Unit 1 History of Madness

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    Unit 1 History of Madness

    Pascal: men are so necessarily mad , thatnot to be mad would amount to another

    form of madness

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    Ancient beliefs

    There is evidence from Neolithic times of thepractice of trepanation cutting large holes

    into the skull), possibly as an attempt to cure

    ailments which may have included mental

    disorders.

    Philosophical interest in the mind and behavior

    dates back to the ancient civilizations of Egypt,

    Greece, China and India.

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    Fifth century Greek physician Hippocrateswas one of the first to reject the belief that

    psychopathology was a result of

    possession. Instead he believed that

    psychopathologies were a form of braindisease.

    Hippocrates recognised three types of

    brain disease; mania, melancholia andphrenitis.

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    Along with physical ailments, he believed

    that psychopathologies were caused by animbalance of four bodily fluids that

    maintained good health; blood, black bile,

    yellow bile and phlegm.

    Although his theory was a far cry from the

    scientific classification system used in

    psychology and psychiatry today, he was

    one of the first to believe that it wassomething wrong with the physical body

    that caused psychopathology.

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    Further, he left records of symptoms

    describing illnesses that are recognisedtoday as epilepsy, alcoholic delusion,

    stroke and paranoia.

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    The Middle Ages

    Split between reason and unreason. Two

    distinct entities were created. Madness

    was the voice of unreason.

    The birth of the asylum

    Madness on the fringes of society.

    Mental illness a cause for persecution. Stultifera Navis- the ship of fools.

    Quarantining the insane.

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    Treatment was harsh and inhumane.

    Psychopathology affected many lives

    throughout history. Until the end of the

    dark ages Psychopathologies were

    thought to be caused by supernaturalforces

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    Enlightenment Era

    Madness was increasingly seen as an organicphysical phenomenon, no longer involving the

    soul or moral responsibility. The mentally ill

    were typically viewed as insensitive wild

    animals. Harsh treatment and restraint in chainswas seen as therapeutic, helping suppress the

    animal passions.

    Towards the end of the 18th century the moral

    treatment movement developed, that

    implemented more humane, psychosocial and

    personalized approaches.

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    Notable figures included the medic Vincenzo

    Chiarugi (Italy) , the ex-patient

    superintendentpussin and psychologicallyinclined medic Phillipe Pinel in revolutionary

    France,the Quakers in England led by William

    Tuke and Dorothea Dix in United states.

    Torture was no longer thought to be

    necessary. Humane treatment was advocated.

    Mental illness was no longer thought to be sent

    from God. Newer explanations came up. Mental illness was being seen from the

    medical perspective.

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    However the abuse did not stop

    institutionalization continued.

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    20th century

    Rise of psychiatry and psychotherapy.

    A deeper understanding of the mind

    through psychoanalysis and biology. Institutionalization continues.

    Different schools of thought emerge.

    Psychology emerges as a separatediscipline.

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    Pathology was located in the brain.

    Genetic connections were explored aswell.

    Mesmerism was used which later became

    hypnosis which later became freeassociation.

    With psychoanalysis came the talking cure

    mind was explored.

    Structuralism attempted to quantify

    psychological phenomena. A research

    tradition was born.

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    Behaviorism negated the role of inner

    states pathology was observable and

    learnt and therefore could be unlearnt.

    Cognitive psychologists took this further

    and also attempted to study behaviour but

    keeping in mind the mind. Biological schools go deeper in the human

    body and locate pathology with the

    individual- brain and genes.

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    In the 1960s the anti psychiatry

    movement begins. ( Foucault, Szasz,

    Laing, Basaglia and Cooper) It challenges

    psychiatry on the following grounds.

    Institutionalization

    Diagnostic categories.

    Abuse of patients.

    And other oppressive practices.

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    However institutionalization remains a

    problem today.

    Abuse of mad people remains rampant.

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    Question 1 Who is the patron saint of

    mental illness? Question 2 Who was the founder of

    psychology in India?

    Question 3 Who is mesmerism named

    after?

    Question 4 What branch of early genetics

    had a disasterous effect on the population

    across Europe?

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    Question 5 What is the study of measuring

    the skull and attributing mental qualities todifferent physical attributes called?

    Question 6 what is a mad pride?

    Question 7 who wrote the Cannon ofMedicine?

    Question 8 Who is the Greek God of

    healing?

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