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.
“‘Shrouded in a dark fog’: Comparison of the diagnosis of pellagra in Venice and general paralysis of the insane in the United Kingdom, 1840–1900,” by Egidio Priani. Abstract: Continue reading New History of Psychiatry: Religious Mania, Criminal Insanity, & More
Now available free online is the article, “How personality became treatable: The mutual constitution of clinical knowledge and mental health law.” In this article, published in the February 2013 issue of Social Studies of Science, sociologist of science, technology, and medicine Martyn Pickersgill (right), of the University of Edinburgh, describes the move toward treating personality disorders in the United Kingdom and the role of the legal system in such changes. The abstract reads,
In recent years, personality disorders – psychiatric constructs understood as enduring dysfunctions of personality – have come into ever-greater focus for British policymakers, mental health professionals and service-users. Disputes have focussed largely on highly controversial attempts by the UK Department of Health to introduce mental health law and policy (now enshrined within the 2007 Mental Health Act of England and Wales). At the same time, clinical framings of personality disorder have dramatically shifted: once regarded as untreatable conditions, severe personality disorders are today thought of by many clinicians to be responsive to psychiatric and psychological intervention. In this article, I chart this transformation by means of a diachronic analysis of debates and institutional shifts pertaining to both attempts to change the law, and understandings of personality disorder. In so doing, I show how mental health policy and practice have mutually constituted one another, such that the aims of clinicians and policymakers have come to be closely aligned. I argue that it is precisely through these reciprocally constitutive processes that the profound reconfiguration of personality disorder from being an obdurate to a plastic condition has occurred; this demonstrates the significance of interactions between law and the health professions in shaping not only the State’s management of pathology, but also perceptions of its very nature.
The full article can be downloaded for free here.