Hektoen International

A Journal of Medical Humanities

Tag: Psychiatry and Psychology

  • Eye contact: A gateway to empathy

    David JeffreyEdinburgh, United Kingdom “Do you think I needed anticoagulants for my atrial fibrillation?” I asked the general practitioner. He stared at his computer screen, and answered without looking at me. “No-one knows for sure. I will print out a recent article which you can read at home and then decide what you would like…

  • Mental hospital memories of another era

    Robert CraigBrisbane, Queensland, Australia In 1964, having obtained a place to study medicine at Cambridge University, I was given the opportunity as a medical student to work as an assistant nurse for three months in a large residential mental hospital in Suffolk, England. The pay was meager but board and lodging were included. Suffolk was…

  • The talented Dr. Cotton and other quacks

    Philip R. LiebsonChicago, Illinois, United States Over the centuries there has been a surfeit of talented medical quacks in all parts of the world. The word “quack,” indeed, is derived from the archaic Dutch word “quacksalver,” meaning “boaster who applies a salve.” A closely associated German word, “Quacksalber,” means “questionable salesperson.” In medical parlance it…

  • “Modern psychiatry begins with Kraepelin”

    JMS PearceHull, England “Modern psychiatry begins with Kraepelin”1 The pages of history seen through the retrospectroscope often provide dull facts rather than insights into the personalities and driving forces of its famous subjects. Such is the case of Emil Wilhelm Kraepelin (1856-1926) (Fig 1), a German psychiatrist, widely acknowledged as the founder and pioneer of…

  • Alzheimer and his disease

    JMS PearceHull, England “Fortiter in re, suaviter in modo (powerfully in deed, gently in manner).”— Franz Nissl’s description of Alzheimer (1916) Curiously, until the 1970s the high prevalence Alzheimer’s disease was not recognized as the most common cause of dementia.1 Most demented patients until then were labeled as having cerebral arteriosclerosis, or as sufferers from…

  • Culture frames the experience and response to psychotic delusions

    Colleen DonnellyDenver, Colorado, United States Since the 1950s many people suffering from psychotic delusions have claimed that these were caused by contemporary technology such as electromagnetic and micro- waves or computer chips clandestinely planted during medical procedures or alien abductions. Such tightly held beliefs and anxieties have a long history, as shown by the following…

  • Men, women, and idioms of distress

    Mary SeemanToronto, Ontario, Canada In all cultures there is a place for illness that is not easily explained by individual pathology. It is usually attributed to larger societal unrest, with some individuals responding to that unrest with somatic or psychological symptoms. When a community is stressed, by natural disasters or by wars, by feelings of…

  • Life coaching

    Migel Jayasinghe England, UK This article was previously published by the author between the years of 2006 and 2018. The original publisher has since been lost and the article edited and republished by Hektoen International staff. Other appearances of this text elsewhere on the internet may be unauthorized. Although coach and coaching had been familiar terms in sport…

  • William Halse Rivers Rivers

    JMS PearceHull, England William Rivers MD FRCP FRS (1864-1922) William Rivers (Fig 1) was a most unusual man, a polymath with careers in neuroscience, ethnology, and psychology. But above all—notwithstanding or perhaps because of personal nervous constraints—he was a man of originality and great humanity. Son of a churchman, he was born in Luton, near…

  • Carl Gustav Jung

    Anne JacobsonOak Park, Illinois, United States In the autumn of 1913, Carl Gustav Jung was traveling alone by train through the rust and amber forest of the Swiss countryside. The thirty-eight-year-old psychiatrist had been lately troubled by strange dreams and a rising sense of tension, but the snow-capped peaks of his beloved Alps soothed him…