of the “divided self.” This occurs when a person can no longer feel at home in his body or world. The individual’s sense of identity splits: an outward, adaptive false self that conforms to social expectations, and an inward, secret self that feels isolated, fragile, and in danger of annihilation. The false self interacts with others, pretending to be genuine, while the true self withdraws into an internal world where it cannot be touched or hurt. Over time, this estrangement deepens and can develop into schizoid or schizophrenic modes of existence.
Through vivid case studies, Laing brings this duality to life. David, a philosophy student, lives as though on a stage, performing roles to protect his hidden identity. Another, Peter, feels decaying and hollow, using rituals of isolation to guard against the gaze of others. Laing shows how these individuals withdraw not out of hostility but out of fear—the fear that to be seen is to be destroyed.
Why This Matters Today
Half a century after its publication, The Divided Self continues to resonate because it addresses universal questions: What does it mean to be a person in a dehumanizing world? How do we maintain authenticity amid social conformity? Laing’s critique goes beyond psychiatry to indict modern civilization itself. He suggests that “normal” society is often pathogenic—that alienation, not madness, pervades modern life. In this way, his work anticipates Michel Foucault’s later critiques of institutional psychiatry and the “antipsychiatry” movement that questioned the moral legitimacy of labeling difference as disorder.
Yet Laing did not romanticize psychosis. His empathy was radical, but his aim was not to glorify madness; he wanted to understand and alleviate it by making contact across the abyss. He believed that if we can see “the mad” as fellow human beings—people whose defenses have collapsed under unbearable existential pressure—we might heal both them and ourselves. By combining rigorous philosophy, psychotherapy, and human compassion, Laing’s book remains one of the most important attempts to bridge sanity and madness.
In the pages ahead, you’ll explore how Laing redefines mental illness as a form of existential crisis, how he interprets the “false-self system” that colonizes modern identity, how love and understanding can sometimes bridge even psychosis, and why the struggle for authenticity is both dangerous and sacred. Ultimately, this book is not only about schizophrenia—it is about what it means to remain human when the world insists you are not.