Moral Insanity
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Moral Insanity
Moral insanity referred to a type of mental disorder consisting of abnormal emotions and behaviours in the apparent absence of intellectual impairments, delusions, or hallucinations. It was an accepted diagnosis in Europe and America through the second half of the 19th century. The physician James Cowles Prichard first used the phrase to describe a mental disorder in 1835 in his ''Treatise on insanity and other disorders affecting the mind''. He defined moral insanity as: "madness consisting in a morbid perversion of the natural feelings, affections, inclinations, temper, habits, moral dispositions, and natural impulses, without any remarkable disorder or defect of the interest or knowing and reasoning faculties, and particularly without any insane illusion or hallucinations." The concept of moral insanity was indebted to the work of physician Philippe Pinel, which was acknowledged by Prichard. Pinel had described mental diseases of only partial, affective, insanity. His concept ''M ...
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Mental Disorder
A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitting, or occur as single episodes. Many disorders have been described, with signs and symptoms that vary widely between specific disorders. Such disorders may be diagnosed by a mental health professional, usually a clinical psychologist or psychiatrist. The causes of mental disorders are often unclear. Theories may incorporate findings from a range of fields. Mental disorders are usually defined by a combination of how a person behaves, feels, perceives, or thinks. This may be associated with particular regions or functions of the brain, often in a social context. A mental disorder is one aspect of mental health. Cultural and religious beliefs, as well as social norms, should be taken into account when making a diagnosis. Services are b ...
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Jean-Étienne Dominique Esquirol
Jean-Étienne Dominique Esquirol (3 February 1772 – 12 December 1840) was a French psychiatrist. Early life and education Born and raised in Toulouse, Esquirol completed his education at Montpellier. He came to Paris in 1799 where he worked at the Salpêtrière Hospital and became a favorite student of Philippe Pinel. To enable Esquirol to take up the intensive study of insanity in an appropriate setting, Pinel reportedly put up the security for the house and garden on Rue de Buffon where Esquirol established a '' maison de santé'' or private asylum in 1801 or 1802. Esquirol's ''maison'' was quite successful, being ranked, in 1810, as one of the three best such institutions in Paris. In 1805 he published his thesis ''The passions considered as causes, symptoms and means of cure in cases of insanity''. Esquirol, like Pinel, believed that the origin of mental illness could be found in the passions of the soul and was convinced that madness does not fully and irremediably aff ...
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Social Degeneration
Social degeneration was a widely influential concept at the interface of the social and biological sciences in the 18th and 19th centuries. During the 18th century, scientific thinkers including Georges-Louis Leclerc, Comte de Buffon, Johann Friedrich Blumenbach, and Immanuel Kant argued that humans shared a common origin but had degenerated over time due to differences in climate. This theory provided an explanation of where humans came from and why some people appeared differently from others. In contrast, degenerationists in the 19th century feared that civilization might be in decline and that the causes of decline lay in biological change. These ideas derived from pre-scientific concepts of heredity ("hereditary taint") with Lamarckian emphasis on biological development through purpose and habit. Degeneration concepts were often associated with authoritarian political attitudes, including militarism and scientific racism, and a preoccupation with eugenics. The theory origina ...
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Involuntary Commitment
Involuntary commitment, civil commitment, or involuntary hospitalization/hospitalisation is a legal process through which an individual who is deemed by a qualified agent to have symptoms of severe mental disorder is detained in a psychiatric hospital (inpatient) where they can be treated involuntarily. This treatment may involve the administration of psychoactive drugs, including involuntary administration. In many jurisdictions, people diagnosed with mental health disorders can also be forced to undergo treatment while in the community; this is sometimes referred to as outpatient commitment and shares legal processes with commitment. Criteria for civil commitment are established by laws which vary between nations. Commitment proceedings often follow a period of emergency hospitalization, during which an individual with acute psychiatric symptoms is confined for a relatively short duration (e.g. 72 hours) in a treatment facility for evaluation and stabilization by mental health ...
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Insanity Defense
The insanity defense, also known as the mental disorder defense, is an affirmative defense by excuse in a criminal case, arguing that the defendant is not responsible for their actions due to an episodic psychiatric disease at the time of the criminal act. This is contrasted with an excuse of provocation, in which the defendant is responsible, but the responsibility is lessened due to a temporary mental state.''Criminal Law - Cases and Materials'', 7th ed. 2012, Wolters Kluwer Law & Business; John Kaplan, Robert Weisberg, Guyora Binder, , It is also contrasted with a finding that a defendant cannot stand trial in a criminal case because a mental disease prevents them from effectively assisting counsel, from a civil finding in trusts and estates where a will is nullified because it was made when a mental disorder prevented a testator from recognizing the natural objects of their bounty, and from involuntary civil commitment to a mental institution, when anyone is found to be ...
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Psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. Mental disorders are often diagnosed in accordance with clinical concepts listed in diagnostic manuals such as the ''International Classification of Diseases'' (ICD), edited and used by the World Health Organization (WHO) and the widely used '' Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013 which re-organized the larger categories of various diseases and expanded upon the p ...
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Social Inhibition
Social inhibition is a conscious or subconscious avoidance of a situation or social interaction. With a high level of social inhibition, situations are avoided because of the possibility of others disapproving of their feelings or expressions. Social inhibition is related to behavior, appearance, social interactions, or a subject matter for discussion. Related processes that deal with social inhibition are social evaluation concerns, anxiety in social interaction, social avoidance, and withdrawal. Also related are components such as cognitive brain patterns, anxious apprehension during social interactions, and internalizing problems. It also describes those who suppress anger, restrict social behavior, withdraw in the face of novelty, and have a long latency to interact with strangers. Individuals can also have a low level of social inhibition, but certain situations may generally cause people to be more or less inhibited. Social inhibition can sometimes be reduced by the short-term ...
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Daniel Hack Tuke
Daniel Hack Tuke (19 April 18275 March 1895) was an English physician and expert on mental illness. Family Tuke came from a long line of Quakers from York who were interested in mental illness and concerned with those afflicted. His great-grandfather William Tuke and his grandfather Henry Tuke co-founded the Retreat, which revolutionized the treatment of insane people. His father Samuel Tuke carried on the work of the York Retreat and reported on its methods and its results. Daniel's older brother James Hack Tuke (1819–1896) was the next overseer of the York Retreat. Daniel was the youngest son of Samuel Tuke and Priscilla Hack, his wife. Tuke's son was the painter Henry Scott Tuke. Career In 1845 Daniel Tuke entered the office of a solicitor at Bradford, but in 1847 began work at the York Retreat. Entering St Bartholomew's Hospital in London in 1850, he became a member of the Royal College of Surgeons in 1852, and graduated M.D. at Heidelberg in 1853. In 1853 he visi ...
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Henry Maudsley
Henry Maudsley FRCP (5 February 183523 January 1918) was a pioneering English psychiatrist, commemorated in the Maudsley Hospital in London and in the annual Maudsley Lecture of the Royal College of Psychiatrists. Life and career Maudsley was born on an isolated farm near Giggleswick in the North Riding of Yorkshire and educated at Giggleswick School. Maudsley lost his mother at an early age. His aunt cared for him, teaching him poetry which he would recite to the servants, and secured for him a top tutor and an expensive apprenticeship to University College London medical school. He earned ten gold medals and graduated with an M.D. degree in 1857, though is said to have avoided subjects and clinical work he found onerous and to have antagonised his teachers. Maudsley had apparently intended to pursue a career in surgery, but according to his autobiography, he changed his mind when he failed to receive a reply to his first application: it had gone to his previous address. He ...
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Humorism
Humorism, the humoral theory, or humoralism, was a system of medicine detailing a supposed makeup and workings of the human body, adopted by Ancient Greek and Roman physicians and philosophers. Humorism began to fall out of favor in the 1850s with the advent of germ theory, which was able to show that many diseases previously thought to be humoral were in fact caused by microbes. Origin The concept of "humors" (chemical systems regulating human behaviour) became more prominent from the writing of medical theorist Alcmaeon of Croton (c. 540–500 BC). His list of humors was longer and included fundamental elements described by Empedocles, such as water, air, earth, fire, etc.. The concept of "humors" may have origins in Ancient Egyptian medicine, or Mesopotamia, though it was not systemized until ancient Greek thinkers. The word ''humor'' is a translation of Greek χυμός, ''chymos'' (literally juice or sap, metaphorically flavor). Ancient Indian Ayurveda medicine had deve ...
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