Frantz Fanon's The Wretched of the Earth (1961) was a seminal publication, analysing the psychological and psychiatric effects of colonialism upon the colonised subject. In 'Colonial Violence and Mental Disorders', he discusses the pathologies which result from colonial repression, as well as examinging their violent expression through a shocking case-study: the murder of a child of white European settlers by two of his young Algerian friends.
This article is part of a series for World Mental Health Day 2015.
That imperialism which today is fighting against a true liberation of mankind leaves in its wake here and there tinctures of decay which we must search out and mercilessly expel from our land and our spirits.
We shall deal here with the problem of mental disorders which arise from the war of national liberation which the Algerian people are carrying on.
Perhaps these notes on psychiatry will be found ill-timed and singularly out of place in such a book; but we can do nothing about that.
We cannot be held responsible that in this war psychiatric phenomena entailing disorders affecting behavior and thought have taken on importance where those who carry out the "pacification" are concerned, or that these same disorders are notable among the "pacified" population. The truth- is that colonialism in its essence was already taking on the aspect of a fertile purveyor for psychiatric hospitals. We have since 1954 in various scientific works drawn the attention of both French and international psychiatrists to the difficulties that arise when seeking to "cure" a native properly, that is to say, when seeking to make him thoroughly a part of a social background of the colonial type.
The defensive attitudes created by this violent bringing together of the colonized man and the colonial system form themselves into a structure which then reveals the colonized personality. This "sensitivity" is easily understood if we simply study and are alive to the number and depth of the injuries inflicted upon a native during a single day spent amidst the colonial regime. It must in any case be remembered that a colonized people is not only simply a dominated people. Under the German occupation the French remained men; under the French occupation, the Germans remained men. In Algeria there is not simply the domination but the decision to the letter not to occupy anything more than the sum total of the land. The Algerians, the veiled women, the palm trees and the camels make up the landscape, the natural background to the human presence of the French.
Hostile nature, obstinate and fundamentally rebellious, is in fact represented in the colonies by the bush, by mosquitoes, natives, and fever, and colonization is a success when all this indocile nature has finally been tamed. Railways across the bush, the draining of swamps and a native population which is non-existent politically and economically are in fact one and the same thing.
In the period of colonization when it is not contested by armed resistance, when the sum total of harmful nervous stimuli overstep a certain threshold, the defensive attitudes of the natives give way and they then find themselves crowding the mental hospitals. There is thus during this calm period of successful colonization a regular and important mental pathology which is the direct product of oppression.
Today the war of national liberation which has been carried on by the Algerian people for the last seven years has become a favorable breeding ground for mental disorders, because so far as the Algerians are concerned it is a total war. We shall mention here some Algerian cases which have been attended by us and who seem to us to be particularly eloquent. We need hardly say that we are not concerned with producing a scientific work. We avoid all arguments over semiology, nosology, or therapeutics. The few technical terms used serve merely as references. We must, however, insist on two points. Firstly, as a general rule, clinical psychiatry classifies the different disturbances shown by our patients under the heading "reactionary psychoses." In doing this, prominence is given to the event which has given rise to the disorder, although in some cases mention is made of the previous history of the case (the psychological, affective, and biological condition of the patient) and of the type of background from whence he comes. It seems to us that in the cases here chosen the events giving rise to the disorder are chiefly the bloodthirsty and pitiless atmosphere, the generalization of inhuman practices, and the firm impression that people have of being caught up in a veritable Apocalypse.
These are reactionary psychoses, if we want to use a ready-made label; but here we must give particular priority to the war: a war which in whole and in part is a colonial war. After the two great world wars, there is no lack of publications on the mental pathology of soldiers taking part in action and civilians who are victims of evacuations and bombardments. The hitherto unemphasized characteristics of certain psychiatric descriptions here given confirm, if confirmation were necessary, that this colonial war is singular even in the pathology that it gives rise to.
Another idea which is strongly held needs in our opinion to be re-examined; this is the notion of the relative harmlessness of these reactional disorders. It is true that others have described, but always as exceptional cases, certain secondary psychoses, that is to say cases where the whole of the personality is disrupted definitively. It seems to us that here the rule is rather the frequent malignancy of these pathological processes. These are disorders which persist for months on end, making a mass attack against the ego, and practically always leaving as their sequel a weakness which is almost visible to the naked eye. According to all available evidence, the future of such patients is mortgaged. An example will best illustrate our point of view.
Case No. 1: The murder by two young Algerians, thirteen and fourteen years old respectively, of their European playmate.
We had been asked to give expert medical advice in a legal matter. Two young Algerians thirteen and fourteen years old, pupils in a primary school, were accused of having killed one of their European schoolmates. They admitted having done it. The crime was reconstructed, and photos were added to the record. Here one of the children could be seen holding the victim while the other struck at him with a knife. The little defendants did not go back on their declarations. We had long conversations with them. We here reproduce the most characteristic of their remarks:
a) The boy thirteen years old:
"We weren't a bit cross with him. Every Thursday we used to go and play with catapults together, on the hill above the village. He was a good friend of ours. He doesn't to go to school any more because he wanted to be a mason like his father. One day we decided to kill him, because the Europeans want to kill all the Arabs. We can't kill big people. But we could kill ones like him, because he was the same age as us. We didn't know how to kill him. We wanted to throw him into a ditch, but he'd only have been hurt. So we got the knife from home and we killed him."
"But why did you pick on him?"
"Because he used to play with us. Another boy wouldn't have gone up the hill with us."
"And yet you were pals?"
"Well then, why do they want to kill us? His father is in the militia and he said we ought to have our throats cut."
"But he didn't say anything to you?"
"You know he is dead now."
"What does being dead mean?"
"When it's all finished, you go to heaven."
"Was it you that killed him?"
"Does having killed somebody worry you?"
"No, since they want to kill us, so... "
"Do you mind being in prison?"
b) The boy fourteen years old:
This young defendant was in marked contrast to his schoolfellow. He was already almost a man, and an adult in his muscular control, his appearance, and the content of his replies. He did not deny having killed either. Why had he killed? He did not reply to the question but asked me had I ever seen a European in prison. Had there ever been a European arrested and sent to prison after the murder of an Algerian? I replied that in fact I had never seen any Europeans in prison.
"And yet there are Algerians killed every day, aren't there?"
"So why are only Algerians found in the prisons? Can you explain that to me?"
"No. But tell me why you killed this boy who was your friend."
"I’ll tell you why. You've heard tell of the Rivet business?" 
"Two of my family were killed then. At home, they said that the French had sworn to kill us all, one after the other. And did they arrest a single Frenchman for all those Algerians who were killed?"
"I don't know."
"Well, nobody at all was arrested. I wanted to take to the mountains, but I was too young. So X— and I said we'd kill a European."
"In your opinion, what should we have done?"
"I don't know. But you are a child and what is happening concerns grown-up people."
"But they kill children too ..."
"That is no reason for killing your friend."
"Well, kill him I did. Now you can do what you like."
"Had your friend done anything to harm you?"
"Not a thing."
"Well, there you are... "
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 Rivet is a village which since a certain day in the year 1956 has
become celebrated in the region around Algiers. For on that evening
the village was invaded by the militia who dragged forty men from
their beds and afterward murdered them.