Professional Documents
Culture Documents
1-History of Psychiatry
1-History of Psychiatry
ANCIENT GREEK:
1st civilization in Egypt and Near East:
Mental Illness: due to magical forces of malevolent deities (demons) and the main therapists were
the priest and magical rites; psychological or somatic or both
ARISTOTLE
mental illness occurred when soul is subjected to changes in temperature, black bile and
emotions
first to describe the affections of desire, anger, fear, envy, joy, hatred and pity.
PSYCHOLOGICAL TX:
inducing sleep
interpreting dreams
words to encourage, console and gain knowledge of an illness
MIDDLE AGES
CHRISTIAN WESTERN EUROPE
- evil astrological influence and demons entering the body and possessing the
soul
- illness: 1. symptoms of possession of the devil 2. Dance mania and 3. acedia
- tx: exorcism and medicinal tx
ISLAM
- society is responsible for the kind care of the insane
- hospitals with psychiatry division
- insane asylums in Damascus
- Madmen’s Tower
JOHN WEYER- disprove the witches and pioneered the MODERN PSYCHIATRY
17TH CENTURY
THJOMAS WILLIS and THOMAS SYDENHAM- comprehensive account of the symptoms of
hysteria
- incarceration of the insane in 1656
- in 1660 in England, most insane were kept at homes or left to roam, few were
sent to madhouses or asylums
18TH CENTURY
- diseases were more classified:
- insane inmates were viewed having incurable dse and was restrained and
beaten and constantly threatened.
PHILLIPPE PINEL- classified mental illness as mania, melancholy, idiocy and dementia
- “moral tx of insanity”- reading, reasoning, persuasion in cell
- Part of the bicetre health facility outside paris in 1798.
- Realistically attempted to help mentally ill against horrible doctors
understanding illness
WILLIAM TUKE – abolished mechanical restraints and introduced chemical restraints (bromide and
chloral hydrate
BENJAMIN RUSH- father of American Psychiatry
- somatic causation of illness
OTTO LOEWI and SIR HENRY HALLETT DALE- linked biology and psychiatry
- discovered the first neurotransmitter; acetylcholine
CLASSIFICATION OF NEUROSES
1. NEURASTHENIA- physical and mental exhaustion, previously called as hypochondriasis
2. HYSTERIA
- deinstitutionalization
- community care