Hektoen International

A Journal of Medical Humanities

Tag: mental illness

  • Geel, Belgium: 700 years of caring for mentally ill people

    Howard FischerUppsala, Sweden Geel, Belgium is a city of about 40,000 inhabitants, in the Flemish province of Antwerp. It contains a university, and a branch of the esteemed Catholic University of Louvain, and a pharmaceutical plant. Geel may be best known for its centuries-long history of providing care for mentally disturbed individuals. The origin of…

  • Mental health issues in medical students: The prejudice and the injury

    Amairani Gómez RodríguezPuebla, Mexico I had my first panic attack at seventeen. Biochemistry was a total headache; no matter how hard I studied, it was never enough to pass. As a school overachiever, I had never experienced failure. I felt an existential pressure. My supportive family never demanded high marks or my being the top…

  • Book review: A History of Insanity and the Asylum

    Arpan K. BanerjeeSolihull, UK Mental health topics have long been a source of fascination. In this new book, author Juliana Cummings explores the history of insanity and asylums from the Middle Ages to the modern era, revealing the sometimes-shocking treatment of people with mental illness over the centuries. Although the book is written from a…

  • Vincenzo Chiarugi, who freed the insane from their chains

    Vincenzo Chiarugi was one of the pioneers of a more humane treatment of the mentally ill, along with William Tuke (1732–1822) in York and Philippe Pinel (1745–1826) and Étienne-Jean Georget (1795–1828) in Paris. They all lived at a time when those with mental illness were frequently confined in dungeons and ill-treated, chained to the wall,…

  • Corn, pellagra, and modern medicine—How an ancient disease was recognized in South Carolina’s state lunatic asylum

    Brody FoglemanHarsh JhaNoel BrownleeJuliSu DiMucci-WardSpartanburg, South Carolina, United States Pellagra is a disease of vitamin B3 (niacin) deficiency. Niacin is the precursor for many physiologic processes involving nicotinamide adenine dinucleotide (NAD), an enzyme that carries out long biochemical processes essential to a wide range of metabolic functions. While the understanding of niacin physiology is relatively…

  • Henry Cotton: Pulling teeth to cure disease

    Dr. Henry Cotton believed that all mental illnesses were caused by chronic “focal” infections hidden in various organs. He argued that when these infections spread to the brain, they caused inflammation and mental disorders. To cure these conditions, Cotton advocated the aggressive surgical removal of the infected organ, and for this achieved considerable fame in…

  • 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…

  • Drapetomania: A “disease” that never was

    Howard FischerUppsala, Sweden “Slavery is next to hell.” – Harriet Tubman “And before I’d be a slave,I’ll be buried in my grave…”– Oh, Freedom, African-American spiritual Slavery arrived in what later became the United States in 1619. Slaves were used mainly as agricultural laborers. In the US South, that meant working with tobacco and cotton…

  • Understanding so little: Cinema and mass shootings

    Eelco WijdicksRochester, Minnesota, United States The horrific 2012 shooting in Aurora, Colorado, during a screening of The Dark Knight Rises, was serendipitously preceded by a trailer for Gangster Squad, which showed a fictitious shooting of a movie theater audience. Filmmakers have revisited the topic of mass shootings and their aftermath in portrayals not only of…