Sources of madness: investigating the post-colonial history of psychiatry in Niger

This article is an attempt to reconstruct the history of the first Nigerien psychiatric service, and diverse aspects of the ordinary functioning of Pavillon E in Niamey (Niger): the organisation of daily life, the position occupied by <i>coopérant</i> doctors, the precise perimeter and development of practices taken from social and community psychiatry, and relationships with the outside world (families, police, legal system, the public health office).This research allows us to rehistoricise and refine the details of a period from 1950 to 1980 which, up until now, was viewed as fixed and anachronistic. We draw on precious sources of empirical data - medical and administrative archives, students' dissertations, oral sources - which invite us to reconsider both colonial/post-colonial (dis)continuities and the temporal caesuras in the literature or in reports from the time.This landscape of mental healthcare appears to be more or less deeply affected by regional and international dynamics, such as the French <i>coopération</i> system, the networks of ethnopsychiatry and transcultural psychiatry, or the network of pharmaceutical groups and their subsidiaries.Studying this service also raises the issues of the chronology and daily life of post-independence psychiatric care in francophone West Africa. Finally, our research interrogates the intellectual partitions between reforming disalienist movements and day-to-day psychiatry, and addresses fundamental epistemological questions on how historiography can restore the balance of knowledge between them.

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Publication Details

Journal
Medical History
Published
2025-12-26
DOI
https://doi.org/10.1017/mdh.2025.10032
Primary Topic
Historical Psychiatry and Medical Practices
Type
article
Field-Weighted Citation Impact
0.00

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article

Sources of madness: investigating the post-colonial history of psychiatry in Niger

Camille Evrard, Gina Aïtmehdi
Medical History
Historical Psychiatry and Medical Practices
article

Sources of madness: investigating the post-colonial history of psychiatry in Niger

Camille Evrard, Gina Aïtmehdi
article en

Abstract

This article is an attempt to reconstruct the history of the first Nigerien psychiatric service, and diverse aspects of the ordinary functioning of Pavillon E in Niamey (Niger): the organisation of daily life, the position occupied by <i>coopérant</i> doctors, the precise perimeter and development of practices taken from social and community psychiatry, and relationships with the outside world (families, police, legal system, the public health office).This research allows us to rehistoricise and refine the details of a period from 1950 to 1980 which, up until now, was viewed as fixed and anachronistic. We draw on precious sources of empirical data - medical and administrative archives, students' dissertations, oral sources - which invite us to reconsider both colonial/post-colonial (dis)continuities and the temporal caesuras in the literature or in reports from the time.This landscape of mental healthcare appears to be more or less deeply affected by regional and international dynamics, such as the French <i>coopération</i> system, the networks of ethnopsychiatry and transcultural psychiatry, or the network of pharmaceutical groups and their subsidiaries.Studying this service also raises the issues of the chronology and daily life of post-independence psychiatric care in francophone West Africa. Finally, our research interrogates the intellectual partitions between reforming disalienist movements and day-to-day psychiatry, and addresses fundamental epistemological questions on how historiography can restore the balance of knowledge between them.

Medical History
European Commission
Openalex Percentile: Top 27%
Historical Psychiatry and Medical Practices
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