Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
Little progress was made, if any, by the time of the Christian era. In
fact, as Clouston[58] says, "The mental pathology of the New Testament
and of the early ages of Christianity was founded on the idea that the
disease was a possession of the devil, and the feeling towards this
afflicted class of human beings was naturally that of repulsion and
hatred, their treatment following on those lines. Neglect, the whip,
chains, confinement in stone cells, starvation, unsuitable medical
treatment, speedy death were the natural results."
Passing to the seventeenth century we find that Sennert, a professor
in Wittenberg, believed that maniacs evacuated stones, iron, living
animals, etc., things not produced in the natural body and therefore
caused by demons. He also believed firmly in witchcraft. Thomas Willis
(1682) is said by some to have been one of the first to suggest a
relation between insanity and pathological changes in the brain.
Prochaska in 1784 went so far as to say, "We think, with Haller, that
no light can be thrown upon it in any other way than by a careful
dissection of the brains of fatuous persons, apoplectics, and such as
have other disorders of the understanding." It would appear to have
been the belief of Pinel that the primary seat of disease in mental
conditions was in the stomach and intestinal tract. Spreading from
these centers it caused a derangement of the mind when the brain became
involved. The influence of the moon, as well as the stars, was spoken
of by Hippocrates and admitted by Galen. To these ideas we owe the
word lunacy which appeared in the laws of England in 1320 and may be
found there today.
Public-domain text, read in full here on John Shaqi.
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