The June 2016 issue of History of Psychiatry is now online. Articles in this issue explore psychiatric semiology, the German Research Institute of Psychiatry in Munich, madness in novelist Muriel Spark’s work, LSD as treatment in Denmark, the DSM and learning disabilities, Joseph Mason’s madhouse, and the work of Max Scheler. Full titles, authors, and abstracts follow below.
“The emergence of psychiatric semiology during the Age of Revolution: evolving concepts of ‘normal’ and ‘pathological’,” by Diego Enrique Londoño and Professor Tom Dening. The abstract reads,
This article addresses some important questions in psychiatric semiology. The concept of a sign is crucial in psychiatry. How do signs emerge, and what gives them validity and legitimacy? What are the boundaries of ‘normal’ and ‘pathological’ behaviour and mental experiences? To address these issues, we analyse the characteristics and rules that govern semiological signs and clinical elements. We examine ‘normality’ from the perspective of Georges Canguilehm and compare the differences of ‘normal’ in physiology and psychiatry. We then examine the history and the philosophical, linguistic and medical-psychiatric origins of semiology during the eighteenth and nineteenth centuries (the Age of Revolution). The field of rhetoric and oratory has emphasized the importance of passions, emotions and language as applied to signs of madness. Another perspective on semiology, provided by Michel Foucault, lays stress on the concept of ‘instinct’ and the axis of voluntary-involuntary behaviour. Finally, we analyse how statistics and eugenics have played an important role in our current conceptualization of the norm and therefore the scientific discourse behind the established clinical signs.
Since at least the 13th century, artists have been fascinated by insanity. There are literally hundreds of images, most stylised and stereotypic, of ‘madness’ and ‘the madman’ (or woman). When asylums spread across 19th-century Europe, providing a captive population of mad people, artists began to use actual patients as models for their drawings and paintings. These images are often less extreme than earlier portraits, but their typically grotesque emotionality is just as dehumanising.
Patients are treated as specimens, devoid of any context, like tumour cells in a pathology manual. Even in the works of progressive physicians like Pinel or Esquirol, madness is depicted as brutality or as generalised deterioration. Esquirol’s particular interest in pathological types influenced the thinking of generations of psychiatrists and reduced the patient’s whole life to one main symptom (e.g. mania). Of course, today we take this idea far more literally than Esquirol did in the 1830s – current images of madness don’t even show the person, just their hypothesised brain defect.
The November 2015 issue of Social History of Medicine includes several pieces of interest to AHP readers. Articles in this issue include ones that explore the modern construction of human subjects, madness during voyages to New Zealand during the Victorian and Edwardian eras, and the use of case records of early 20th century Eastern European emigrants as sources. Full titles, authors, and abstracts follow below.
“Migration and Madness at Sea: The Nineteenth- and Early Twentieth-century Voyage to New Zealand,” by Angela McCarthy.
This article draws on a range of sources—including surgeon superintendents’ reports as well as asylum records—to examine the mental health of migrants and crew on the voyage to New Zealand during the Victorian and Edwardian eras. It examines key themes such as relations between crew and passengers, the emotional dimensions of insanity, attempts to export the insane, and collaboration between doctors and relatives in adhering to mental health legislation in order to repatriate the insane, all of which facilitate assessment of wider debates about medical authority. While surgeon superintendents documented actions rather than causes for unusual behaviour, asylum doctors and family members were more likely to attempt to explain mental disturbance at sea. Additionally, this article examines the beliefs of medical officials who paradoxically argued that the voyage was beneficial, rather than detrimental, to health.
“Making up ‘Vulnerable’ People: Human Subjects and the Subjective Experience of Medical Experiment,” by Nancy D. Campbell and Laura Stark.
This paper explores how ‘the human subject’ was figured historically and expands the interpretive range available to historians for understanding the subjective experiences of people who have served in medical experiments in the past. We compare LSD studies on healthy ‘volunteers’ conducted in two experimental settings in the 1950s: the US National Institutes of Mental Health’s (NIMH) Addiction Research Center (ARC) Lexington, Kentucky and the NIH Clinical Center (NIHCC) in Bethesda, Maryland. Sources consist of oral history interviews, transcripts and archival documents including photographs and records. Political priorities and historical contingencies relevant for crystalising the expert domain of modern bioethics, especially the 1960s US Civil Rights movement, were central for producing the ‘vulnerability’ attributed to the modern figure of the ‘human subject’. Using Ian Hacking’s historical ontology approach, we suggest how this figure of the ‘vulnerable human subject’ affected historical actors’ self-understandings while foreclosing paths of historical inquiry and interpretation.
AHP‘s very own contributor Jennifer Bazar has curated a fascinating online historical archive and exhibit on the Oak Ridge forensic mental health division of the Waypoint Centre for Mental Health Care in Penetanguishene, Ontario. Find the exhibit here.
Established in 1933 and closed last year (2014), the Oak Ridge division at Waypoint was Ontario’s only maximum security forensic hospital served by both the provincial criminal justice and mental health systems. The exhibit opens the locked doors of its eighty one year history “to dispel the misconceptions and stereotypes that surround forensic mental health care centres and their clients,” and compellingly tells its unique story by sharing artefacts, photographs, and archival documents “to demonstrate how treatment practices, security restrictions, and individual experiences both changed and remained consistent” throughout the institute’s existence. Exhibit sections include: Origins, Building, Legislation, Treatment, Daily Life, Patients, Staff, Research, and Community.
You can also browse through the exhibit content here (400+ items total: photos, docs, artefacts, audio, video), and please look forward to further additions to the collection over the next year including “personal experiences from patient case records, interviews, and oral histories with former staff members of the Oak Ridge division.”
Continuing the theme of the history of madness that has organically cropped up in our posts as of late, the Finnish University of Oulu‘s Department of the History of Science and Ideas has launched a new forum for scholars of madness as a substantive topic with a geographic focus on the Nordic region specifically, Europe at large, but with a global scope.
Their mission statement is as follows:
The main purpose of Madness Studies is to provide a useful platform for communication, cooperation and collaboration across national borders and disciplinary boundaries. At this early stage, the primary goal is to compile data about scholars, doctoral students and research groups involved in research activities, as well as inform about conferences, journals, books and primary sources. Potential future forms of activities include a founding of a society and organization of meetings devoted to the multidisciplinary aspects of madness.
Current projects include: modern depression and contemporary culture in Finland, a history of the life and conditions of Danish children and adults who were taken into public care during the period 1945–1980, mental health, medicine and social engineering in 20th century Finland, and perspectives on current forms of social vulnerabilities in contemporary Finnish society.
Current scholars range from Finland, Sweden, Denmark, the Netherlands, the UK, and Spain in Europe, to Canada, the US, Argentina, and Australia.
Find further details here. Apply to join the network here!
The authors employ examples of Dadd’s art (the majority of which created during his incarceration at Bethlem and Broadmoor hospitals) as a lens to explore the shifting social politics of theories of physiognomy in clinical practice and public perception. The idiosyncratic and atypical subjects of Dadd’s works defied both the early and over-determined categories of mad facial features championed by the renowned anatomist Charles Bell, and the nondistinctive challenge thereto by alienist Alexander Morison. In doing so, the authors argue, Dadd’s interpretation forshadowed more modern approaches to physiognomic diagnostics.
The Paris Review currently features a beautifully illustrated piece from historian Andrew Scull. In “Madness and Meaning” Scull discusses the many depictions of mental illness – religious, medical, pharmaceutical – produced through history. Read the full piece, and see all the evocative images, online here.
The March 17 2015 episode of BBC 3’s Free Thinking with Matthew Sweet featured authors Andrew Scull and Lisa Appignanesi, who discussed the history of madness within Western contexts–the reflexive relations between how it has been conceptualized and experienced, philosophical and theoretical changes in how it has been studied academically and professionally, and the shifting social politics of how it is apprehended and engaged with by the publics at large.
Mindcraft explores a century of madness, murder and mental healing, from the arrival in Paris of Franz Anton Mesmer with his theories of ‘animal magnetism’ to the therapeutic power of hypnotism used by Freud.
Through an immersive scrolling interface including image galleries, video, and interactives, Mindcraft will take you on a journey that asks who really is in control of their own mind, and where does the mind’s power to harm or heal end?
Mindcraft is written by author and curator Mike Jay, and developed by award-winning digital agency Clearleft. Mindcraft can be explored on a desktop browser or tablet.
The December 2013 issue of History of the Human Sciences is now online. Included in this issue is an article on psychologist Raleigh M. Drake’s work on musical ability, discussion of cognitivism, and a special section on eros. Full titles, authors, and abstracts follow below.
“The extent of cognitivism,” by V. P. J. Arponen. The abstract reads,
In this article, cognitivism is understood as the view that the engine of human (individual and collective) action is the intentional, dispositional, or other mental capacities of the brain or the mind. Cognitivism has been criticized for considering the essence of human action to reside in its alleged source in mental processes at the expense of the social surroundings of the action, criticism that has often been inspired by Ludwig Wittgenstein’s later philosophy. This article explores the logical extent of the critique of cognitivism, arguing that by positing collectively shared knowledge of criteria as the engine of human action many such critiques themselves display latent cognitivism.
“There is no evidence of ‘latent cognitivism’ in Peter Hacker’s treatment of criteria,” by Michael A. Tissaw. No abstract provided.
“On the extent of cognitivism: A response to Michael Tissaw,” by V. P. J. Arponen. No abstract provided.