Hektoen International

A Journal of Medical Humanities

Category: Psychiatry Psychology

  • Wilson on the couch: How Sigmund Freud and William C. Bullitt, an American diplomat, came to analyze the American president

    James L. Franklin Chicago, Illinois, United States   Thomas Woodrow Wilson. Harris & Ewing Collection, Library of Congress. Via Wikimedia. Public domain. In December 1966, Houghton Mifflin Company published Thomas Woodrow Wilson: Twenty-Eighth President of the United States, A Psychological Study by Sigmund Freud and William C. Bullitt. The curious fact that Sigmund Freud, the…

  • Margery Kempe: Medieval visions, delusions, and hallucinations

    Margery Kempe (c. 1393 – after 1438) was an English Christian mystic who dictated autobiographic notes to a scribe. Married when twenty years old, she had a postpartum psychotic episode after the birth of her first child and went through at least fourteen subsequent pregnancies. Psychotic symptoms, delusions, and hallucinations continued all her life. She had…

  • It’s not the patient who hit you…

    JP SutherlandNorth America Although Christopher’s appearance was extraordinary, there was no sign (not even in retrospect) that he would kick me in the groin within the next hour. He was naked, and standing motionless with his arms held out perpendicularly from his sides. If anyone tried to cover him with a blanket then he would…

  • The Barbie doll syndrome

    Howard FischerUppsala, Sweden “In all the years I’ve been a therapist, I’ve yet to meet a girl who likes her body.”1– Mary Pipher, PhD, clinical psychologist In 1959, the Mattel toy company introduced a doll in the US that was not modeled on a baby or small child, but rather on a young adult. The…

  • Dancing with spiders: tarantellas and tarantism

    Howard Fischer Uppsala, Sweden   “There are always hysterical people undergoing extraordinary cures.” – Robertson Davies, The Cunning Man Etching of people dancing the tarantella and playing music as an antidote to a tarantula bite. Wellcome Collection. Public domain.   The industrial city of Taranto is in the “heel” of boot-shaped Italy. The Romans called…

  • The mystique of psychiatry: a closer look

    Lawrence ClimoLincoln, Massachusetts, United States As a retired psychiatrist, I have been thinking about the mystique that surrounds our profession. Psychiatrists seem to trigger three provocative associations that set them apart from other physicians. The first, sometimes interpreted as a wish, is that psychiatrists read minds and therefore know what is concealed or hidden inside…

  • Qualis artifex pereo

    Henri Colt  Laguna Beach, California, United States   Man sitting. Photo by Gadiel Lazcano on Unsplash. This short story is a work of fiction. Translation: “What an artist the world is losing with me!” — cited by Suctonius, The Twelve Caesars, Nero 49; Loeb ed., 2:177   Michael had jet black hair and sorrowful brown…

  • De Profundis: Oscar Wilde’s narrative of mental anguish

    Anthony G. Chesebro Stony Brook, New York, United States Oscar Wilde. Photo by Napoleon Sarony, 1882. Via Wikimedia. Public domain.   “There is only one season, the season of sorrow.”1  Imprisoned for a relationship that was criminalized by the government of his time, in 1897 Oscar Wilde had spent two years in jail. Finally granted…

  • “It would be like I never existed”: two minutes with manic psychosis, 1978

    Paul Rousseau Charleston, South Carolina, United States   Foreword Photo by Isai Ramos on Unsplash Mental illness is often marginalized by non-psychiatric clinicians, yet it causes as much suffering, if not more, than physical illness. I was a medical student completing a rotation in psychiatry when I observed the encounter described here. The patient had…

  • Remembrance of things past

    JMS Pearce Hull, England, United Kingdom   Photo by Anita Jankovic on Unsplash In these troubled times imposed by Covid-19, much attention has been paid to depression, stress, and complaints of enforced isolation and of longing for the old days—the “normal times.” In this and in other contexts, nostalgia is regarded as a normal sentiment…