Hektoen International

A Journal of Medical Humanities

Tag: psychiatry psychology

  • The white-collar antisocial personality

    Richard Zhang Farmington, Connecticut, United States   Man in a Hat. Painting by Josef Capek, 1915–16. Via Wikimedia. Public domain. 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…

  • 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   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…

  • 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…

  • 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 Jeffrey Edinburgh, United Kingdom   Bradley by David Jeffrey “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…

  • Mental hospital memories of another era

    Robert Craig Brisbane, Queensland, Australia   The former St. Audry’s Hospital. Photo by Adrian S Pye. CC BY-SA 2.0. 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…

  • The talented Dr. Cotton and other quacks

    Philip R. Liebson Chicago, Illinois, United States   Portrait of Henry Andrews Cotton from Appleton’s Cyclopædia of American Biography. 1924. Via Wikimedia. 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…

  • Eugen Bleuler and schizophrenia

    JMS Pearce East Yorks, England, United Kingdom   Fig 1. Eugen Bleuler, 1900. from: G. Wehr, Jung, ed. René Coeckelberghs, Collection Les Grands Suisses, ISBN=2-8310-0009-2. Clinique du Burghölzli. 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…

  • Culture frames the experience and response to psychotic delusions

    Colleen Donnelly Denver, Colorado, United States   Photo by Camila Quintero Franco on Unsplash 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…