Mental Ills And Bodily Cures

Mental Ills and Bodily Cures depicts a time when psychiatric medicine went to lengths we now find extreme and perhaps even brutal ways to heal the mind by treating the body. From a treasure trove of California psychiatric hospital records, including many verbatim transcripts of patient interviews, Joel Braslow masterfully reconstructs the world of mental patients and their doctors in the first half of the twentieth century. Hydrotherapy, sterilization, electroshock, lobotomy, and clitoridectomy—these were among the drastic somatic treatments used in these hospitals. By allowing the would-be healers and those in psychological and physical distress to speak for themselves, Braslow captures the intense and emotional interplay surrounding these therapies. His investigation combines revealing clinical detail with the immediacy of "being there" in the institutional setting while decisions are made, procedures undertaken, and results observed by all those involved. We learn how well-intentioned physicians could rationalize and regard as therapeutic treatments that often had dreadful consequences, and how much the social and cultural world is inscribed within the practice of biological psychiatry. The book will interest historians of medicine, practicing psychiatrists, and everyone who knows or has seen what it's like to be in mental distress.

"Mental Ills and Bodily Cures" depicts a time when psychiatric medicine went to lengths we now find extreme and perhaps even brutal ways to heal the mind by treating the body. From a treasure trove of California psychiatric hospital records, including many verbatim transcripts of patient interviews, Joel Braslow masterfully reconstructs the world of mental patients and their doctors in the first half of the twentieth century. Hydrotherapy, sterilization, electroshock, lobotomy, and clitoridectomy--these were among the drastic somatic treatments used in these hospitals. By allowing the would-be healers and those in psychological and physical distress to speak for themselves, Braslow captures the intense and emotional interplay surrounding these therapies. His investigation combines revealing clinical detail with the immediacy of "being there" in the institutional setting while decisions are made, procedures undertaken, and results observed by all those involved. We learn how well-intentioned physicians could rationalize and regard as therapeutic treatments that often had dreadful consequences, and how much the social and cultural world is inscribed within the practice of biological psychiatry. The book will interest historians of medicine, practicing psychiatrists, and everyone who knows or has seen what it's like to be in mental distress.

Mental Ills and Bodily Cures depicts a time when psychiatric medicine went to lengths we now find extreme and perhaps even brutal ways to heal the mind by treating the body. From a treasure trove of California psychiatric hospital records, including many verbatim transcripts of patient interviews, Joel Braslow masterfully reconstructs the world of mental patients and their doctors in the first half of the twentieth century. Hydrotherapy, sterilization, electroshock, lobotomy, and clitoridectomy—these were among the drastic somatic treatments used in these hospitals. By allowing the would-be healers and those in psychological and physical distress to speak for themselves, Braslow captures the intense and emotional interplay surrounding these therapies. His investigation combines revealing clinical detail with the immediacy of "being there" in the institutional setting while decisions are made, procedures undertaken, and results observed by all those involved. We learn how well-intentioned physicians could rationalize and regard as therapeutic treatments that often had dreadful consequences, and how much the social and cultural world is inscribed within the practice of biological psychiatry. The book will interest historians of medicine, practicing psychiatrists, and everyone who knows or has seen what it's like to be in mental distress.

A sweeping history of American psychiatry--from the mental hospital to the brain lab--that reveals the devastating treatments doctors have inflicted on their patients (especially women) in the name of science and questions our massive reliance on meds. For more than two hundred years, disturbances of the mind--the sorts of things that were once called "madness"--have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, whose origins can be identified and from which one can be cured. But is this true? In this masterful account of America's quest to understand and treat everything from anxiety to psychosis, one of the most provocative thinkers writing about psychiatry today sheds light on its tumultuous past. Desperate Remedies brings together a galaxy of mind doctors working in and out of institutional settings: psychologists and psychoanalysts, neuroscientists, and cognitive behavioral therapists, social reformers and advocates of mental hygiene, as well as patients and their families desperate for relief. Andrew Scull begins with the birth of the asylum in the reformist zeal of the 1830s and carries us through to the latest drug trials and genetic studies. He carefully reconstructs the rise and fall of state-run mental hospitals to explain why so many of the mentally ill are now on the street and why so many of those whose bodies were experimented on were women. In his compelling closing chapters, he reveals how drug companies expanded their reach to treat a growing catalog of ills, leading to an epidemic of over-prescribing while deliberately concealing debilitating side effects. Carefully researched and compulsively readable, Desperate Remedies is a definitive account of America's long battle with mental illness that challenges us to rethink our deepest assumptions about who we are and how we think and feel.

“The landmark book that argued that psychiatry consistently expands its definition of mental illness to impose its authority over moral and cultural conflict.” — New York Times The 50th anniversary edition of the most influential critique of psychiatry every written, with a new preface on the age of Prozac and Ritalin and the rise of designer drugs, plus two bonus essays. Thomas Szasz's classic book revolutionized thinking about the nature of the psychiatric profession and the moral implications of its practices. By diagnosing unwanted behavior as mental illness, psychiatrists, Szasz argues, absolve individuals of responsibility for their actions and instead blame their alleged illness. He also critiques Freudian psychology as a pseudoscience and warns against the dangerous overreach of psychiatry into all aspects of modern life.

Mad people's historical anthologies and republished writings -- Mad people's perspectives in institutional histories -- Mad people's historical biographies -- Mad people's activist histories -- Conclusion -- Notes -- Chapter 16: Dementia: confusion at the borderlands of aging and madness -- Dementia in the distant past -- Framing dementia as a brain disease in modern German psychiatry -- Framing dementia as a problem in the adjustment to aging in mid-century American psychodynamic psychiatry -- Framing dementia as dread disease and major public health crisis in an aging world -- Conclusion: the ongoing entanglement of dementia and aging -- Notes -- PART VI: Maladies, disorders, and treatments -- Chapter 17: Passions and moods -- Emotions in history -- Grand narratives and overarching themes -- Specific stories and critical contexts -- Conclusion and areas for further scholarship -- Notes -- Chapter 18: Psychosis -- Madness -- Psychosis is a special thing -- If "psychotic" means "psychosis-like," then what, pray tell, is psychosis like? -- Schizophrenia -- Notes -- Chapter 19: Somatic treatments -- Conclusion -- Notes -- Chapter 20: Psychotherapy in society: historical reflections -- Notes -- Chapter 21: The antidepressant era revisited: towards differentiation and patient-empowerment in diagnosis and treatment -- Psychopharmacology and historiography -- Towards a new chemistry of the mind -- Mother's little helpers -- Appetite for new chemical wonders for the mind -- Towards differentiation and patient empowerment in the era of genomics -- Notes -- Index

This book explores the political, legal, medical, and social battles that led to the widespread institutionalization of Californians with disabilities from the gold rush to the 1970s. By the early twentieth century, most American states had specialized facilities dedicated to both the care and the control of individuals with disabilities. Institutions reflect the lived historical experience of many Americans with disabilities in this era. Yet we know relatively little about how such state institutions fit into specific regional, state, or local contexts west of the Mississippi River; how those contexts shaped how institutions evolved over time; or how regional institutions fit into the USA’s contentious history of care and control of Americans with mental and developmental disabilities. This book examines how medical, social, and political arguments that individuals with disabilities needed to be institutionalized became enshrined in state law in California through the creation of a “bureaucracy of disability.” Using Los Angeles County as a case study, the book also considers how the friction between state and county policy in turn influenced the treatment of individuals within such facilities. Furthermore, the book tracks how the mission and methods of such institutions evolved over time, culminating in the 1960s with the birth of the disability rights movement and the complete rewriting of California’s laws on the treatment and rights of Californians with disabilities. This book is a must-read for those interested in the history of California and the American West and for anyone interested in how the intersections of disability, politics, and activism shaped our historical understanding of life for Americans with disabilities.

Electroconvulsive Therapy is widely demonized or idealized. Some detractors consider its very use to be a human rights violation, while some promoters depict it as a miracle, the "penicillin of psychiatry." This book traces the American history of one of the most controversial procedures in medicine, and seeks to provide an explanation of why ECT has been so controversial, juxtaposing evidence from clinical science, personal memoir, and popular culture. Contextualizing the controversies about ECT, instead of simply engaging in them, makes the history of ECT more richly revealing of wider changes in culture and medicine. It shows that the application of electricity to the brain to treat illness is not only a physiological event, but also one embedded in culturally patterned beliefs about the human body, the meaning of sickness, and medical authority.