MADNESS

A generously illustrated and pocket-sized distillation of the ways madness has been perceived and treated, from ancient times to the present.

Highly acclaimed medical historian Porter (Social History of Medicine/Univ. College London; The Greatest Benefit to Mankind: A Medical History of Humanity, 1998, etc.) traces changes in attitude toward madness all the way from prehistoric beliefs in demonic possession to the contention of some modern theorists that mental illness simply does not exist. He demonstrates how beliefs in supernatural causes were challenged by Greek medicine, which developed an explanation based on the four bodily humors (blood, phlegm, black and yellow bile), and how that approach was subsequently adopted by Western medicine. With generous use of quotations, he illustrates how in the 17th century new organic theories of insanity linking mind and body began to emerge, leading to the hope that those with mental disorders could be helped through retraining of their minds. Porter examines the drive toward institutionalization, how practical psychiatry developed from the experience of asylum managers, and how disappointment with the results of benign “moral therapy” led to the growing belief that madness was probably hereditary and incurable, which in turn led to compulsory confinement, sedation, and even sterilization. He chronicles the rise and decline of psychoanalysis, both Freudian and non-Freudian, the enormous impact of psychopharmacology, and the proliferation of psychotherapies designed to treat the astonishing number of conditions labeled as mental disorders in the American Psychiatric Association’s current Diagnostic and Statistical Manual. For those whose appetite will have been whetted by this literate little introduction, Porter appends a well-annotated selection of readings on aspects of his subject just touched on here.

A small book that raises big questions about the profession of psychiatry and the notion of scientific progress. (28 b&w illustrations, many of them etchings and engravings from the 16th to 19th centuries)