“Un Fou” par Yves Guyot. Paris, 1893.

1894 ◽  
Vol 40 (169) ◽  
pp. 285-286

It is rarely that we have read a more detestable book than the one under review. As its title indicates, it is a description of a lunatic, but from the beginning to the end it revolts one. To begin with, the unfortunate man, named Labat, has an insane mother, whose mother also was insane. He was wealthy and of good family, and is thus able to marry a beautiful but poor girl, who has two children, both of whom die in convulsions. A most truthful but horrible description of a fit is given, exact in all its fearful details. The mother determines to have no more children by her husband, and as the latter insists upon conjugal rights, she goes to the doctor, who is readily seduced by her, and a liaison is started, which results in the birth of a fine healthy son, who bears strong indications of his paternity. The putative father is jealous, and though he takes no open steps, he evinces his disgust, and the doctor, to save himself, calls in a medical friend, who is persuaded that the accusations against his medical ally are untrue, and who treats them as delusions, and on an urgency order consigns M. Labat to a “Maison de Sauté,” kept by an ex-marine medical officer, whose treatment is of the most downright and brutal kind; he has a belief in subduing disease by means of douches and strict discipline, the patient passes through a period of distress, and very nearly loses his reason, and the details of the life in the asylum are revolting and disgusting in the extreme. He determines to suppress his real feelings and to acquiesce in the doctor's ideas, and as a result he is discharged cured. He rejoins his wife, who, receiving him coldly, causes further trouble, which ends in the murder of the child, and the flight of M. Labat. He is taken to another asylum, which is a private adventure asylum, where more brutality is exercised, and the patients are treated more as slaves than as sufferers from disease. Thence M. Labat, who has now become really insane, is taken as an insane criminal to Bicêtre, only to be tested and tortured with electricity. He once more is sent to the original “Maison de Santé,” where in the end he is boiled to death in a hot bath by accident. Madame Labat has also become permanently insane, and so the story ends. Such a book is not only unhealthy, but it is mischievous in the last degree; it represents, as if occurring at the present day, a state of mismanagement in asylums which has disappeared for many years. It causes prejudice, not only against the medical profession as a whole, but more particularly against the special branch which we cultivate. It is an untruthful libel. The medical discussions on the symptoms of mental disorder are very exact, pointing to the handiwork of one who has had medical training. “It is a filthy bird that fouls its own nest.”

2013 ◽  
Vol 21 (1) ◽  
pp. 44-49
Author(s):  
Ilija Kajtez

In this paper, the author considers the enterprise of fasting, in which the man faces the important issues of his existence, the purpose and worldly life. The author is aware that all social, philosophical and theological phenomena are very complex, profound and obscure and quotes the French philosopher and scientist Pascal, who claimed: ?We do not possess enough knowledge to?understand the life of human body?While in nature everything is closely intertwined ? No part can be recognized unless we have studied the unit. The life of each body will be understood only when we learn all that it needs; and in order to achieve this, it is necessary to study the universe. But the universe is infinite and it is beyond the human ability to grasp it??It is clear from this quotation that we are facing many complex issues whenever we try to reveal one of the secrets of Christian life - the secret of fasting. The second part of the essay has to do with people and the time we live in, the relations between believing doctors and their profession and whether and to what extent a believing doctor who observes fasts is closer to the Truth and Goodness that the one who does not believe. The author argues that the doctor who is a believer and who observes a fast seeing it as the time when values of human life should be put to test and the meaning of medical profession reconsidered is closer to the truth of Existence and love of the world. There is no duty that is more important for a modern, egotistic, materialistic man than resuming fasts. A fast as a profound rethinking of the whole of a human being, as a human effort, as Solzhenitsyn would say, to self-restriction, abstinence, nurturing of his own freedom.


1978 ◽  
Vol 133 (3) ◽  
pp. 194-199 ◽  
Author(s):  
J. H. Orr

I am glad to have this opportunity to talk about an unfortunate consequence of developments in the Health Service over recent years. My theme will be what is now happening to mentally disordered people who have committed criminal offences. At present, many of them are going to prison. The prison system—already severely overcrowded—contains some hundreds of mentally disordered offenders who in the opinion of prison medical officers need and are capable of gaining benefit from care, management and treatment in psychiatric hospitals. When using the term ‘mental disorder’ I shall, of course, be referring to those states of mind which have been classified and defined in Section 4 of the Mental Health Act 1959: members of the College who work in the National Health Service will be relieved to know that I do not share the view of the citizens of Samuel Butler's Erewhon that crime itself is an illness, whose sufferers should all be placed in the hands of the omniscient psychopathologists. Indeed, when one has the practical responsibility for the provision of health care for prisoners, it is quite irrelevant whether or not they committed their offences as a result of a mental disorder or whether their mental disorder developed before or after the offence or trial. The only thing that matters is their present condition. If a prisoner is suffering from mental disorder of a nature or degree that warrants his detention in hospital for treatment, then the prison medical officer will want to bring about his admission to hospital under the appropriate section of the 1959 Act. This is wholly in accordance with the philosophy of the Act, which does not limit hospital admission to cases in which the criminal offence was causally related to a mental disorder. In this talk I shall want to consider why in so many cases hospital places cannot be found.


1881 ◽  
Vol 27 (119) ◽  
pp. 384-391
Author(s):  
Alex. Robertson

Physicians who have had experience in doubtful cases of insanity know well how difficult it sometimes is to pronounce decidedly as to the presence or absence of mental unsoundness. On the one hand, the striking differences that are to be met with in intellectual and emotional characteristics within the sphere of mental health, and, on the other, the equally great diversity in the features of the various forms of disordered mind, occasionally render the problem one not easy of solution. Moreover, the decision in such cases often involves serious responsibility. This occurs more particularly when the question arises in relation to grave criminal charges, and where medical opinion is sought to aid in determining if vagaries of conduct and seeming delusions are to be considered evidences of real mental disorder, or are feigned for the purpose of screening the accused from the legitimate penalties of their crimes.


2007 ◽  
Vol 16 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Giovanni Jervis

SUMMARYSeveral discernible trends have changed the outlook of psychiatric resources available to the general public during the last 50 years in Western countries and particularly in Italy. Among these trends, two conflicting issues are here outlined. On the one side, evidence based medicine is the core of a methodological revolution, which asks for a deeper criticism of subjective judgements in clinical matters; on the other side, the study of emotions and attitudes has stressed the outstanding importance of conscious and unconscious expectations both in patients and in caregivers. Moreover, popular psychology has altered the way mental disorder is commonly perceived and treated. A comprehensive way of taking into account these three diverse trends seems to be still lacking.


2011 ◽  
Vol 37 (2-3) ◽  
pp. 315-357 ◽  
Author(s):  
Coleen Klasmeier ◽  
Martin H. Redish

In order to protect the nation from harmful or worthless drugs and devices, the Food and Drug Administration (FDA or the Agency) is legislatively authorized to restrict the sale of prescription drugs or medical devices to those whose efficacy and safety have been reviewed and approved by the Agency. Drugs and devices are approved for a specific medical purpose. In numerous instances, however, the medical profession has discovered that treatments approved for one purpose may also serve other valuable medical purposes. Indeed, on a number of occasions such “off-label” treatments have proven to be essential to the successful treatment of some very serious illnesses.In these off-label situations, the FDA is faced with a dilemma. On the one hand, off-label use of prescription drug and devices gives rise to a series of major problems for the FDA. While the drug and devices in question have been vetted and approved by the FDA for their designated purpose, at no point has the FDA reviewed the supporting scientific data to determine efficacy for the off-label purpose.


1920 ◽  
Vol 66 (272) ◽  
pp. 10-23
Author(s):  
C. Hubert Bond

In their fourth Annual Report, published in 1918, the Board of Control drew attention—not for the first time, but in more extended form than hitherto—to deficiencies in the arrangements, as at present organised, for the treatment of persons suffering from mental disorder, especially in its incipient and early stages; to the insufficiency of attention paid at medical schools to this important branch of medical science with its consequent ill-effects both to patients and to the medical profession; and to the absence of any special qualification in psychiatry, as a requirement for the higher medical posts in public institutions for the insane, such as is demanded in public health of medical officers of health of areas of above a stated size.


Author(s):  
George Graham

The basic claims of the chapter are, first, that mental disorders are not best understood as types of brain disorder, even though mental disorders are based in the brain. And, second, that the difference between the two sorts of disorders can be illuminated by the sorts of treatment or therapy that may work for the one type (a mental disorder) but not for the other type (a brain disorder). In the discussion some of the diagnostic implications and difficulties associated with these two basic claims are outlined.


1982 ◽  
Vol 19 ◽  
pp. 287-297 ◽  
Author(s):  
A. F. Walls

The history of medical missions is an epiphenomenon of the history of the medical profession. On the one hand they can be seen as a late growth in the missionary movement, and throughout the nineteenth century they required explanation and apology; on the other, they can be seen as present from the movement’s earliest days. After all, when William Carey sailed for India in 1793 his only colleague was a medical man; and a ‘surgeon’ was specifically included amongst the first party sent by the London Missionary Society to the Pacific in 1796. Indeed, generations of missionaries carried out a form of pillbox ministry, gravely administering draughts, lancing excrescences and proceeding by trial and error (‘We soon discovered the unfitness of calomel for African fevers’, observed the Rev. Hope Waddell of Calabar, ‘by its prostrating effect upon ourselves’), Some, like David Livingstone, studied medicine as part of their missionary training, without thereby becoming any special sort of missionary, or one whit less the minister of the Gospel that the ordinary missionary was assumed to be. The difference between this and the developed medical missions which were all but universal by the First World War was created less by developments in missionary thought than by developments in the medical profession.


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