Abstract
In the terms melancholia and depression and their cognates, we have well over two millennia of the Western world’s ways of referring to a goodly number of different dejected states. At any particular time during these many centuries the term that was in common use might have denoted a disease or a troublesome condition of sufficient severity and duration to be conceived of as a clinical entity; or it might have referred to a symptom within a cluster of symptoms that were thought to constitute a disease; or it might have been used to indicate a mood or emotional state of some duration, perhaps troublesome, certainly unusual, and yet not pathological, not a disease; or it might have referred to a temperament or type of character, involving a certain emotional tone and disposition, and yet not pathological; or it might have meant merely a feeling state of relatively short duration, unhappy in tone, but hardly a disease. Clearly the various states so denoted were unusual mental states, but they ranged over a far wider spectrum than that covered by the term “disease.”
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Notes and References
For many aspects of this study, a more detailed account may be found in the author’s Melancholia and Depression: From Hippocratic Times to Modern Times (New Haven, CT: Yale University Press, 1988). As with that larger work, the author is indebted in ways beyond number to Joan K. Jackson, Ph.D.
[Hippocrates], Works of Hippocrates, trans. and ed. W. H. S. Jones and E. T. Withington, 4 vols. (Cambridge, MA: Harvard University Press, 1923–1931), 1:1viii; W. H. S. Jones, Malaria and Greek History...(Manchester: The University Press, 1909), p. 100.
In 1752 Johnson used the phrase “observed their depression.” Samuel Johnson, The Rambler, in W. J. Bate and Albrecht B. Strauss (eds.), The Yale Edition of the Works of Samuel Johnson, Vols. 3–5 (New Haven, CT: Yale University Press, 1969), 5:298. In 1761 in his diary he wrote of being “under great depression.” George Birkbeck Hill (ed.), Johnsonian Miscellanies, 2 vols. (Oxford: Clarendon Press, 1897), 1:26. In 1763, in writing about William Collins, he stated that “he languished some years under that depression of mind wich enchains the faculties without destroying them, and leaves reason the knowledge of right without the power of pursuing it.” Samuel Johnson, Lives of the English Poets, ed. George Birkbeck Hill, 3 vols. (Oxford: Clarendon Press, 1905), 3:338. Boswell followed his lead, noting that, at the time of completing the Preface to his Dictionary in 1755, “Johnson’s mind appears to have been in such a state of depression.” James Boswell, Boswell’s Life of Johnson..., ed. George Birbeck Hill, 6 vols. (Oxford: Clarendon Press, 1887), 1:297. Although Johnson made these various uses of the noun “depression” that seem to foreshadow the language of late nineteenth and twentieth century psychiatry, he did not offer any such definitions in his Dictionary. On the other hand, in his Dictionary’s entry for the verb “to depress,” he made it clear that one meaning involved “to deject” or “to depress the mind,” and he included supporting examples from Locke, Addison and Prior. Samuel Johnson, A Dictionary of the English Language..., 2 vols. (London: J. and P. Knapton; T. and T. Longman; C. Hitch and L. Hawes; A. Millar; and R. J. Dodsley, 1755).
Richard Blackmore, A Treatise of the Spleen and Vapours... (London: J. Pemberton, 1725), p. 95.
[Robert Whytt], The Works of Robert Whytt, M.D. (Edinburgh: T. Becket, and P. A. Dehondt, and J. Balfour, 1768), p. 623.
Ph. Pinel, A Treatise on Insanity..., trans. by D. D. Davis (Sheffield: Cadell and Davies, 1806), pp. 143, 149. For the original text, see Ph. Pinel, Traite Medico-Philosophique sur l’Alienation Mentale, ou la Manie (Paris: Richard, Caille et Ravie, 1801), pp. 143, 149.
John Haslam, Observations on Madness and Melancholy..., 2nd ed. (London: J. Callow, 1809), p. 43.
Samuel Tuke, Description of the Retreat... (York: W. Alexander, 1813), p. 216.
Wilhelm Griesinger, Die Pathologie und Therapie der psychischen Krankheiten... (Stuttgart: Adolph Krabbe, 1845), pp. 152–208.
D. Hack Tuke (ed.), A Dictionary of Psychological Medicine..., 2 vols. (Philadelphia: P. Blakiston, Son & Co., 1892), 1:354.
Ibid., 2:787–798.
Emil Kraepelin, Psychiatrie. Ein kurzes Lehrbuch fur Studirende und Aerzte, 2nd ed. (Leipzig: Ambr. Abel, 1887), pp. 281–287, 329–352, 213–241.
Ibid., p. 213.
Emil Kraepelin, Psychiatrie. Ein Lehrbuch fur Studirende und Aerzte, 6th ed., 2 vols. (Leipzig: Johann Ambrosius Barth, 1899).
[Adolf Meyer], The Collected Papers of Adolf Meyer, ed. Eunice B. Winters, 4 vols. (Baltimore: Johns Hopkins Press, 1951), 2:568.
Hippocrates, Works E. T. Withington, 4 vols. (Cambridge, MA: Harvard University Press, 1923–1931) (n. 2), 1:263.
Ibid., 4:185.
[Rufus], Oeuvres de Rufus d’Ephese, ed. and trans. C. Daremberg et C. E. Ruelle (Paris: J. B. Bailliere et Fils, 1879), pp. 354–359, 454–457. Here and throughout this study, unless it is indicated otherwise, translations are by the author.
Galen, On the Affected Parts, trans. and ed. Rudolph E. Siegel (Basel: S. Karger, 1976), pp. 89–94.
E. g., [Oribasius], Oeuvres d’Oribase, 6 vols., eds. U. C. Bussemaker and C. Daremberg (Paris: Imp. nationale, 1851–1876), 1:541, 4:97, 5:409–412; [Alexander of Tralles], Oeuvres Medicales d’Alexandre de Tralles, 4 vols., ed. F. Brunet (Paris: P. Geuthner, 1933–1937), 2:223–235; [Paul of Aegina], The Seven Books of Paulus Aeginata, 3 vols., trans. and ed. Francis Adams (London: Sydenham Society, 1844–1847), 1:44, 383–385.
Manfred Ullman, Islamic Medicine (Edinburgh: Edinburgh University Press, 1978), pp. 72–75.
Constantini Africani, Opera..., 2 vols. (Basileae: H. Petrus, 1536–1539), 1:280–298.
Avicennae, Liber Canonis De Medicinis..., trans. by Andreas Alpagus (Venetiis: apud Iuntas, 1582), pp. 204–205.
T. Bright, A Treatise of Melancholie... (London: Thomas Vaultrollier, 1586).
Andreas Laurentius, A Discourse of the Preservation of the Sight: of Melancholike Diseases; of Rheumes, and of Old Age, trans. Richard Surphlet (London: Ralph Iacson, 1599), pp. 72–140.
Oskar Diethelm and Thomas F. Heffernan, “Felix Platter and Psychiatry,” J. Hist. Behav. Sci.., 1965, 1, 10–23.
Laurentius, Of Melancholike Diseases (n. 28), pp. 86–87.
Diethelm and Heffernan, “Felix Platter” (n. 29), p. 15.
Laurentius, Of Melancholike Diseases (n. 28), pp. 102–103.
Ibid., p. 82.
Robert Burton, The Anatomy of Melancholy, ed. Floyd Dell and Paul Jordan-Smith (New York: Tudor Publishing Co., 1948), p. 331.
Thomas Willis, Two Discourses Concerning the Soul of Brutes Which is that of the Vital and Sensitive of Man, trans. S. Pordage (London: Thomas Dring, Ch. Harper, and John Leigh, 1683), p. 188.
Stanley W. Jackson, “Melancholia and Partial Insanity,” J. Hist. Behav. Sci.., 1983, 19, 173–184.
[Thomas Willis], Dr. Willis’s Practice of Physick, Being the Whole Works of that Renowned and Famous Physician, trans. S. Pordage (London: T. Dring, C. Harper, and J. Leigh, 1684), pp. 69–92.
[Thomas Sydenham], The Entire Works of Dr. Thomas Sydenham..., 3rd ed., ed. John Swan (London: E. Cave, 1753), pp. 408, 416, 421–422.
E.g., B[ernard] De Mandeville, A Treatise of the Hyprochondriack and Hysterick Passions..., 2nd ed. (London: Dryden Leach, 1715); Blackmore, Treatise of the Spleen and Vapours (n. 4); Nicholas Robinson, A New System of the Spleen, Vapours, and Hypochondriack Melancholy...(London: A. Bettesworth, W. Innys, and C. Rivington, 1729); George Cheyne, The English Malady: or, a Treatise of Nervous Diseases of all Kinds...(London: G. Strahan and J. Leake, 1733).
[Herman Boerhaave], Boerhaave’s Aphorisms: Concerning the Knowledge and Cure of Diseases (London: A. Bettesworth and C. Hitch, W. Innys and R. Manby, 1735), pp. 312–320.
E.g., William Cullen, First Lines of the Practice of Physic, new ed., 4 vols. (Edinburgh: C. Elliot and T. Cadell, 1786), 4:177–180.
Ibid., 4:168–170, 174–175. For further details on the theme of partial insanity, see Jackson, “Melancholia and Partial Insanity” (n. 36).
Pinel, Treatise on Insanity (n. 6), pp. 136–149.
E. Esquirol, Mental Maladies. A Treatise on Insanity, trans. E. K. Hunt (Philadelphia: Lea and Blanchard, 1845), pp. 199–233.
W. Griesinger, Mental Pathology and Therapeutics, 2nd ed., trans. C. Lockhart Robertson and James Rutherford (London: New Sydenham Society, 1867), pp. 209–272.
R. von Krafft-Ebing, Text-Book of Insanity..., trans. Charles Gilbert Chaddock, intro. Frederick Peterson (Philadelphia: F. A. Davis Co., 1904), pp. 286–312.
Boerhaave, Aphorisms (n. 40), pp. 312–320.
Griesinger, Mental Pathology (n. 45), pp. 209–318.
Jules Baillarger, “Note sur un genre de folie dont les acces sont caracterises par deux periodes regulieres, l’une de depression et l’autre d’excitation,” Bull. Acad. Imperiale Med., 1853–1854, 19, 340–352 (31 Janvier 1854).
Jean-Pierre Falret, “Memoire sur la folie circulaire, forme de maladie mentale caracterisee par la reproduction successive et reguliere de l’etat maniaque, de l’etat melancolique, et d’un intervalle lucide plus ou moins prolonge,” Bull. Acad. Imperiale Med., 1853–1854, 19, 382–400 (14 Fevrier 1854).
Emil Kraepelin, Psychiatrie. Ein Lehrbuch fur Studirende und Aerzte, 5th ed. (Leipzig: Johann Ambrosius Barth, 1896), pp. 595–653; Kraepelin, Psychiatrie, 6th ed. (n. 14), 2:359–425. The important conceptual changes first appeared in the fifth edition and the now familiar terminological changes in the sixth edition. The English translation commonly cited is from the eighth edition: Emil Kraepelin, Manic-Depressive Insanity and Paranoia, trans. R. Mary Barclay, ed. George M. Robertson (Edinburgh: E. & S. Livingstone, 1921).
G._E. R. Lloyd (ed.), Hippocratic Writings, trans. J. Chadwick, W. N. Mann, I. M. Lonie, and E. T. Withington (Hammondsworth: Penguin Books, 1978), p. 85.
Galen, On the Usefulness of the Parts of the Body, trans. and ed. Margaret T. May, 2 vols. (Ithaca, NY: Cornell University Press, 1968), 1:232. See also Galen, On the Natural Faculties, trans. Arthur John Brock (Cambridge, MA: Harvard University Press, 1963), pp. 203–209.
The term non-naturals (not innate) was used to refer to a group of acquired environmental factors, usually six in number, the careful management of which was thought to be crucial to health in the sense that later came to be referred to as hygiene, and any of which could cause disease if imbalance or disporportion was the case. These were distinguished from the seven naturals (innate), which were the factors of normal function, the basic science of ancient medicine: the elements, the temperaments, the humors, the parts of the body, the faculties, the functions, and the spirits. These naturals were innate, constitutional factors that might be disturbed in disease or whose disturbance (particularly the humors) might be crucial in the pathogenesis of a disease. The non-naturals were also distinguished from the contra-naturals, which were the causes of disease in the usual sense of the term pathology. Probably having their origin in a set of factors listed by Galen in his Ars medica, the non-naturals became standard and significant elements in later versions of Galenic medicine. The term (non-natural) and the phrase (six non-naturals) only came into common use in the wake of Latin translations of Arabic works largely based on Galen, but the term non-natural was used by Galen in works on the pulse, and he seemed to imply that both the term and the classification of factors antedated him. Despite intermittent discontent with the term, the non-naturals continued to receive significant attention in medical works well into the eighteenth century, and eventually concerns about such matters became the physical and moral (psychological) hygiene of more recent times. L. J. Rather, “The’ six Things Non-Natural’: A Note on the Origins and Fate of a Doctrine and a Phrase,” Clio Medica, 1968, 3, 337–347; Saul Jarcho, “Galen’s Six Non-Naturals: A Bibliographic Note and Translation,” Bull. Hist. Med., 1970, 44, 372–377; Jerome J. Bylebyl, “Galen on the Non-Natural Causes of Variation in the Pulse,” Bull. Hist. Med., 1971, 45, 482–485; Peter H. Niebyl, “The Non-Naturals,” Bull. Hist. Med., 1971, 45, 486–492.
Willis, Soul of Brutes (n. 35), pp. 188–201. For an introduction to Willis’s use of the “Principles of Chemists,” see Willis, Practice of Physic (n. 37), pp. 2–8.
Archibald Pitcairn, The Philosophical and Mathematical Elements of Physick (London: Andrew Bell and John Osborn, 1718), pp. xvii–xxviii, 19–72, 186, 192–193, 288, 338.
Friedrich Hoffman, Fundamenta Medicinae, trans. and intro. Lester S. King (London: MacDonald, 1971), pp. 6–13, 40–41, 70–72.
Boerhaave, Aphorisms (n. 40), pp. 312–320.
For a detailed account of various mechanical explanations in melancholia, of the first hints of electrical explanation, and of Cullen’s views, see Stanley W. Jackson, “Melancholia and Mechanical Explanation in Eighteenth-Century Medicine,” J. Hist. Med. Allied Sci., 1983, 38, 298–319.
For his theory of disease, see Benjamin Rush, Medical Inquiries and Observations, 3rd ed., 4 vols. (Philadelphia: Matthew Carey et al., 1809), 3: 1–66. For its application to diseases of the mind, including melancholia, see Benjamin Rush, Medical Inquiries and Observations upon the Diseases of the Mind, 3rd ed. (Philadelphia: J. Grigg, 1827), pp. 15–16.
Griesinger, Mental Pathology (n. 45), pp. 1, 7.
Meyer, Collected Papers (n. 15), 2:595–602.
Rufus, Oeuvres (n. 18).
Galen, On the Affected Parts (n. 22); Rudolf E. Siegel, Galen’s System of Physiology and Medicine (Basel: S. Karger, 1968), pp. 321–322.
Paul of Aegina, Seven Books C. Daremberg (Paris: Imp. nationale, 1851–1876), 1:541 (n. 23).
Oribasius, Oeuvres C. Daremberg (Paris: Imp. nationale, 1851–1876), 1:541 (n. 23).
Willis, Soul of Brutes (n. 35), pp. 188–201.
Pitcairn, Elements of Physic (n. 56), pp. 192–193; [Friedrich Hoffman], A System of the Practice of Medicine..., trans. William Lewis and Andrew Duncan, 2 vols. (London: J. Murray and J. Johnson, 1783), 2:302–303; Boerhaave, Aphorisms (n. 40), pp. 314–318, 322–323; [Richard Mead], The Medical Works of Richard Mead, M.D. (London: C. Hitch et al., 1762), pp. 90–94; Cullen, First Lines (n. 41), 3:266–267, 269–272, and 4:184–186.
L._J. Rather, “G. E. Stahl’s Psychological Physiology,” Bull. Hist. Med., 1961, 35, 37–49.
L._J. Rather, Mind and Body in Eighteenth Century Medicine: A Study Based on Jerome Gaub’s De Regimine Mentis (Berkeley: University of California Press, 1965).
Pinel, Treatise on Insanity (n. 6), pp. 101–102, 180–184, 223–224, 228–231.
Esquirol, Mental Maladies (n. 44).
A. Ross Diefendorf, Clinical Psychiatry: A Text Book for Students and Physicians,... (New York: The Macmillan Co., 1902), pp. 264–266. From the sixth German edition of Kraepelin’s Lehrbuch der Psychiatrie.
Adolf Meyer, Psychobiology: A Science of Man, foreword by Nolan D.C. Lewis, ed. Eunice E. Winters and Anna Mae Bowers (Springfield, Ill: Charles C. Thomas, 1957), pp. 156–186.
In its simplest form this theory involved three faculties of the mind—imagination, reason, and memory—and localized them within the ventricles of the brain. The lateral ventricles considered as one cavity constituted the first or anterior cell and contained imagination.
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Jackson, S.W. (2008). A History of Melancholia and Depression. In: Wallace, E.R., Gach, J. (eds) History of Psychiatry and Medical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-34708-0_14
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