In the first book to provide a feminist analysis of early modern madness, Carol Thomas Neely reveals the mobility and heterogeneity of discourses of distraction, the most common term for the ...condition in late-sixteenth- and early seventeenth-century England. Distracted Subjects shows how changing ideas of madness that circulated through medical, dramatic, and political texts transformed and gendered subjectivities. Supernatural causation is denied, new diagnoses appear, and stage representations proliferate. Drama sometimes leads and sometimes follows other cultural discourses—or forges its own prophetic figures of distraction. The Spanish Tragedy first links madness to masculine tragic self-representation, and Hamlet invents a language to dramatize feminine somatic illness. Innovative women's melancholy is theorized in medical and witchcraft treatises and then elaborated in the extended portrait of the Jailer's Daughter's distraction in The Two Noble Kinsmen . Lovesickness, newly diagnosed in women, demands novel cures, and allows expressions of transgressive sexual desire in treatises and in plays such as As You Like It. The rituals of possession and exorcism, intensely debated off stage, are mocked and exploited on stage in reiterated comic scenes of confinement that madden men to enhance women's power. Neely's final chapter provides a startling challenge to the critically alluring analogy between Bedlam and the early modern stage by documenting that Bethlem hospital offered care, not spectacle, whereas stage Bedlamites served metatheatrical and prophylactic, not mimetic, ends. An epilogue places this particular historical moment within the longer history of madness and shows how our own attitudes toward distraction are haunted by those earlier debates and representations.
In the early 1800s, a century before there was any concept of the gene, physicians in insane asylums began to record causes of madness in their admission books. Almost from the beginning, they ...pointed to heredity as the most important of these causes. As doctors and state officials steadily lost faith in the capacity of asylum care to stem the terrible increase of insanity, they began emphasizing the need to curb the reproduction of the insane. They became obsessed with identifying weak or tainted families and anticipating the outcomes of their marriages. Genetics in the Madhouse is the untold story of how the collection and sorting of hereditary data in mental hospitals, schools for "feebleminded" children, and prisons gave rise to a new science of human heredity.In this compelling book, Theodore Porter draws on untapped archival evidence from across Europe and North America to bring to light the hidden history behind modern genetics. He looks at the institutional use of pedigree charts, censuses of mental illness, medical-social surveys, and other data techniques--innovative quantitative practices that were worked out in the madhouse long before the manipulation of DNA became possible in the lab. Porter argues that asylum doctors developed many of the ideologies and methods of what would come to be known as eugenics, and deepens our appreciation of the moral issues at stake in data work conducted on the border of subjectivity and science.A bold rethinking of asylum work, Genetics in the Madhouse shows how heredity was a human science as well as a medical and biological one.
It's madness Yoo, Theodore Jun
2016., 20160216, 2016, 2016-02-16
eBook
It's Madnessexamines Korea's years under Japanese colonialism, when mental health first became defined as a medical and social problem. As in most Asian countries, severe social ostracism, shame, and ...fear of jeopardizing marriage prospects compelled most Korean families to conceal the mentally ill behind closed doors. This book explores the impact of Chinese traditional medicine and its holistic approach to treating mental disorders, the resilience of folk illnesses as explanations for inappropriate and dangerous behaviors, the emergence of clinical psychiatry as a discipline, and the competing models of care under the Japanese colonial authorities and Western missionary doctors. Drawing upon unpublished archival as well as printed sources, this is the first study to examine the ways in which "madness" was understood, classified, and treated in traditional Korea and the role of science in pathologizing and redefining mental illness under Japanese colonial rule.
What would bring a physician to conclude that sterilization is appropriate treatment for the mentally ill and mentally handicapped? Using archival sources, Ian Robert Dowbiggin documents the ...involvement of both American and Canadian psychiatrists in the eugenics movement of the early twentieth century. He explains why professional men and women committed to helping those less fortunate than themselves arrived at such morally and intellectually dubious conclusions. Psychiatrists at the end of the nineteenth century felt professionally vulnerable, Dowbiggin explains, because they were under intense pressure from state and provincial governments and from other physicians to reform their specialty. Eugenic ideas, which dominated public health policy making, seemed the best vehicle for catching up with the progress of science. Among the prominent psychiatrist-eugenicists Dowbiggin considers are G. Alder Blumer, Charles Kirk Clarke, Thomas Salmon, Clare Hincks, and William Partlow. Tracing psychiatric support for eugenics throughout the interwar years, Dowbiggin pays special attention to the role of psychiatrists in the fierce debates about immigration policy. His examination of psychiatry's unfortunate flirtation with eugenics elucidates how professional groups come to think and act along common lines within specific historical contexts.
The meanings and causes of hearing voices that others cannot hear (auditory verbal hallucinations, in psychiatric parlance) have been debated for thousands of years. Voice-hearing has been both ...revered and condemned, understood as a symptom of disease as well as a source of otherworldly communication. Those hearing voices have been viewed as mystics, potential psychiatric patients or simply just people with unusual experiences, and have been beatified, esteemed or accepted, as well as drugged, burnt or gassed. This book travels from voice-hearing in the ancient world through to contemporary experience, examining how power, politics, gender, medicine and religion have shaped the meaning of hearing voices. Who hears voices today, what these voices are like and their potential impact are comprehensively examined. Cutting edge neuroscience is integrated with current psychological theories to consider what may cause voices and the future of research in voice-hearing is explored.
With a fine-tuned ethnographic sensibility, Janis H. Jenkins explores the lived experience of psychosis, trauma, and depression among people of diverse cultural orientations, revealing how mental ...illness engages fundamental human processes of self, desire, gender, identity, attachment, and interpretation.Extraordinary Conditionsilluminates the cultural shaping of extreme psychological suffering and the social rendering of the mentally ill as nonhuman or not fully human.Jenkins contends that mental illness is better characterized in terms of struggle than symptoms and that culture is central to all aspects of mental illness from onset to recovery. Her analysis refashions the boundaries between the ordinary and the extraordinary, the routine and the extreme, and the healthy and the pathological. This book asserts that the study of mental illness is indispensable to the anthropological understanding of culture and experience, and reciprocally that understanding culture and experience is critical to the study of mental illness.
Phrenitis is ubiquitous in ancient medicine and philosophy. Galen mentions the disease innumerable times, patristic authors take it as a favourite allegory of human flaws, and no ancient doctor fails ...to diagnose it and attempt its cure. Yet the nature of this once famous disease has not been understood properly by scholars. This book provides the first full history of phrenitis. In doing so, it surveys ancient ideas about the interactions between body and soul, both in health and in disease. It also addresses ancient ideas about bodily health, mental soundness and moral 'goodness', and their heritage in contemporary psychiatric ideas. Readers will encounter an exciting narrative about health, illness and care as embedded in ancient 'life', but will also be forced to reflect critically on our contemporary ideas of what it means to be 'insane'. This title is also available as open access on Cambridge Core.
Abstract Our goal is to highlight challenges clinicians encounter in achieving valid psychiatric diagnoses in linguistically and culturally diverse patients. These challenges often arise from ...language barriers, misinterpretation of nuanced expressions of distress, and a lack of consideration for the patient’s unique experiences and perspectives regarding their illness, leading to potential misdiagnoses. In this context, we explore the strategies to address these diagnostic issues. To illustrate these challenges, clinical examples of culturally diverse patients are presented. These cases offer insights into the cultural nuances of expressing distress and attributing illness to the external factors such as cosmic influences and spiritual afflictions, often employed as a way to conceal underlying causes. To achieve culturally appropriate diagnoses, clinicians need to be mindful of their patients’ cultural and spiritual beliefs, establish trust and rapport, and approach patient narratives with empathy. This empathetic approach allows clinicians to gain a deeper understanding of the patient’s cultural expressions of distress and their perspectives on illness attribution, often tied to supernatural influences. Importantly, effective communication is a key to uncovering the concealed causes of the patient’s condition.
Noribogaine (noribo) is the primary metabolite from ibogaine, an atypical psychedelic alkaloid isolated from the root bark of the African shrub Tabernanthe iboga. The main objective of this study was ...to test the hypothesis that molecular, electrophysiological, and behavioral responses of noribo are mediated by the 5-HTsub.2A receptor (5-HTsub.2AR) in mice. In that regard, we used male and female, 5-HTsub.2AR knockout (KO) and wild type (WT) mice injected with a single noribo dose (10 or 40 mg/kg; i.p.). After 30 min., locomotor activity was recorded followed by mRNA measurements by qPCR (immediate early genes; IEG, glutamate receptors, and 5-HTsub.2AR levels) and electrophysiology recordings of layer V pyramidal neurons from the medial prefrontal cortex. Noribo 40 decreased locomotion in male, but not female WT. Sex and genotype differences were observed for IEG and glutamate receptor expression. Expression of 5-HTsub.2AR mRNA increased in the mPFC of WT mice following Noribo 10 (males) or Noribo 40 (females). Patch-clamp recordings showed that Noribo 40 reduced the NMDA-mediated postsynaptic current density in mPFC pyramidal neurons only in male WT mice, but no effects were found for either KO males or females. Our results highlight that noribo produces sexually dimorphic effects while the genetic removal of 5HTsub.2AR blunted noribo-mediated responses to NMDA synaptic transmission.