Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
One of the earliest attempts to explain the origin of mental diseases
perhaps was that of Plato. "There are two kinds of madness, one
arising from human diseases, the other from an inspired deviation from
established custom." Hippocrates[56] had some very clearly defined
views on this subject: "As long as the brain is at rest a man enjoys
his reason; but the depravement of the brain arises from phlegm and
bile, either of which you may recognise in this manner: Those who are
mad from phlegm are quiet, and do not cry out or make a noise, but
those from bile are vociferous, malignant, and will not be quiet, but
are always doing something improper. If the madness be constant, these
are the causes thereof; but if terrors and fears assail, they are
connected with derangement of the brain, and derangement is owing to
its being heated. And it is heated by bile when it is determined to
the brain along the blood-vessels running from the trunk, and fear is
present until it return again to the veins and trunk, when it ceases.
He is grieved and troubled when the brain is unreasonably cooled and
contracted beyond its wont. It suffers this from phlegm, and from
the same affection the patient becomes oblivious." An interesting
theory which he evolved was that the appearance of varicose veins
or hemorrhoids tended to relieve the patient's mental suffering.
Celsus subscribed to the black bile doctrine. Galen's teaching was
that fatuity was due to moisture, while dryness produced sagacity. In
cases where the whole body contained melancholy blood he recommended
venesection. Thick and black wine was to be avoided, "as from it the
melancholy humour is made."[57] This he described as a condition of
the blood "thickened, and more like black bile, which exhaling to the
brain, causes melancholy symptoms to affect the mind." The Roman custom
of appealing to the household gods, sons of the Goddess of Madness,
was quite significant. Horace, in speaking of Orestes, says: "Was he
not driven into frenzy by those wicked Furies, before he pierced his
mother's throat with the reeking point of his sword? Nay, from the time
that Orestes passed for being unsound of mind he did nothing in any
way to be condemned; he never dared wound with his sword either his
friend Pylades or his sister Electra; he merely abused both, calling
one a Fury, the other some other name suggested by his active or bright
bile." In the story of Argive, Horace says that "his relations cured
him with much labour and care, by expelling the disease and the bile by
doses of pure hellebore."
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