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The Political Economy of Mental Health in India
Anup Dhar
Anjan Chakrabarti
Pratiksha Bannerjee
Psychology is in need of its own Das Kapital.
Lev Vygotsky, The Historical Meaning of the Crisis in
Psychology
Marx writes in the section on ‘The Method of Political Economy’ in Grundrisse: “even the most
abstract categories, despite their validity – precisely because of their abstractness – for all
epochs, are nevertheless, in the specific character of this abstraction, themselves likewise a
product of historic relations, and possess their full validity only for and within these relations”
(1993: 105). Marx had in mind the category of labor. Mind, psyche, reason, madness, health are
however no exceptions. They are also the product of historical relations and they possess their
full validity only for and within these relations. Medicine, psychiatry, psychology and the clinic
also need to be seen within the “historical constitution of [their] own practices” and the
“political-economic conditions in which [they] became possible” (Parker, 2011:1) as also the
epistemological culture medium within which they grew roots (Foucault, 2006). The “invention
of the mind” by Descartes as “mirror of nature” (Rorty, 1979: 357) and the “Cartesian
progression of doubt” as the condition of the “great exorcism of madness” (Foucault, 2006: 244)
would therefore serve as philosophical signposts and historical roadmaps in our foray into the
political economy of mental health. The account of the Indian state, its ‘first transition’ into a
developmental regime post-1947 and its ‘second transition’ into neo-liberal forms of
globalization post-1989 (Chakrabarti, Dhar and Cullenberg, 2012: 200-282; Samaddar and Sen
2012: 1-8), the movement from ‘welfare medicine’ to ‘development medicine’ to ‘neo-liberal
medicine’ (Zachariah, Srivatsan and Tharu, 2010: 9-23) shall also serve as relational pointers to
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