Hektoen International

A Journal of Medical Humanities

Tag: psychiatry psychology

  • The white-collar antisocial personality

    Richard ZhangFarmington, Connecticut, United States A frequently overlooked topic in psychiatry is “antisocial personality disorder” (ASPD) or “sociopathy,” specifically as it manifests in higher socioeconomic backgrounds and thus evades recognition. I once cared for a well-spoken, charming patient who practiced for years in a prestigious profession. While in his professional capacity, he embezzled thousands of…

  • 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…

  • Qualis artifex pereo

    Henri Colt Laguna Beach, California, United States 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 eyes that sparkled when he smiled, which was often. Sprawled on his lounge chair every Saturday, he soaked up the…

  • Remembrance of things past

    JMS PearceHull, England, United Kingdom 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 with no implication of disease or illness. But…

  • Hypochondria

    JMS PearceHull, England, United Kingdom In words, as fashions, the same rule will hold;Alike fantastic, if too new, or old:Be not the first by whom the new are tried,Nor yet the last to lay the old aside.— Alexander Pope The changing use and meaning of words are the daily bread of dictionary compilers. Long ago…

  • 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…

  • Eugen Bleuler and schizophrenia

    JMS PearceEast Yorks, England, United Kingdom Paul Eugen Bleuler (1857-1939) (Fig 1) was one of the most influential psychiatrists of his time, best known today for his introduction of the term schizophrenia to describe the disorder previously known as dementia praecox. In the second half of the nineteenth century, psychological medicine was in its infancy.…

  • 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…