HLTHAGE 2G03 Lecture Notes - Lecture 3: Bethlem Royal Hospital, The Retreat, Moral Treatment

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= transformation of the modern concept of mental illness. Birth of mental illness= disease, body, biological impacts. Treatment/conception of mentally ill does not necessarily fit simple story of medical progress= not a linear process. We don"t know everything or do everything right. Earliest recordings from 2nd c. bce potentially mania, depression and delusions. = describe people who"s behaviours mimic those who today we diagnose. Madness: strange inexplicable behaviour not a biological disorder or as mental illness. Hippocrates & galen situated madness in brain= try to make it a physiological issue. Revived by islamic scholars (al-razi, lbn sina), treatment wards for mad individuals found across muslim world. notion that people behaving abnormally are different than others & benefit to alleviating the difference. In christian europe (medieval period), some cited spiritual basis for madness, others argued for imbalance of humours (biological). = chosen by god or punished by god. Is it intrinsic to the body or extrinsic to the body.

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