The March 2018 issue of History of Psychiatry is now online. Articles in this issue explore the history of lobotomy, moral therapy, the history of the DSM, and more. Full titles, authors, and abstracts below.
“History of lobotomy in Poland,” by Kinga J?czmi?ska. Abstract:
In Poland, there were 176 cases of prefrontal leucotomy performed by Moniz’s method between 1947 and 1951. There were also several cases in which alternative psychosurgical techniques were used: prefrontal topectomy by Bilikiewicz and colleagues, and prefrontal topischemia by Ziemnowicz. This article analyses the following: publications by Choróbski, who performed lobotomy in Poland, and by Korzeniowski, who assessed its short-term results; a report by Bornsztajn, who reviewed general results of the method; and clinical research by Broszkiewicz and by Konieczy?ska, who assessed Polish patients in terms of long-term results of lobotomy. Negative clinical evaluation of lobotomy led to its abandonment in Poland, a decision strengthened by a regulation that forbade lobotomy in the USSR and impacted Polish psychiatry.
“Rotation therapy for maniacs, melancholics and idiots: theory, practice and perception in European medical and literary case histories,” by Sheila Dickson. Abstract:
This article examines the development and use of rotation therapy in the emerging field of psychiatry at the beginning of the 19th century, and the cross-fertilization between British, Irish, German, French and other European proponents of ‘Cox’s Swing’. Its short-lived popularity is linked to prevalent Enlightenment thought, to the development of an industrial and technological society, to the modern medical theories of irritability, and to the new practice of ‘moral management’ of the mentally ill. Case studies documenting the use of the Swing are considered from these perspectives, and are compared with contemporary public reactions in the form of publications in newspapers and of a literary text by German Romantic author Ludwig Achim von Arnim.
The June 2017 issue of History of Psychiatry is now online. Articles in this issue explore the relationship between religion and madness, criminal insanity, paralysis of the insanity, female sexuality and syphilis, and more. Full details below.
“From a religious view of madness to religious mania: The Encyclopédie, Pinel, Esquirol,” by Philippe Huneman. Abstract:
This paper focuses on the shift from a concept of insanity understood in terms of religion to another (as entertained by early psychiatry, especially in France) according to which it is believed that forms of madness tinged by religion are difficult to cure. The traditional religious view of madness, as exemplified by Pascal (inter alia), is first illustrated by entries from the Encyclopédie. Then the shift towards a medical view of madness, inspired by Vitalistic physiology, is mapped by entries taken from the same publication. Firmed up by Pinel, this shift caused the abandonment of the religious view. Esquirol considered religious mania to be a vestige from the past, but he also believed that mental conditions carrying a religious component were difficult to cure.
The May 2017 issue of Social History of Medicine includes two articles that may be of interest to AHP readers. The first piece explores cases of jealousy, madness, and murder in the context of admissions to the Broadmoor Criminal Lunatic Asylum; the second describes how two editions of shell shock films differently incorporated notions about class, gender and nation. Titles, authors, and abstracts follow below.
“‘I am not very well I feel nearly mad when I think of you’: Male Jealousy, Murder and Broadmoor in Late-Victorian Britain,” by Jade Shepherd. Abstract:
This article compares the representations of jealousy in popular culture, medical and legal literature, and in the trials and diagnoses of men who murdered or attempted to murder their wives or sweethearts before being found insane and committed into Broadmoor Criminal Lunatic Asylum between 1864 and 1900. It is shown that jealousy was entrenched in Victorian culture, but marginalised in medical and legal discourse and in the courtroom until the end of the period, and was seemingly cast aside at Broadmoor. As well as providing a detailed examination of varied representations of male jealousy in late-Victorian Britain, the article contributes to understandings of the emotional lives of the working-class, and the causes and representations of working-class male madness.
“L’esprit (dé)réglé: Literature, Science, and the Life of the Mind in France, 1700–1900,” by Florence Vatan and Anne Vila. The abstract reads,
The case studies presented in this special issue illustrate the unique appeal that the puzzle of the mind exerted across fields of knowledge in the eighteenth and nineteenth centuries. They highlight the diversity of approaches and perspectives that the exploration of the mind elicited in literature, philosophy, and the sciences de l’homme. They also testify to the conceptual challenges and persistent nebulousness that surrounded the notion of esprit and its close associates. That fluidity of meaning was, in its way, productive: it provoked debates about the nature of the self, the precarious status of consciousness, and the relevance of human exceptionalism.
“Comment l’esprit vient aux filles… et comment les garçons le perdent: Maladie d’amour, médecine et fiction romanesque au XVIIIe siècle,” by Alexandre Wenger. The abstract reads,
This article proposes a commentary on a little known novel, Les Amours du chevalier de Faublas, written between 1787 and 1790 by Jean-Baptiste Louvet de Couvray. The objective is to show a rivalry that existed in the second half of the eighteenth century between the novel and medical treatises as ways to document knowledge of the human mind. Taking as a point of departure the problematic polysemy of the term “esprit” in the eighteenth century, this article reveals how Couvray’s novel engages in therapeutic writing. Its main hypothesis is that as a fictional narrative, the novel discusses the madness of love and the disturbances of the mind.
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.