vendredi 23 mai 2014

Les maladies mentales dans la médecine antique

Mental Diseases in Ancient Medicine

Workshop

Humboldt-Universität zu Berlin

6-8 October, 2014


While Plato in the Timaeus (86b1-7) formulates a clear distinction between τὰ περὶ τὸ σώμα νοσήματα and τὰ περὶ ψυχήν, and also explicitly speaks of a μανία ὑπὸ νοσημάτων ἀνθρωπίνων in the Phaedrus (265a9-10) the absence, in medical texts of the fifth- and early fourth-century BCE, of comparable conceptualization of insanity as disease is well known. No clear model of ‘mental’ disease as mental is found in these texts: even though certain signs we would identify as psychiatric (e.g., hallucinations), psychological (e.g., suicidal tendencies, sudden fear) or neurological (e.g., spasms or fits) receive much attention, they are not made explicit as being part of a mental disease. Even phrenitis, melancholic affections, hysterical suffocation and epilepsy in its various forms, which appear to display mental implications clearly and with regularity, and to be the best candidates as ‘mental diseases’ in our texts, are problematic and present several serious objections to being attributed to this category. These diseases or syndromes are not isolated as belonging to a definition of psychiatric disease, on the one hand; on the other, with the important if not paramount role played by bodily aspects in them, they are also no easy match for any current categorization of mental diseases.

Later medical texts, instead, are more explicit in this respect. Diseases recognizable as pathologies we currently relate to as psychiatric or psychological are mentioned under clear labels. On the other hand, at different degrees the philosophical tradition on the care of the self, developed in the meantime (Plato, Aristotle, the Hellenistic schools) contributes to a more comprehensive view of health that explicitly includes spiritual and ethical aspects, and has a normative component.

This evolution towards a conceptualization of the psychological and psychiatric in medicine, noticeable for the first time in the taxonomy of the genera insaniae in section 3.18 of Celsus’ De Medicina, finds different formulation in a variety of nosological texts (Aretaeus’ De causis et signis acutorum morborum and De causis et signis diuturnorum morborum; Anonymus Parisinus; Caelius Aurelianus’ De morbis acutis et chronicis; Rufus’ De Melancholia) as well as in the consideration for the insane as specific patients expressed, for example, by Rufus in his Quaestiones medicinales but also perhaps visible in Galen’s patients’ cases, as well as in his philosophical and ethical take on emotions and mental life, which become at full title part of the field of action of the physician.

In this workshop we want to concentrate just on that period of Greco-Roman medical thought, in which the psychological was well established as legitimate part of the domain of the medical practitioner and thinker (i.e., a consideration for aspects of personality and emotions as elements of the pathological picture), on the one hand; and on the emergence of the psychiatric disease or syndrome in the nosological discussions alongside physiological diseases, on the other. This involves discussion of key methodological problems, and close reading of relevant texts that present questions and obscurities.

In this meeting we shall focus on some of the most relevant examples found in later medical sources from Celsus onwards, also establishing, where appropriate, a dialogue with the earlier (fifth- and fourth- century) medical tradition.

These are some of the central questions/themes that we shall explore:
  • What makes a disease a psychiatric disease in the given text?
  • How do psychological states, such as the emotions or the character of the patient, impinge on his bodily health, and how are they determined, in turn, by diseases of the body?
  • Can we speak of a form of ‘psychological therapy’ being recognised as part of the care for the insane (evident in Celsus, but also notably, in different forms, in Galen’s De propriorum animi cuiuslibet affectuum dignotione et curatione, De Temperamentis and De Indolentia, or in Rufus’ Quaestiones Medicales, and elsewhere)?
  • The intersections of ethics, medicine, and philosophy: Galen, of course, but also nosological texts (Aretaeus and Caelius Aurelianus, for example) engage with a broader, eudaimonistic and partly normative view of health as they discuss mental diseases. Discussion of relevant examples.
  • Which psychiatric (e.g., information about sleep, memory, cognition, disturbances of the senses) and psychological (e.g. emotional, communicative and behavioural data) signs are recognised as part of the semiotic and diagnostic of mental diseases?

In addition, in order to offer a frame to the more narrowly focused discussion on individual texts, two sessions will look at sources other than ancient medical texts: first, the evidence offered by documentary sources, to explore as much as possible the ‘real life’ of the mental patient, his or her social interactions and legal status, and various cultural implications. Secondly, the methodological and taxonomic problems implicit when discussing ancient mental diseases using the terminology and conceptual framework of current psychiatric and psychological categories.



Funding
The workshop is funded by the Research group ‘Medicine of the Mind, Philosophy of the Body’ (funded by theAlexander von Humboldt Stiftung) and by the Topoi Research Group ‘Mapping Body and Soul’ (funded by theDeutsche Forschungsgemeinschaft).


Registration
The workshop is free to attend, but registration is required for organisational purposes, and in order to gain access to the material for discussion. For registration please email our administrator, Dr Friederike Herklotz (f.herklotz@staff.hu-berlin.de).


Contact
Should you have any questions, please do not hesitate to contact the workshop organiser, Dr Chiara Thumiger (chiara.thumiger@hu-berlin.de).




SPEAKERS AND TOPICS

1. Julien Devinant (Ancient philosophy; Université Paris-Sorbonne/Humboldt-Universität zu Berlin), Psychic affections and psychological suffering in Galen’s cases

2. Sarah Francis (Classics/Ancient medicine; London). Mental disorder and disability in ancient medicine and culture

3. William Harris (History; Columbia University). Mental disorders in Aretaeus of Cappadocia

4. Maithe Hulskamp (Ancient medicine; University of Amsterdam), Sleep and sleep related conditions

5. Ricarda Gäbel (Classics/Ancient medicine; Humboldt Universität zu Berlin) From mental sign to mental disease. The case of headache in Aetius of Amida and earlier sources.

6. Chris Gill (Classics/Ancient philosophy; University of Exeter). The boundaries of philosophical and medical approaches to mental illness and therapy.

7. Christian Laes (Ancient History and Latin; University of Antwerp and Free University of Brussels). Chronique anachronique revisited. Lichneia and gastrimargia as instances of bulimia?

8. Silvia Matentzoglu (Psychiatry/Ancient medicine; Berlin), Modern psychiatric diseases and the historian of ancient medicine

9. Peter Singer (Classics/Ancient medicine; University of Newcastle) Galen's approaches to mental disturbance

10. Chiara Thumiger (Classics/Ancient medicine; Humboldt Universität zu Berlin), Food and mental disorder

11. Philip van der Eijk (Classics/History of Science; Humboldt Universität zu Berlin), Chiara Thumiger (Classics/Ancient medicine; Humboldt Universität zu Berlin), Sex, sexuality, gender identity and mental disorder.

12. Heinrich Von Staden (Classics/History of Science; Institute for Advanced Studies, Princeton), The sources of Celsus’ psychology and taxonomy of insania

Aucun commentaire:

Publier un commentaire