Officiai Journal of the International Society Revue Officielle De La Société International
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Officiai journal of the International Society Revue officielle de la Société International June 2001 Officiai journal of the International Society for the History of Medicine Vesalius Revue officielle de la Société Internationale d'Histoire de la Médecine Acta Internationalia Historiae Medicinae EDITORS - EDITEURS EDITORIAL BOARD Thierry Appelboom COMITE DE REDACTION Editorîal John Cule John Blair Athanasios Diamandopoulos ASSOCIATE EDITORS Gary Ferngren Older members of the profession are sometimes EDITEURS ASSOCIES John Ford puzzled by today's apparent changes in the traditio Samuel Kottek Chester Burns nal doctor patient relationship. Is it due to an overem Alfredo Musajo-Somma Alain Lellouch Jean-Pierre Tricot Regis Olry phasis on the scientific advances in treatment at the Ynez Viole O'Neill expense of personal patient care ? Does it result from John Pearn MANAGING EDITOR Robin Price a change in the balance between medical ethics and COORDINATION Hans Schadewaldt medical commerce ? The competition between the Diana Gasparon Alain Segal respect desired by the doctors and the publicly Michel Thiery perceived status of the profession has persisted for ADDRESS- ADRESSE Fernando Vescia Secrétariat "Vesalius" Sue Weir centuries. What have patients sought ? Joseph Médical Muséum David Wright Needham FRS, Master of Gonville and Caius Col 808 route de Lennik lege, an eminent scientist and historian of Chinese B - 1070 Brussels, Belgium JOURNAL SUBSCRIPTION Phone : 32 / 2 / 555.34.31 ABONNEMENT A LA REVUE medicine, had asked in the 1980's why do doctors Fax : 32 / 2 / 555.34.71 2 issues per year - 2 numeros par an when patients themselves always choose a kind doctor e-mail : dgasparo® ulb.ac.be Annual rate : 50 Eur rather than a clever one ? http//medicmuseum.org Each issue : 25 Eur Free to ISHM members Each historical epoch produces new problems. GUIDE FOR AUTHORS SUBMITTING MANUSCRIPTS Medical practitioners have to adjust to new climates Articles are accepted in either French or English. They should be typewritten in of opinion. This has briefly been discussed in an triplicate, using double spacing, with wide margins and numbered pages, on one side earlier editorial in relation to the place of 'complemen only of A4 size paper. A summary in both languages and a short biographical note tary medicine'. Have the requirements also changed should be added. The length usually accepted is about 3000 words. They will be submitted for refereeing before acceptance for publication. Authors using word for fitness to practise ? The arguments for both can processors are also asked to supply a diskette (Macintosh ) whenever possible. All be seen in context by a study of medical history. articles must be original. Authors must confirm that these and any illustrations are not Medical students need to appreciate the complexity subject to copyright elsewhere. If the copyright of illustrations is not owned by the author, they must be accompanied by the owner's permission to reproduce. Authors of these dilemmas. will be asked to sign a transfer of copyright. References should be numbered sequentially in the text and arranged in numerical order at the end. Each reference Some students have shown their interest by opting for should contain names and initials of authors and full title of paper or work. Journal name should be followed by year, volume number, first and last page of reference. medical history in the special study modules offered References to books should include date and place of publication and publishers. The by some British medical schools. Others are today names of books and of periodicals should be given in italics or underlined. being given the opportunity to enter medical school All typescripts should be submitted to : Diana Gasparon, Managing Editor Vesalius by a route other than the traditional basic science Erasmus University Hospital, Medical Museum, Route de Lennik808, 1070 Brussels, examinations in chemistry, physics, biology and the Belgium like. The University of Wales College of Medicine plans to accept a broader entry qualification via the disciplines of Medical Philosophy and Medical His INSTRUCTIONS AUX AUTEURS tory taught at the University of Wales, Swansea Les articles sont acceptés en français ou en anglais. Ils doivent être dactylographiés avec un double interligne, une marge blanche, des pages numérotées, papier A4, et (B.Sc. Medical Sciences and Humanities). The Uni envoyés en trois exemplaires. Ils doivent être accompagnés d'un résumé dans les versity of Texas is already a leader amongst the deux langues et d'une notice biographique de l'auteur. Ils seront soumis au comité medical schools that teach the Humanities. de lecture avant publication. La longueur du texte ne devrait pas excéder 3.000 mots. Tous les articles doivent être originaux. Les auteurs doivent confirmer que ceux-ci, ainsi que leurs illustrations, ne sont pas sujets au copyright. Si les illustrations ne sont The problem is world-wide. What is happening pas la propriété de l'auteur, elles doivent être accompagnées d'une permission de elsewhere ? The International Society for the History reproduction. Les auteurs devront signer un transfert de copyright. Les auteurs of Medicine encourages appreciation of the educatio utilisant un ordinateur sont priés d'envoyer si possible une disquette (Macintosh). Les références devront être numérotées dans le texte et rangées par ordre numérique à nal value of medical history. Might a copy of Vesalius la fin de l'article. Chaque référence devra contenir les noms et les initiales des in every medical school library help to attract new auteurs, le titre de l'article ou du travail en entier ainsi que le nom du journal qui devra medical student members ? Please let us know if your être suivi de l'année, du numéro de volume, des première et dernière pages de la own medical school needs one. référence. Les références de livres devront indiquer la date et le lieu de publication ainsi que le nom des éditeurs. Les titres de livres ou périodiques doivent être indiqués en italique ou soulignés. John Cule Tous les manuscrits doivent être soumis à : Editor Diana Gasparon, Managing Editor Vesalius Hôpital Erasme, Musée de la Médecine, Route de Lennik 808,1070 Bruxelles, Belgique The views expressed in articles are those of the authors. Les articles n'engagent que la responsabilité de leurs auteurs. ISBN : 1373-4857 © Societas Intemationalis Historiae Medicinae, Brussels, 2001 1 Perturbations of the mynde, Vesalius, VII, 1,2-11, 2001 Perturbations of the mynde: some unusual aspects of the care of the mentally disabled in pre-twentieth century times. T. G. Davies and A. Dulley The Affections, which be the sudden motions, and perturbations of the mynde, ought not to be neglected ofthephisition: because they be of great might, and make great alteration in all the body... (1) Summary The system which has evolved in Britain for managing the financial affairs of the psychiatrically disabled is of ancient origin. Largely using examples from Wales, this paper deals with some of the difficulties encountered in the development of this procedure. Résumé Le système de gestion des affaires financières des malades mentaux, qui s'est développé en Grande Bretagne, est d'origine ancienne. Ce papier, en utilisant largement des exemples du Pays de Galle, traite de plusieurs difficultés rencontrées lors du développement de cette procédure. Introduction It is, perhaps, not surprising that, over the Conversely, the theories of Sigmund Freud (1856- centuries, a variety of attempts should have been 1939) and Carl Gustav Jung (1875-1961), and made to explain the immense variations that others of the psychodynamic school, were once occur in human behaviour. Phrenologists, widely thought to have brought new insights to a philosophers, physicians, psychologists, psychia field where fresh approaches were badly needed. trists, dramatists, poets and novelists have all laid By now, they are far from being universally claim to the right to make pronouncements on the accepted by clinicians. matter. While a full discussion of this topic would be beyond the scope of this paper, it might be In the case of the abnormalities associated pointed out that fashions in this field can change with the severe mental illnesses, the psychoses, considerably with time. Galen (129-C.199) has other explanations have sometimes been put been seen by many as a reactionary, the forward fortheir existence. From time immemorial, acceptance of whose work greatly impeded and on a worldwide basis, the concept of progress in medical practice. More recently, it demoniacal possession has been in vogue. was suggested that his views on personality are Already among the most socially disadvantaged worthy of the most serious consideration (2). of people, those who suffered from these condi tions were often further isolated and deprived by this interpretation of the nature of their clinical state. There is no reason to suspect that Johanne Dr T.G. Davies, MD FRCPsych DPM 98 Du lais Road, Seven Sisters, Neath SA10 9ES, Guppie, of the parish of South Perrott, in the Great Britain county of Dorset, was anything other than a folk 2 Perturbations of the mynde, Vesalius, VII, 1,2-11, 2001 healer, who provided the community with a day of] July in the year of the reigne of our valuable and useful service. There are no indica Sovreigne Lord James... tions that she suffered from schizophrenia, or any similar condition. However, so marked were the Her eventual fate is not known. It must be prejudices prevalent at thattime that any deviation remembered, of course, that the borderline in conduct might be viewed as a sign of gross between the practice of folk medicine at that time abnormality. Had she been accused of sorcery, and what might now be seen as witchcraft was the penalties might have been severe, as the last often tenuous. The date of the petition may have law relating to witchcraft in Britain was not repealed some significance, as those were dangerous until 1736 (3).