Clinical Psychiatry in Imperial Germany

Clinical Psychiatry in Imperial Germany

Author: Eric J. Engstrom

Publisher: Cornell University Press

Published: 2018-07-05

Total Pages: 310

ISBN-13: 1501723944

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The psychiatric profession in Germany changed radically from the mid-nineteenth century to the beginning of World War I. In a book that demonstrates his extensive archival knowledge and an impressive command of the primary literature, Eric J. Engstrom investigates the history of university psychiatric clinics in Imperial Germany from 1867 to 1914, emphasizing the clinical practices and professional debates surrounding the development of these institutions and their impact on the course of German psychiatry.The rise of university psychiatric clinics reflects, Engstrom tells us, a shift not only in asylum culture, but also in the ways in which social, political, and economic issues deeply influenced the practice of psychiatry. Equally convincing is Engstrom's argument that psychiatrists were responding to and working to shape the rapidly changing perceptions of madness in Imperial Germany. In a series of case studies, the book focuses on a number of important clinical spaces such as the laboratory, the ward, the lecture hall, and the polyclinic. Engstrom argues that within these spaces clinics developed their own disciplinary economies and that their emergence was inseparably intertwined with jurisdictional contests between competing scientific, administrative, didactic, and sociopolitical agendas.


Hungarian Psychiatry, Society and Politics in the Long Nineteenth Century

Hungarian Psychiatry, Society and Politics in the Long Nineteenth Century

Author: Emese Lafferton

Publisher: Springer Nature

Published: 2021-11-29

Total Pages: 442

ISBN-13: 3030857069

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This book provides the first comprehensive study of the history of Hungarian psychiatry between 1850 and 1920, placed in both an Austro-Hungarian and wider European comparative framework. Taking an interdisciplinary approach, the book captures the institutional worlds of the different types of psychiatric institutions intertwined with the intellectual history of mental illness and the micro-historical study of everyday institutional practice. It uncovers the ways in which psychiatrists gradually organised themselves and their profession, defined their field and role, claimed expertise within the medical sciences, lobbied for legal reform and the establishment of psychiatric institutions, fought for university positions, the establishment of departments and specialised psychiatric teaching. Beyond this story of increasing professionalization, this study also explores how psychiatry became invested in social critique. It shows how psychiatry gradually moved beyond its closely defined disciplinary borders and became a public arena, with psychiatrists broadening their focus from individual patients to society at large, whether through mass publications or participation in popular social movements. Finally, the book examines how psychiatry began to influence the concept of mental health during the first decades of the twentieth century, against the rich social and cultural context of fin-de-siècle Budapest and the Austro-Hungarian Dual Monarchy.


Institutionalizing Gender

Institutionalizing Gender

Author: Jessie Hewitt

Publisher: Cornell University Press

Published: 2020-06-15

Total Pages: 428

ISBN-13: 1501753320

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Institutionalizing Gender analyzes the relationship between class, gender, and psychiatry in France from 1789 to 1900, an era noteworthy for the creation of the psychiatric profession, the development of a national asylum system, and the spread of bourgeois gender values. Asylum doctors in nineteenth-century France promoted the notion that manliness was synonymous with rationality, using this "fact" to pathologize non-normative behaviors and confine people who did not embody mainstream gender expectations to asylums. And yet, this gendering of rationality also had the power to upset prevailing dynamics between men and women. Jessie Hewitt argues that the ways that doctors used dominant gender values to find "cures" for madness inadvertently undermined both medical and masculine power—in large part because the performance of gender, as a pathway to health, had to be taught; it was not inherent. Institutionalizing Gender examines a series of controversies and clinical contexts where doctors' ideas about gender and class simultaneously legitimated authority and revealed unexpected opportunities for resistance. Thanks to generous funding from the Andrew W. Mellon Foundation, through The Sustainable History Monograph Pilot, the ebook editions of this book are available as Open Access volumes from Cornell Open (cornellpress.cornell.edu/cornell-open) and other repositories.


The Peculiar Institution and the Making of Modern Psychiatry, 1840–1880

The Peculiar Institution and the Making of Modern Psychiatry, 1840–1880

Author: Wendy Gonaver

Publisher: UNC Press Books

Published: 2019-02-07

Total Pages: 269

ISBN-13: 1469648458

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Though the origins of asylums can be traced to Europe, the systematic segregation of the mentally ill into specialized institutions occurred in the United States only after 1800, just as the struggle to end slavery took hold. In this book, Wendy Gonaver examines the relationship between these two historical developments, showing how slavery and ideas about race shaped early mental health treatment in the United States, especially in the South. She reveals these connections through the histories of two asylums in Virginia: the Eastern Lunatic Asylum in Williamsburg, the first in the nation; and the Central Lunatic Asylum in Petersburg, the first created specifically for African Americans. Eastern Lunatic Asylum was the only institution to accept both slaves and free blacks as patients and to employ slaves as attendants. Drawing from these institutions' untapped archives, Gonaver reveals how slavery influenced ideas about patient liberty, about the proper relationship between caregiver and patient, about what constituted healthy religious belief and unhealthy fanaticism, and about gender. This early form of psychiatric care acted as a precursor to public health policy for generations, and Gonaver's book fills an important gap in the historiography of mental health and race in the nineteenth century.


Inheriting Madness

Inheriting Madness

Author: Ian Dowbiggin

Publisher: Univ of California Press

Published: 1991-05-14

Total Pages: 228

ISBN-13: 0520909933

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Historically, one of the recurring arguments in psychiatry has been that heredity is the root cause of mental illness. In Inheriting Madness, Ian Dowbiggin traces the rise in popularity of hereditarianism in France during the second half of the nineteenth century to illuminate the nature and evolution of psychiatry during this period. In Dowbiggin's mind, this fondness for hereditarianism stemmed from the need to reconcile two counteracting factors. On the one hand, psychiatrists were attempting to expand their power and privileges by excluding other groups from the treatment of the mentally ill. On the other hand, medicine's failure to effectively diagnose, cure, and understand the causes of madness made it extremely difficult for psychiatrists to justify such an expansion. These two factors, Dowbiggin argues, shaped the way psychiatrists thought about insanity, encouraging them to adopt hereditarian ideas, such as the degeneracy theory, to explain why psychiatry had failed to meet expectations. Hereditarian theories, in turn, provided evidence of the need for psychiatrists to assume more authority, resources, and cultural influence. Inheriting Madness is a forceful reminder that psychiatric notions are deeply rooted in the social, political, and cultural history of the profession itself. At a time when genetic interpretations of mental disease are again in vogue, Dowbiggin demonstrates that these views are far from unprecedented, and that in fact they share remarkable similarities with earlier theories. A familiarity with the history of the psychiatric profession compels the author to ask whether or not public faith in it is warranted.


A Dark Science

A Dark Science

Author: Jeffrey Moussaieff Masson

Publisher: Untreed Reads

Published: 2013-06-25

Total Pages: 134

ISBN-13: 1611875781

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Here translated for the first time are a series of shocking texts from the 19th century German psychiatric literature, which, while almost completely unknown to modern readers, have had a devastating influence on attitudes toward women and children in the 20th century. The articles on the sexual "lies" and sexual "fantasies" of children were seminal, brutal, and still resonate in today's literature, having taken a terrible toll on the intellectual ideas of modern psychiatry. The articles document brutal treatment for masturbation, hysteria, and vaginismus, as well as incidences of the so-called fabricated sexual abuse of "prematurely perverted" children. Though by no means an "easy read," Masson's collection of these nine articles exposes a point in the history of the practice of psychology that proves ignorance and negative attitudes towards women created a dark science that modern psychiatrists struggle to overcome.


The Cost of Insanity in Nineteenth-Century Ireland

The Cost of Insanity in Nineteenth-Century Ireland

Author: Alice Mauger

Publisher: Springer

Published: 2017-12-21

Total Pages: 290

ISBN-13: 3319652443

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This open access book is the first comparative study of public, voluntary and private asylums in nineteenth-century Ireland. Examining nine institutions, it explores whether concepts of social class and status and the emergence of a strong middle class informed interactions between gender, religion, identity and insanity. It questions whether medical and lay explanations of mental illness and its causes, and patient experiences, were influenced by these concepts. The strong emphasis on land and its interconnectedness with notions of class identity and respectability in Ireland lends a particularly interesting dimension. The book interrogates the popular notion that relatives were routinely locked away to be deprived of land or inheritance, querying how often “land grabbing” Irish families really abused the asylum system for their personal economic gain. The book will be of interest to scholars of nineteenth-century Ireland and the history of psychiatry and medicine in Britain and Ireland.


Madhouses, Mad-Doctors, and Madmen

Madhouses, Mad-Doctors, and Madmen

Author: Andrew Scull

Publisher: University of Pennsylvania Press

Published: 1981-08

Total Pages: 401

ISBN-13: 0812211197

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The Victorian Age saw the transformation of the madhouse into the asylum into the mental hospital; of the mad-doctor into the alienist into the psychiatrist; and of the madman (and madwoman) into the mental patient. In Andrew Scull's edited collection Madhouses, Mad-Doctors, and Madmen, contributors' essays offer a historical analysis of the issues that continue to plague the psychiatric profession today. Topics covered include the debate over the effectiveness of institutional or community treatment, the boundary between insanity and criminal responsibility, the implementation of commitment laws, and the differences in defining and treating mental illness based on the gender of the patient.


From Melancholia to Depression

From Melancholia to Depression

Author: Åsa Jansson

Publisher: Palgrave Macmillan

Published: 2020-11-20

Total Pages: 234

ISBN-13: 9783030548018

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This open access book maps a crucial but neglected chapter in the history of psychiatry: how was melancholia transformed in the nineteenth century from traditional melancholy madness into a modern biomedical mood disorder, paving the way for the emergence of clinical depression as a psychiatric illness in the twentieth century? At a time when the prevalence of mood disorders and antidepressant consumption are at an all-time high, the need for a comprehensive historical understanding of how modern depressive illness came into being has never been more urgent. This book addresses a significant gap in existing scholarly literature on melancholia, depression, and mood disorders by offering a contextualised and critical perspective on the history of melancholia in the first decades of psychiatry, from the 1830s until the turn of the twentieth century.