What does it mean to develop psychiatric method in a colonial context? Specifically, if the aims of psychiatry have traditionally been couched in the language of ‘psychic integration’ and ‘healing’, then what does it mean to practice psychiatry within structures that organize and reinforce the exclusions of colonialism? With these questions, this article examines Frantz Fanon’s psychiatric practices in light of his radical political commitments. I argue that Fanon’s innovations with the institutional form of the psychiatric hospital serve to intervene differently in psychic conflict. Notably, these changes offer different ways to diagnose and respond to patients, along with different strategies for managing psychic disintegration in colonial contexts. The result is a rethinking of the relation between material and imagined worlds, and so the emergence of the hospital as a waystation between a colonial context and a political freedom yet to come.

在殖民地背景下发展精神病学方法意味着什么？具体而言，如果精神病学的目标传统上是用“精神融合”和“治疗”的语言表达的，那么在组织和加强殖民主义排斥的结构中进行精神病学意味着什么？带着这些问题，本文根据弗朗茨·法农的激进政治承诺，研究他的精神病学实践。我认为，法农的创新与精神病医院的制度形式相辅相成，可以不同程度地干预精神冲突。值得注意的是，这些变化提供了诊断和应对患者的不同方法，以及在殖民地环境下管理精神崩溃的不同策略。结果是对物质世界与想象世界之间关系的重新思考，