HLTHAGE 2G03 Lecture Notes - Lecture 2: Philippe Pinel, Avicenna, Moral Treatment

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A brief history of mental illness, madness and psychiatry. Madness = mental illness --> when and how did one become the other. Treatment/concepion of mentally ill does not necessarily it into the simple story of medical progress - not a constant march forward. Earliest recordings from 2nd c bce, potenially mania, depression and delusions o. We don"t have clear evidence (diagnoses) of these disorders but descripions of behaviours that may match these mental disorders. Hippocrates and galen -> situated madness in the brain. Revived by islamic scholars (al-razi, ibn sina) treatment wards for mad found across muslim world. In chrisian europe, some cited spiritual basis for madness, others argued for imbalance of humours (biological) - yellow bile, black bile, phlegm, etc. treatment in monasteries - monks or nuns would treat them. Some witches and madmen (especially dangerous) burnt at the stakes, etc. others treated through prayer, bloodleing, whipping, yet most stayed with family.

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