Melancholia and the New Biological Psychiatry
Abstract This chapter centres on the development of a neurophysiological model of melancholia, which emerged within the new academic psychiatry in the German states at mid-century, and was taken up into British literature in the 1860s and 70s. It considers Wilhem Griesinger’s model of psychological reflex action, which he used to explain the aetiology of mental disorders. Building on Griesinger’s model, Richard von Krafft-Ebing in Germany and Henry Maudsley in Britain offered two of the period’s most comprehensive descriptions of melancholia as a modern biomedical mood disorder. Finally the new neurophysiological model of melancholia is considered in relation to neurasthenia, a fashionable diagnosis in the United States in the last quarter of the century.