The Normal and the Pathological TranslabtyeC da rolRy.nF awcett inc ollaborwaittiRhoo nb erSt.C ohen The Normal and the Pathological Georges Canguilhem witahn i ntrodubcyt ion MicheFlo ucatu l ZONE BOOKS • NEW YORK 1991 " "" . C;::; '. .<.�./..�. .� . . ..."..©' 19·89":;UrzoneI,n .c zbN��Q'(:) �S '·····.,. .....6�I B,r��wdayS,u i6t0e 8 NewY orkN,Y 1 0012 FiPraspte Erdbiatciko n FouPrrtihn1 9t9i8n B Alrli grhetsse rved Nop arotft hbioso k bmera eyp rodsutcoeridena,d retrievaolrt rsaynsstmieimnat, ntf yero dmo rb y anmye anisn'c,l uedliencgt mreocnhiacn,pi hcoatlo, copyimnigc,r ofilrmeicnogr,od rio ntgh,e rwise (excfeoptrth acto pypienrgm ibtySt eecdt 1io0n7s an1d80 o ft hUe. .SC opyrLiagwah nted x cebpyt reviefwoterhr pesu blic press) without written permifsrsoitmoh Pneu blisher. Origipnuabllliyis n1h 9ead6s L6 en oremltae l patho©l 1o9Bbi6yPq6 ru eesU sneisv ersdiet aires FranOcrei.g ipnuabllliyis nth heEedn glliasnhg uage an©d 1 9b7yD8 .R eidPeulb liCsohmipna,gn y DordreHcohltl,a nd. Prinitnte hdUe n itSetda otfAe mse rica DistribbyTu hteMe IdTP ress, CambriMdagses,a chaunsLdeo tntdsEo,nn g,l and LibroafCr oyn grCeastsai lnogg-ina-tPiuDobanlt iac Canguilhem1, 9G0e4or-ges, Then ormaanltd h pea thological. TranslaotfLi:eon nor meatll ep athologique. Reprint. OrigiOnnta hlnelo yr mpaulb lished: antdh pea tholDoogridcraelHc.oh ltl,aB nods;t on: D.R eid©e 1l9, 78. Inclbuidbeglsri aopahniiden sd ex. 1P.a thoPlhoigolyp-ohs2y.M. e dicine-hPyh. ilosop IT.i tle. RB1l12.9Q861913 6 .07'018 -820626 IS0B-9N24 2-995-09(p b)k . Contents InotdrucbtMyi iocFnho euulcl a7t Fowroerd 25 SECTIOONNE ESSAOYN S OMEP ROBLECMOSN CERNITNHGE NORMAALN DT HEP ATHOLOGICAL· Prfeatctoeh S ee cEodnidt ion 29 Indturcotion 33 PaOrnte I tsh Pea thoSltoaMgteierca eaQ lluy a ntitative Modificoatfth Nieoo rnm al State? Inotdructttohi Poeorb nl em 39 Il AugCuosmtaten"e dB rouPrscisinapil4s7e 's" IIIC laBuedrnea rd andP aoEtlxhop6ge5y ri mental IV Teh ConocRfee pLnteeihrie oc 9n1s V ImcpaltioiafoT ehnosr 1y03 PaTrwot DoS cniceoetfsh e Naonrtdmh ael PathoElxoigsitc?a l Inotdructttohi Poerbn ol e1m15 Il AC ritEixcaamloi nonC fae atriiCtno nc1e2p5 ts IIIN ormA vaenrd1a5 1g e 11111111111111111 11 BOGAZic;i UNivERSiTESi KUTUPHANESi Ann1A� IV DisCeuaHrseaeel,,t 1h81 V PhysainoPdlaoo tlghoy2g 0y3 Conclusion 227 SECTITOwNo NEWR EFLECTIOONNT SH EN ORMAL AND THEP ATHOLOGICAL TwenYteyLa arrts..e . 233 FrotmhS eo ctitoeah V li tal 237 11O nO granNiocrim Mnsa n2 57 IIIA N eCwo nicPnea pottlh oEgryr:2o7 r5 Epiuleo g 289 Notes 291 GlosoMsfeda iryTc earlm s 301 Bibalpihoigers 307 IndoNefax m es 321 Introduction by Michel Foucault Everkynoontwehs ia nFt r atnhceear rfeee lwo gibcuimtaa nnsy histoorfsi ecanin;cas en d tthha"etp i hlions oepsahtbilciaslh men"t w-hettheeargc o hrri enasrecohr ie-ntthyeeh da ve occuapc ioends ipdeorsaiBbtulidteoow n ek. n opwr ectihsee ly importthaiantntch ,cee o uorfts heep safesti tef oertn w enty years, upt ot hvee froryn toifet rheses tablai" swhomrlekint"kth e,a t ofG eorCgaensg ucialhnha evhmea f dro t hovseepr eyo ple who wersee pafrroamto,ecr d h alltehenesg teadb,l YisesI,k h nmoewn,t ? thehraebv ee neoni tshieearpt seyrcsh:o Maanraxlliyissnmig,su ,i s tiectsh,lno ogBytul. e utsn oftro gtehtfi castw hidcehp eansd s, yowui olnlt ,hs eo cgiyoo fFl roeinncthe lelnevcitruotanhlme e nts, fnuctioofon uiurnn gi vienrsstiitotyrou utsriy osontfcse u ml tural valiuanel sl:p otlhioetrs i cciaedlni tsicfiuocsf ts hiesostners a nge sixyteyap rasst thr,eo olfet h"ep hilo-sIos pihmeprlsy" mean thowsheoh arde cetihveueindri vetrrsaiiitnnpyi h nigl osophy depar-thma.esnb teisem np orptearnhttaoi:pom s p orfottrah net likoifcn egr pteaoipAnn lded,.i reocrit nldyi, ra eloclrat llmyost altlh epshei leorshsoa pvhheat do" ocmteo t erwmist thh"e teacahnibdno goo �fGs e orCgaensg uilhem. From apt ahriastd,ho mixas:nw ,h osei aswu osrtiken rtee,n tionaancldal rye lfiumltiloatyp e adr ticuiltnah rhe i dsotmoariyn 7 THE NORMAL AND THE PATHOLOGICAL ofs ci,ew nhcieicnah n cya se nodptoa efssros sap aeccrut la dischiapsslo imneefhu,oon whd i mselfi dnip srceussesnito ns where heh imsteolocfka n reev teofir g uret.a akBweua Ctya nguilhem anydo wui nloll o nugnedre rmsutcaahbn odAu ltt husser, Althus serainsadmw hosleer oifde iss cuwshsiihcoahnvt esa kpelna ce amoFnrge Mnacrihxs ;yt oswui nloll o nggreawrsh pai sts p ecific tos ociosluocgBhio suatrssCd aisePtuae,s ls,ae nrwdsh oamnta rks thems tsroow nigtlshyoi cni yoolwuoi gmlyil;as nse ntaisrpee ct oft hteh eorweotrdikoc nbaeypl s ychopaanratliybcsytut hlsea, r ly floloowfeL rascF aunr.ti htneh re, deinstciourfsie sd iewoahnsi c h precoerfdl oeldo twhemedo vemoef'n 6ti8 t,e aitssofiy n d the plaocfte h owsheof o,rm n eoarrf r oamf harab,de etnr abinye d Canguilhem. Withiogunto rcilnega wvthahigedce uhsr, ti hnegs yee alrass t aftteheren odft hwea wre,r aeb tlooe p pMoasrex ainsndto sn MarsxtFisr,e udainnadon Fnser- udnissa,ep icaliinass ntigsel diScainpdl ipnhei alcoasdoaepnmhnideoc rnss- ,a ctahdeeomriicsst,s anpdo litiidtco ieasn tssom,e e te hma tc ooufinlnedad n other divildiwinhneig cc uhtt hsr oaultglhh eo spep osIiittts ih loein nse. that saep phairlaootsfeeo xspp heyro ifse ennacsneoed,fs ubject anadp hiloosfko npohwylo efrd agtei,oa nnadcl oiontfcy Oe np t. ' thoen hea nodn,e neittshw oaoftr kS arMterrel eaanud- Ponty; antdh aenno tihtseh orafC t a vaBialclheaesnl,Cda a rndg uilhem. Inot her wweao rrdede saw,li itngh twoa cmcoodtradoli intgi es whipchhe nomewnatosal kouegpiny Fn r anwcheeq,nu it-e late arou13n90d-i fitn ablelgtyaob n ei ,nf o t kanltoe wranes,ct o g nized. CopnhtielmoipsnFoo rrpaahbnryecy ge ia ntn h oyseea rs. Thlee ctountr reasn scpehnedneonmgteyadn leo lliiovn1e2 9r9e d byH uss(etrrla nbsyGl aabtrePideef irelaf lneEd m manLueevli nas aMse tdaitciaosrenitnsenP easrC,io sl1,i3 9n1a,;n bd yD orCiaoinr ns asC artMeesiditinaaonstT ,h e uHeNa,ig jfh,1o6 9f0m)a rked the momepnhte:n omgeyen notleForreadtn hcreo tuhgtahet xB tu.t 8 INTRODUCTION iatl lowtewdro e oafd inignts h:de i orneoecfa,tp ihoinl osophy oft hseu b-jeanctdth isS awraatsrr teoi'ntcs hl "eeT rsacnendance deL 'E(go13"95a )n d awnhoitwchehenb rta ctkot hfeuo nding prinocfHi pulsestseh rolu'gsh ptff:r o mtahlaoinsisdenm t uition istmh,o osfte h teh eoofrs yc ieannicdne1 3 ,98 C avlaeitslw'os theosnte hsae x iaiotmcmet hdao nd fotrhmea ofts ietothny e .o r Whatetvhmeearyhy a bvee eanft sehrir fatmsi,fi cianttieornasc, tioenvsre,an p procthheetmswefeonro tmossft, h ouignh tF rance hacvoen sttiwtpouh tieldo sdoiprheiwcchtaiilcoh nr seh maavien ed profohuentdeelnryeo ogus. Ont hseu rftahsceee c oofnt dh ehsarese maaiotnn ectdeh e mostth eortehtmeio csbatel n,ts poenc ulaatniadvl es ot atshkes mosatc adeAmnyidec it.wt a tsh firosmw hipclha tyhemedo st imporrtoialtnneh t se i xwthieean"s c,r ibseigasac "nr ,ic soins cernnioontng tl hyUe n ivebruastli tsthoysea t taunsrd o olfe knowlWeedm guesa.tso ku rswehlyv easms u ocdohefr eflection, flolowiitonswg ln o gict,u orcunot tuob l ed p sroo fotuineddl y to ptrhees ent. Undoubotneoedf l pytr hien rceiapssaotlne fsmr sot mih st:h e histosrcyi eaonvfaci ietl sosefo l nfe t hotefh emwehsiw cahs itnrdoucaeldm sousrrte ptiitnoilt oauetsielg yh tceetenunrtyh philofsotorhpfi ehr ys:t r attiitmoheno aulg phutit nw aqsu estion nootn altsyo i tnsa turfueon,d aiitttpissoo wne,r istr sia gnhdt s, but aastl ois thosi satnoirdtgy se ograastp oih tyis;m mediate paasntid tp sr esenatts o ir tetsai lamineitd tpy sl; a Tcheii.tss h e queswthiiMocenhn delasntsdho ehnnt rKtiaoaen ndts iwn1e8 r74 in Bteihrsnelcie Mh onaiftts":cW hairssA tu fkHnigr?(u"Wh aits EnlimgehnttTe?hn)e.s e tiwnoa utgeaux" rtpasht ieldo sophical journwahliiacslhmow,"ni gut nhi vteerasciwhtaiyosn n get, hoef majfororm osf t hien stiitmuptliaonnotafpal ht iiloyoin sn o ph 9 THE NORMAL AND THE PATHOLOGICAL thnei netceeennt(tuahrwn yedk nohwo fwre tiistlo em etimes waassi, n t h1e48 0isnG ermanya)l.os poTe hnpeehydi lyo soph up at ow hhoilset oridciom-ecnArsniidto iwntco.har ailkls w ays invotlwvooeb·sj ecwthiiicvnfheca stc ,a nbneod ti ssoacnida ted whiicnhc esescahnoat nlooynt eoh ne rot:nhh eea ndl,o fotokor thmeo me(niitntc sh roogniyot,cls o nsteilteum,eie ntnhtsti ss torciocnadli wthietonhnW eses )ft i arssstet rhateue tdmo yan nod soveroefii togswnr nta yt iotnhLaeul tihtReyer:fma oanrt itohne, "CoeprniRceavno l,u"Ctra itoenpsihilaonys ,to hpGeha lilean mathemaotfni aztaNuteriweot,no p nhiyasOnint c hoset. h hearn d, toa naltyh"zepe r emsoemnetan"nt id nt,e romfws h awtat sh e hisotfto hrriyes a aswsoe nal oslf w hactab nei tpsr esent balance, to lfroot ohkra etl awthiiomcnuh sb tee satbliwsihttehhd i s fuondaicnrtge: d iyst,ca okvuiepanfr gro gtotdeinr eccotmipolne, tioorrn u ptruertetu,oar nne arliere tmco.m ent, Undoubwtese hdolauyslw kdh tyh qiuse sotfti hoEenn light enment,e vwdeiirts haopuphtea asdru icadn hifg ef,r ednets tiny iGne rnmyFa,r aannctdeh A en glo-cSoauxnwotnhrh yie earsne;d theirwtea i sn veisnstu edcdihe f rfednotm aainnadsc cording to sucvrhai cehdr oneo.sL leotg iuisna ncsyaa tsyhe Ga etr man philyog saoivpstehu bsatbaonavclieelan h istaonrpdio clailt ical refloensc otci(ioweniot tnyphe r ivmiolmeegtnehRtdee: f moartion; anadc enptrroablrl eelmi:eg xipoeursii nie trnsec lea wtiitohn theec onaonmtdyh s ete a)fto;rm t hHee lgeitaont shF er ankfurt SchaonotdloL ukacs, MFaerNuxie,er tbazanscMdcha h,Wxe e b er ibte awrist ness toi ttt hhihiesis s .ot foI rnsy c Fireannccee which haasb oavlsele rtvose udp ptohpreht i losqoupehsoitftci haoeln Enlingmheatnfetta:el rl , thoefC opmoatsneihd tis isuv cicsems sors waosn wea oyfo ncagea tianku iptn hgqe u estbiyMo ennidnegl s sonha nKda notnt hsec aolfaeg eenrhails yto ofsr ocieties. Knowlbeedltgihesee cf i;e fnrotmoi fkf niocw laentddhgr eee ligious contoefrn etpsr esoertn httear tainofsornim;t iptorhnee - scientific 10
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