When the Symptom Creates the Disease: Foucault and the Politics of Intelligibility
Introduction What if the symptom did not disclose an illness but instead brought it into existence? Such a possibility unsettles one of the most durable assumptions of modern medicine: that disease precedes its signs and awaits discovery through clinical observation. During the 1971 debate with Noam Chomsky, Michel Foucault articulated a striking inversion of this logic, suggesting that the act of classification may itself generate the very pathology it claims to identify. Far from being a passing provocation, this remark condenses a broader philosophical position concerning the historical conditions that allow objects of knowledge to emerge. The Medical Model Reversed Medical reasoning typically follows a familiar sequence: an underlying disorder produces symptoms, which physicians then interpret. Foucault disrupts this chain by proposing that social practices first mark certain behaviors as symptomatic, thereby forming the category of disease retroactively. As he observes: “T...