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Medicalizing melancholia

Exploring profiles of psychiatric professionalization

Bibliographic Data

ID4003296
AuthorsJudith Misbach (University of Calgary), H J Stam (0000-0002-2659-9248, University of Calgary)
Year2006
Volume42
Issue1
Pages41-59
Publication date2006-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of the History of the Behavioral Sciences (JOURNAL)
Journal identifiersISSN: 0022-5061 • E-ISSN: 1520-6696
PublisherWiley (PUBLISHER • GB)
DOI10.1002/jhbs.20133
PMID16345009
OpenAlexW2055741574
LanguageEN
Citations received3
References cited29

The nineteenth century was the site of radical changes in understanding mental illness. The professionalization of psychiatry consisted primarily of the discipline's aspiration to the status of an expert medical subspecialty. While all forms of insanity were eventually reframed in medical terms, melancholia-for moral and nosological reasons-assumed a special role that made it an ideal diagnosis for conceptual reframing. Our analysis of the journal literature of the nineteenth and early twentieth centuries in North America and Germany traces several ways in which melancholia was medicalized. As the care for the insane shifted into the professional realm of physicians and medical terminology came to replace prior descriptors of mental illness, melancholia was replaced by depression. In addition, the process of delineating affective pathology assumed a distinctly medical flavor. Finally, melancholia was firmly medicalized when its boundaries blurred with neurasthenia. Differences in how ordinary affective terms became medicalized in German and North American psychiatry illustrate the importance of local historical approaches. (c) 2006 Wiley Periodicals, Inc

German · Insanity · Melancholia · Mental health · Mental illness · Mood · Neurasthenia · Professionalization · Psychiatry · Psychoanalysis · Psychotherapist · Social science · Sociology · Terminology · Historical Psychiatry and Medical Practices · History · Mental Health and Psychiatry · Neurology and Historical Studies · Philosophy · Psychology

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Unique citing works3
Citations per year0,17
Citation span2008 - 2022 (15)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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