What Was Drapetomania? The Racist Pseudoscience of Slavery-Era America

Drapetomania is a term that dates back to the 19th century and offers a stark reminder of how racism and pseudoscience have been intertwined in medical and psychiatric history. Coined by American physician Samuel A. Cartwright in 1851, drapetomania was described as the supposed “mental illness” that caused enslaved Black people to run away from their captors. Today, it is recognized as a glaring example of how prejudices can be legitimized under the guise of science.

In this article, we will explore the origins of drapetomania, the cultural and historical context that shaped it, and its long-term implications. We will also reflect on why it is vital to acknowledge and examine this dark chapter of medical history as we continue working toward more equitable and culturally informed mental health practices.

The Origins of Drapetomania

Samuel A. Cartwright and His Notorious Paper

Samuel A. Cartwright was an American physician who practiced in the Southern United States during the mid-19th century. In 1851, he published a paper in the New Orleans Medical and Surgical Journal titled “Diseases and Peculiarities of the Negro Race.” Within this paper, Cartwright proposed the term “drapetomania,” derived from the Greek words “drapetes” (meaning a runaway slave) and “mania” (meaning madness or frenzy).

Cartwright claimed that this so-called mental disorder was responsible for the simple fact that enslaved people would sometimes attempt to escape bondage. Through the lens of modern understandings of medicine, psychiatry, and ethics, it is clear that Cartwright’s concept was steeped in racism and intended to reinforce the power structures and ideologies of slavery.

Diagnostic Criteria and Prescriptions

Cartwright’s descriptions of drapetomania read eerily like a grotesque satire but were taken seriously by some segments of the antebellum South’s medical community. He suggested that drapetomania could be “cured” by applying physical punishment or by treating enslaved people with “kindness,” as long as that kindness was still underpinned by strict subordination.

In other words, Cartwright’s “prescription” was to maintain oppressive control over enslaved individuals and to prevent them from questioning their conditions or seeking freedom. His writings also mention the practice of whipping as a means to ‘cure’ enslaved individuals who might exhibit a desire for autonomy—emphasizing the cruelty and dehumanization central to slavery-era medicine.

The Socio-Political Context

Pseudoscience in Support of Slavery

In the 19th century United States, pro-slavery advocates were constantly looking for ways to rationalize and legitimize slavery as a system—socially, economically, and morally. The concept of drapetomania arrived as part of a broader wave of racist pseudoscience which included false assumptions that people of African descent were inherently less intelligent or physically predisposed to serve as laborers under white owners.

Pseudo-medical theories such as drapetomania gave a veneer of scientific legitimacy to deeply rooted racist ideas. By turning natural human desires for freedom into a “mental disorder,” proponents of slavery could dismiss enslaved people’s self-liberating actions as pathological, rather than acknowledging the obvious injustice and brutality of slavery itself.

The Role of Physicians

During this period, some physicians in the American South served as guardians of the existing social structure. These doctors, including Cartwright, often published treatises that claimed Africans and African Americans were “designed” for enslavement. It’s important to note that not all physicians agreed with Cartwright’s drapetomania theory, but his work was circulated in a society that was eager to maintain the status quo. Thus, it gained more attention than it might have if published in a context that recognized the fundamental human right to freedom.

Scientific Racism and Its Legacy

A Chapter in Scientific Racism

Drapetomania sits in the grim canon of scientific racism—a practice where racist ideologies are falsely couched in “objective” scientific theories. Other examples include craniometry (measuring skull sizes to claim certain races were more intelligent than others) and phrenology (attributing personality traits to the shape of one’s skull). These practices were deeply flawed but influenced beliefs and policies for decades, sometimes centuries.

Implications for Modern Medicine

Although drapetomania is now universally dismissed as pseudoscience, it remains a crucial historical lesson. It reminds us that medical and psychological theories can be influenced by the biases of those who develop them. Society’s power structures can, and do, inform what is labeled as “pathology” or “normal.”

This cautionary tale underscores the importance of cultural competence in medical and mental health research. Practitioners must be aware of their own biases, as well as the broader historical context in which diagnoses are made and treatments are devised.

Drapetomania in the Modern Era

Rejecting Racism and Embracing Ethical Practice

Modern psychiatry and psychology categorically reject drapetomania as an absurd and appalling misuse of medical authority. Contemporary discussions of drapetomania serve as a reminder of the dangerous entwinement of social power dynamics and scientific discourse.

The field of mental health today is guided by ethical codes that prioritize autonomy, informed consent, and the dignity of individuals from all backgrounds. Part of this ethical obligation involves acknowledging historical injustices like drapetomania so that we do not repeat them.

Why We Must Remember

There is a tendency to dismiss extreme examples of historical racism as unthinkable aberrations. However, remembering drapetomania is critical. It highlights how prejudice, when cloaked in academic or professional authority, can shape beliefs and policies. It also demonstrates the importance of continued vigilance against pseudoscientific claims and the necessity of grounding medical and psychological research in ethical, evidence-based methodologies that respect human rights.

Simply Put

Drapetomania stands out as one of the most blatant and troubling examples of how systemic racism can corrupt science and medicine. Far from being a genuine psychiatric disorder, it was a tool used to reinforce a brutal social order by pathologizing enslaved people’s natural desire for freedom.

By understanding drapetomania’s history, we learn how powerful biases can become entrenched in systems meant to heal and help. This knowledge underscores the ongoing imperative to examine our scientific practices, question our assumptions, and remain vigilant against any form of discrimination masquerading as “common sense” or “science.” Ultimately, studying drapetomania is about looking at the past honestly so that we can build a future in medicine and psychology that is truly just, equitable, and compassionate.

JC Pass

JC Pass is a writer and editor at Simply Put Psych, where he combines his expertise in psychology with a passion for exploring novel topics to inspire both educators and students. Holding an MSc in Applied Social and Political Psychology and a BSc in Psychology, JC blends research with practical insights—from critiquing foundational studies like Milgram's obedience experiments to exploring mental resilience techniques such as cold water immersion. He helps individuals and organizations unlock their potential, bridging social dynamics with empirical insights.

https://SimplyPutPsych.co.uk/
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