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Translated for the first time into English, cult German author Rainald Goetz’s debut novel Insane draws upon his clinical psychiatric experience to paint a portrait of the asylum as a total institution. We follow a young psychiatrist, Dr Raspe, who enters the profession dreaming of revolutionising its methods. Confronted by day-to-day practices and the reality of life in the psychiatric hospital, Raspe begins to fray at the edges. The very concept of madness is called into question in a brutal portrayal of patients and psychiatrists and the various treatments administered, from psychotherapy to electroshock therapy. What is madness? And who is truly mad? Diving headlong into a terrifying and oppressive world, Insane is a veritable journey into the madhouse by one of Germany’s most prominent and contentious authors.

Rainald Goetz, born in 1954 in Munich, studied History and Medicine in Munich and obtained a doctoral degree in both subjects. He briefly worked as a doctor, but quit this profession for the sake of literature in his early thirties. His first novel, Insane, was published in 1983. In 1998, Goetz wrote the internet diary ‘Rubbish for Everyone’, probably the first literary blog in Germany, with entries on the world of media and consumerism. It was published in book form in 1999 and together with Rave, Jeff Koons, Celebration and Deconspiration belongs to This Morning, his great history of the present. Goetz has been awarded numerous prizes, most notably the Georg Büchner Prize in 2015. He lives in Berlin.

Adrian Nathan West is the author of The Aesthetics of Degradation and translator of such authors as Pere Gimferrer, Juan Benet, Marianne Fritz, and Josef Winkler. His writings appear regularly in the Times Literary Supplement, Los Angeles Review of Books, and Literary Review. He lives in Spain and the United States with the cinema critic Beatriz Leal Riesco.