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In this, the final volume of a trilogy (The Tender Carnivore and the Sacred Game and Thinking Animals being the first two) he furthers his thesis that seperation from our pleistocene past has caused a modern disjunction with nature and may be the most important cause of modern problems.
His indictment of history; "(history) is itself a Western invention whose central theme is the rejection of habitat. It formulates experience outside of nature and tends to reduce place to location.... It seeks causality in the conscious, spiritual, ambitious character of men and memorializes them in writing" (page 47), is one aspect of Shepard's view that modern human culture is pathological.
Paul Shepard is not easy to read. His ideas are unsettling and his writing style is dense at times. However, it seems that he is a philosopher who will influence thinking not only about nature and human relationships with nature, but about society and "progress."
"Nature and Madness" will upset your view of the world you live in, which is probably the main reason for reading it.
While this thesis has its various strengths and weaknesses that can be discovered by the reader, there's not enough meat to it to round out an entire book, even a very short one like this. Shepard's most glaring weakness is in psychology, as he offers little more than extremely basic Freud (with the associated sexism and dubious ideas on infancy and childhood), and then makes unconvincing attempts to extend this psychology to society as a whole. Meanwhile, Shepard's writing gets buried in academic dogma that is a real slog for non-professors who don't speak in non-stop technical jargon all day. Watch for arcane terms like methectic, kerygmatic, neoteny, or autochthonous; along with brain-drain sentences like "...amputate and cauterize pubertal epigenesis because they would further transform the relationship of the infant to its mother." Add all this to Shepard's rather self-righteous speculations and you are in for an exasperating read, although the basic thesis of this book definitely offers food for thought.