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Amidst renewed interest in the psychiatric writings of Frantz Fanon, this article reads his work against the background of contemporary mental health advocacy and scholarship. Epitomized in the emergent field of Mad Studies, whose origins lie in anti-psychiatry and psychiatric user/survivor movements, this body of scholarship espouses a discourse of madness as identity and culture. While Fanon continues to be disassociated from or (occasionally) associated with anti-psychiatry, this article elaborates elements in his work that animate such ambiguity. It proposes that Fanon and Mad studies be put in a relation of mutual critique.