The separation took on different medico-political hues in different countries — with differing results in the US, Great Britain, France, and Germany. The chapter, Mad , examines the different perceptions of psychiatric disease, links between depression and psychosis, and artistic expression of madness in art and literature.
A Brief Madness
The last chapter, The Century of Psychoanalysis, examines the modern era of the 20th century and the positive and negative impacts of the Freudian movement, especially in the delineation of psychological elements of madness within subjects without clinical illness. The author's engaging writing style and approach to the subject will likely suffice to entertain and globally educate a general reading audience. Readers with a background in neuroscience and medicine may find the book too brief, lacking in detail or development.
The dearth of references and primary source citations render certain statements as far-flung and unsubstantiated generalities. The major differences in medical approaches may be schematized geographically with the Rhine River as a landmark division, but in fact the proper geographical distinction was within the universities themselves.
A differing emphasis on the role of the hospital versus the laboratory as the geographical focal point of scientific progress is key to an understanding of different cultural views of medical education and research. This important distinction, although exemplified in France and the German states, was widespread with subtle distinctions throughout Europe; it pivotally influenced the development of all specialties in medicine in the late 19th century.
Because the dichotomy was particularly important in psychiatry, a detailed discussion of this conflict and the resultant implications during peacetime and wartime would have been worthy of treatment. Though bold in attempting to present many ideas on the origins of psychiatric illness, the attempt to remain unbiased results in too many concepts that are too thinly developed. The interfaces between neurology and psychiatry and between internal medicine and psychiatry provided the medical foundation to develop an anatomical and neurochemical basis for psychiatry.
This evolving and fertile interplay among disciplines is inadequately prioritized in a text that overemphasizes the independence of psychiatry as a medical specialty. As a result, Madness: A Brief History will have an awkward fit in the contemporary neurologist's activity schedule.
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When one sits down with a new book from Oxford University Press, the neurologist rightfully anticipates a reading challenge with penetrating chapters, well-referenced materials, and source documents as the background: in short, a scholarly analysis that appropriately addresses the wild and tempestuous ambiguities of the actual story of madness in medical history. To wrestle with this pleasure, the neurologist will need to look further.
Anger is nothing but brief Madness
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