A Psychiatric Milestone: Bloomingdale Hospital Centenary, 1821-1921
History
A Psychiatric Milestone: Bloomingdale Hospital Centenary, 1821-1921
Bloomingdale Asylum for the Insane; Mental illness
What was the meaning of these queer behaviors? At first they were very
badly understood; they were supposed to have some connection with being
possessed (with the devil), with miasmata, vapors, unlikely
perturbations of the body and animal spirits that circulated in the
nerves. One spoke, as did still Prof. Pomme at the end of the eighteenth
century, "of the shrivelling up of the nerves."[14] But above all, one
preserved the conviction that these queer disorders were very different
to the mental disorders of lunacy. These peculiar individuals had, it
was said, all their reason; they remained capable of understanding their
fellow creatures and of being understood by them; they were not to be
expelled from society like the poor lunatics; therefore their illness
should be anything but the mental disorders of lunacy.
Physicians, as it is just, watched their patients and only confirmed
their opinion by fine scientific theories. They christened these new
disorders by the name of neuroses, reserving the name of psychoses for
the mental disorders of lunatics. During the whole of the nineteenth
century the radical division of neuroses and psychoses was accepted as a
dogma; on the one side, one described epilepsies, hysterias,
neurasthenias; on the other, one studied manias, melancholias,
paranoias, dementias, without preoccupying oneself in the least with the
connections those very ill-defined disorders might have the ones with
the others. This division was accentuated by the organization of the
studies and the treatment of the patients. The houses that received the
neurotic patients and the insane were absolutely distinct. The
physicians who attended the ones and the others were different, and even
supplied by different competitions. In France, even now, the recruiting
of asylum house pupils and hospital house pupils, the recruiting of
asylum doctors and that of hospital doctors, give an opportunity for
different competitions. One might almost say that these two categories
of house pupils and doctors have quite a different education. The result
was that the examination of the patients, the study thereof, and even
their treatment, were for the most part often conceived in quite a
different manner. For example, neuroses were studied publicly; the
examination was on elementary sensibilities, the movements of the limbs,
and especially reflexes; the insane were more closely examined in the
mental point of view, in conversations held with them by the physician
alone. Their arguments, their ideas were noted more than their
elementary movements. Strange to say, just when the psycho-therapeutic
treatments by reasoning and moralizing with the patients were being
developed, they stood out the contrary of what one might have
supposed--that this treatment should be applied to neurotic patients
alone. It was admitted that lunatics were probably not able to feel this
moral and rational influence; they were treated by isolation,
shower-baths, and purgatives.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account