This Current Time of Sickness

Plutarch’s On Whether Sickness of the Body or Mind Are Worse (Moralia 500 ff).

“Evils of the soul delude most people; for this reason they are worse—they prevent those who suffer from sensing them”

τὰ δ᾿ ἐν ψυχῇ λανθάνει τοὺς πολλοὺς κακά, διὰ τοῦτ᾿ ἐστι καίω, προσαφαιρούμενα τὴν αὑτῶν τοῦ πάσχοντος αἴσθησιν

“Just as, therefore, the storm which keeps you from docking is more dangerous than the one that won’t let you sail, the storms of the soul are worse when they do not allow a person to control or put down his troubled thoughts—this person goes without a helmsman, without ballast in confusion and wandering, taking off in steep and opposite courses until suffering a harrowing shipwreck and crushing his life. This is why it is worse to suffer sickness of mind than the body: For those who are sick, merely suffer; the sick of mind suffer and harm others.

But why is it necessary to repeat the great number of afflictions? Current events remind me of them. Do you see this immense, mixed-up crowd that clings together and mixes around the seat of government and the market?”

Ὥσπερ οὖν ἐπισφαλέστερος χειμὼν τοῦ πλεῖν οὐκ ἐῶντος ὁ κωλύων καθορμίσασθαι, οὕτως οἱ κατὰ ψυχὴν χειμῶνες βαρύτεροι στείλασθαι τὸν ἄνθρωπον οὐκ ἐῶντες οὐδ᾿ ἐπιστῆσαι τεταραγμένον τὸν λογισμόν· ἀλλ᾿ ἀκυβέρνητος καὶ ἀνερμάτιστος ἐν ταραχῇ καὶ πλάνῃ δρόμοις λεχρίοις καὶ παραφόροις διατραχηλιζόμενος εἴς τι ναυάγιον φοβερὸν ἐξέπεσε καὶ συνέτριψε τὸν ἑαυτοῦ βίον. ὥστε καὶ ταύτῃ χεῖρον νοσεῖν ταῖς ψυχαῖς ἢ τοῖς σώμασιν· τοῖς μὲν γὰρ πάσχειν μόνον τοῖς δὲ καὶ πάσχειν καὶ ποιεῖν κακῶς συμβέβηκε.

Καὶ τί δεῖ τὰ πολλὰ λέγειν τῶν παθῶν; αὐτὸς ὁ καιρὸς ὑπόμνησίς ἐστιν. ὁρᾶτε τὸν πολὺν καὶ παμμιγῆ τοῦτον τὸν ἐνταῦθα συνηραγμένον καὶ κυκώμενον ὄχλον περὶ τὸ βῆμα καὶ τὴν ἀγοράν;

Image result for Ancient Roman Mental health
William Hogworth, “The Madhouse”

Know-nothings, Faith-healers, and Quacks: Mystifying and Abusing Mental Illness

Hippocrates of Cos, The Sacred Disease 1 and 2

“This work is about that disease which people call “sacred”. It does not seem to me to be more divine or more sacred than any of the rest of the diseases, but it also has a natural cause and people have assumed it is sacred because of their own inexperience and their considerable wonder over how different it seems to them.”

[…]

Περὶ τῆς ίερῆς νούσου καλεομένης ὧδ᾿ ἔχει. οὐδέν τί μοι δοκεῖ τῶν ἄλλων θειοτέρη εἶναι νούσων οὐδὲ ἱερωτέρη, ἀλλὰ φύσιν μὲν ἔχει καὶ πρόφασιν, οἱ δ᾿ ἄνθρωποι ἐνόμισαν θεῖόν τι πρῆγμα εἶναι ὑπὸ ἀπειρίης καὶ θαυμασιότητος, ὅτι οὐδὲν ἔοικεν ἑτέροισι·

“Those who first claimed that the disease is divinely caused seem to me to be something like the wizards, snake-oil salesmen, faith-healers, and quacks of today, those kinds of men who pretend to great piety and superior knowledge. These kinds of healers shelter themselves and use superstition as a shield against their own helplessness when they have nothing they can do to help. They claim that this affliction is sacred so it won’t be clear that they don’t know anything. They add a ready-made story and throw in a treatment in order to keep their own position strong.”

Ἐμοὶ δὲ δοκέουσιν οἱ πρῶτοι τοῦτο τὸ νόσημα ἱερώσαντες τοιοῦτοι εἶναι ἄνθρωποι οἷοι καὶ νῦν εἰσι μάγοι τε καὶ καθάρται καὶ ἀγύρται καὶ ἀλαζόνες, οὗτοι δὲ καὶ προσποιέονται σφόδρα θεοσεβέες εἶναι καὶ πλέον τι εἰδέναι. οὗτοι τοίνυν παραμπεχόμενοι καὶ προβαλλόμενοι τὸ θεῖον τῆς ἀμηχανίης τοῦ μὴ ἔχειν ὅ τι προσενέγκαντες ὠφελήσουσι, καὶ ὡς μὴ κατάδηλοι ἔωσιν οὐδὲν ἐπιστάμενοι, ἱερὸν ἐνόμισαν τοῦτο τὸ πάθος εἶναι· καὶ λόγους ἐπιλέξαντες ἐπιτηδείους τὴν ἴησιν κατεστήσαντο ἐς τὸ ἀσφαλὲς σφίσιν αὐτοῖσι,

As Vivian Nutton makes clear in the overview of Mental Illness in the Ancient World (available in Brill’s New Pauly), Hippocrates Breaks from Ancient Near Eastern and Early Greek tradition here in offering physical explanations for mental illness of all kinds instead of divine explanations. Platonic and Aristotelian traditions follow with variations on somatism (the body as the cause), adding in addition to the humors, bile, and disharmony among the organs, habits (excessive consumption, actions) and environments. These approaches were refined by Hellenistic doctors and the work of Rufus and Galen where treatments also came to include psychotherapeutic as well as the physical treatments. The swing towards demonic possession as an explanation during Late Antiquity and the Christian middle ages took mental health approaches back towards the ‘sacred’ explanations of pre-rational antiquity.

Some other posts about mental health from antiquity. Oftentimes translators keep the ancient Greek term melancholy (“black bile”)

Galen says loss of speech is not melancholy

Women, misogyny, and suicide

Lykanthropy as a type of melancholy

Hippocrates on melancholic desire for isolation

Hippocrates and Galen on hallucination and depression

The positive side of delusion

Aristotle on Mind-body connection

Music for healing mental affliction

Galen on the use of narcotics

Celsus on abusive treatments for mental illness

Seneca and Epictetus on Sick Days for Mental Health

Seneca and Plutarch on Whether Peace of Mind Helps

Epictetus, Treatises Collected by Arrian, 2.15: To those who cling tenaciously to any judgments they have made 

“Whenever some people hear these words—that it is right to be consistent, that the moral person is free by nature and never compelled, while everything else may be hindered, forced, enslaved, subjected to others—they imagine that it is right that they maintain every judgment they have made without compromising at all.

But the first issue is that the judgment should be a good one. For, if I wish to maintain the state of my body, it should be when it is healthy, well-exercised. If you show me that you have the tones of a fevered mind and brag about it, I will say ‘Dude, look for a therapist. This is not health, but sickness.’ “

ιε′. Πρὸς τοὺς σκληρῶς τισιν ὧν ἔκριναν ἐμμένοντας.

῞Οταν ἀκούσωσί τινες τούτων τῶν λόγων, ὅτι βέβαιον εἶναι δεῖ καὶ ἡ μὲν προαίρεσις ἐλεύθερον φύσει καὶ ἀνανάγκαστον, τὰ δ’ ἄλλα κωλυτά, ἀναγκαστά, δοῦλα, ἀλλότρια, φαντάζονται ὅτι δεῖ παντὶ τῷ κριθέντι ὑπ’ αὐτῶν ἀπαραβάτως ἐμμένειν. ἀλλὰ πρῶτον ὑγιὲς εἶναι δεῖ τὸ κεκριμένον. θέλω γὰρ εἶναι τόνους ἐν σώματι, ἀλλ’ ὡς ὑγιαίνοντι, ὡς ἀθλοῦντι· ἂν δέ μοι φρενιτικοῦ τόνους ἔχων ἐνδεικνύῃ[ς] καὶ ἀλαζονεύῃ ἐπ’ αὐτοῖς, ἐρῶ σοι ὅτι ‘ἄνθρωπε, ζήτει τὸν θεραπεύσοντα. τοῦτο οὐκ εἰσὶ τόνοι, ἀλλ’ ἀτονία’.

 

Image result for ancient greek asclepius relief
Hygeia [“Health”] and her father Asklepios Taken from Pinterest

Ancient Shock Treatments for Mental Health

Celsus, On Medicine, 3.21-23

“If [the patient] is sick with an insane mind, he should be treated well with certain torments. When he does or says anything troubling, he must be corrected with starvation, chains, and beating. He must be forced to pay attention, to learn something, and to keep it in his memory. He will change in this way so that he will be compelled bit by bit by fear to think about what he is doing.

Sudden fear and complete horror is a good for this sickness and so is anything else which troubles the spirit intensely. For a certain change may happen when the mind is in a different state from where it usually is. For insane hilarity is better treated by the frightening I just described. Excessive sadness, however, needs light and long-lasting massage twice a day along with cold water poured over the head and immersing the body in water and oil.

Here are some common treatments: insane people should exercise vigorously, be given lengthy massages, and then fed neither fat nor wine. Once they are purged of what they ate before, they should have food of medium weight. You should not leave them alone or with people they don’t know or those they hate or ignore. It is best if they get a change of scenery and if their minds improve, they need to be shaken up with an annual trip.”

Si vero consilium insanientem fallit, tormentis quibusdam optime curatur. Ubi perperam aliquid dixit aut fecit, fame, vinculis, plagis coercendus est. Cogendus est et attendere et ediscere aliquid et meminisse: sic enim fiet, ut paulatim metu cogatur considerare quid faciat. Subito etiam terreri et expavescere in hoc morbo prodest, et fere quicquid animum vehementer turbat. Potest enim quaedam fieri mutatio, cum ab eo statu mens, in quo fuerat, abducta est. Interest etiam, ipse sine causa subinde rideat, an maestus demissusque sit: nam demens hilaritas terroribus iis, de quibus supra (§ 21) dixi, melius curatur. Si nimia tristitia, prodest lenis sed multa bis die frictio, item per caput aqua frigida infusa, demissumque corpus in aquam et oleum. Illa communia sunt, insanientes vehementer exerceri debere, multa frictione uti, neque pinguem carnem neque vinum adsumere; cibis uti post purgationem ex media materia quam levissimis; non oportere esse vel solos vel inter ignotos, vel inter eos, quos aut contemnant aut neglegant; mutare debere regiones et, si mens redit, annua peregrinatione esse iactandos.

Image result for medieval manuscript torture devices
Medieval Breaking Wheel

This Current Time of Sickness

On the metacognitive deficit:

“Evils of the soul escape most people; for this reason they are worse—they prevent those who suffer from sensing them”

τὰ δ᾿ ἐν ψυχῇ λανθάνει τοὺς πολλοὺς κακά, διὰ τοῦτ᾿ ἐστι καίω, προσαφαιρούμενα τὴν αὑτῶν τοῦ πάσχοντος αἴσθησιν

This and the following passage are from Plutarch’s On Whether Sickness of the Body or Mind Are Worse (Moralia 500 ff). The following (especially the last line of the first paragraph) appears to perpetuate the stigmatizing of mental illness. And it does: many behaviors we today would see as parafunctional and requiring therapy, ancient authors viewed as issues of will. But it also seems to attest well to the madness of certain manufactured protests….

“Just as, therefore, the storm which keeps you from docking is more dangerous than the one that won’t let you sail, the storms of the soul are worse when they do not allow a person to control or put down his troubled thoughts—this person goes without a helmsman, without ballast in confusion and wandering, taking off in steep and opposite courses until suffering a harrowing shipwreck and crushing his life. This is why it is worse to suffer sickness of mind than the body: For those who are sick, merely suffer; the sick of mind suffer and harm others.

But why is it necessary to repeat the great number of afflictions? Current events remind me of them. Do you see this immense, mixed up crowd which clings together and mixes around the seat of government and the market?”

Ὥσπερ οὖν ἐπισφαλέστερος χειμὼν τοῦ πλεῖν οὐκ ἐῶντος ὁ κωλύων καθορμίσασθαι, οὕτως οἱ κατὰ ψυχὴν χειμῶνες βαρύτεροι στείλασθαι τὸν ἄνθρωπον οὐκ ἐῶντες οὐδ᾿ ἐπιστῆσαι τεταραγμένον τὸν λογισμόν· ἀλλ᾿ ἀκυβέρνητος καὶ ἀνερμάτιστος ἐν ταραχῇ καὶ πλάνῃ δρόμοις λεχρίοις καὶ παραφόροις διατραχηλιζόμενος εἴς τι ναυάγιον φοβερὸν ἐξέπεσε καὶ συνέτριψε τὸν ἑαυτοῦ βίον. ὥστε καὶ ταύτῃ χεῖρον νοσεῖν ταῖς ψυχαῖς ἢ τοῖς σώμασιν· τοῖς μὲν γὰρ πάσχειν μόνον τοῖς δὲ καὶ πάσχειν καὶ ποιεῖν κακῶς συμβέβηκε.

Καὶ τί δεῖ τὰ πολλὰ λέγειν τῶν παθῶν; αὐτὸς ὁ καιρὸς ὑπόμνησίς ἐστιν. ὁρᾶτε τὸν πολὺν καὶ παμμιγῆ τοῦτον τὸν ἐνταῦθα συνηραγμένον καὶ κυκώμενον ὄχλον περὶ τὸ βῆμα καὶ τὴν ἀγοράν;

Image result for Ancient Roman Mental health
William Hogworth, “The Madhouse”

Know-nothings, Faith-healers, and Quacks: Mystifying and Abusing Mental Illness

Hippocrates of Cos, The Sacred Disease 1 and 2

“This work is about that disease which people call “sacred”. It does not seem to me to be more divine or more sacred than any of the rest of the diseases, but it also has a natural cause and people have assumed it is sacred because of their own inexperience and their considerable wonder over how different it seems to them.”

[…]

Περὶ τῆς ίερῆς νούσου καλεομένης ὧδ᾿ ἔχει. οὐδέν τί μοι δοκεῖ τῶν ἄλλων θειοτέρη εἶναι νούσων οὐδὲ ἱερωτέρη, ἀλλὰ φύσιν μὲν ἔχει καὶ πρόφασιν, οἱ δ᾿ ἄνθρωποι ἐνόμισαν θεῖόν τι πρῆγμα εἶναι ὑπὸ ἀπειρίης καὶ θαυμασιότητος, ὅτι οὐδὲν ἔοικεν ἑτέροισι·

“Those who first claimed that the disease is divinely caused seem to me to be something like the wizards, snake-oil salesmen, faith-healers, and quacks of today, those kinds of men who pretend to great piety and superior knowledge. These kinds of healers shelter themselves and use superstition as a shield against their own helplessness when they have nothing they can do to help. They claim that this affliction is sacred so it won’t be clear that they don’t know anything. They add a ready-made story and throw in a treatment in order to keep their own position strong.”

Ἐμοὶ δὲ δοκέουσιν οἱ πρῶτοι τοῦτο τὸ νόσημα ἱερώσαντες τοιοῦτοι εἶναι ἄνθρωποι οἷοι καὶ νῦν εἰσι μάγοι τε καὶ καθάρται καὶ ἀγύρται καὶ ἀλαζόνες, οὗτοι δὲ καὶ προσποιέονται σφόδρα θεοσεβέες εἶναι καὶ πλέον τι εἰδέναι. οὗτοι τοίνυν παραμπεχόμενοι καὶ προβαλλόμενοι τὸ θεῖον τῆς ἀμηχανίης τοῦ μὴ ἔχειν ὅ τι προσενέγκαντες ὠφελήσουσι, καὶ ὡς μὴ κατάδηλοι ἔωσιν οὐδὲν ἐπιστάμενοι, ἱερὸν ἐνόμισαν τοῦτο τὸ πάθος εἶναι· καὶ λόγους ἐπιλέξαντες ἐπιτηδείους τὴν ἴησιν κατεστήσαντο ἐς τὸ ἀσφαλὲς σφίσιν αὐτοῖσι,

As Vivian Nutton makes clear in the overview of Mental Illness in the Ancient World (available in Brill’s New Pauly), Hippocrates Breaks from Ancient Near Eastern and Early Greek tradition here in offering physical explanations for mental illness of all kinds instead of divine explanations. Platonic and Aristotelian traditions follow with variations on somatism (the body as the cause), adding in addition to the humors, bile, and disharmony among the organs, habits (excessive consumption, actions) and environments. These approaches were refined by Hellenistic doctors and the work of Rufus and Galen where treatments also came to include psychotherapeutic as well as the physical treatments. The swing towards demonic possession as an explanation during Late Antiquity and the Christian middle ages took mental health approaches back towards the ‘sacred’ explanations of pre-rational antiquity.

Some other posts about mental health from antiquity. Oftentimes translators keep the ancient Greek term melancholy (“black bile”)

Galen says loss of speech is not melancholy

Women, misogyny, and suicide

Lykanthropy as a type of melancholy

Hippocrates on melancholic desire for isolation

Hippocrates and Galen on hallucination and depression

The positive side of delusion

Aristotle on Mind-body connection

Music for healing mental affliction

Galen on the use of narcotics

Celsus on abusive treatments for mental illness

Seneca and Epictetus on Sick Days for Mental Health

Seneca and Plutarch on Whether Peace of Mind Helps

Epictetus, Treatises Collected by Arrian, 2.15: To those who cling tenaciously to any judgments they have made 

“Whenever some people hear these words—that it is right to be consistent, that the moral person is free by nature and never compelled, while everything else may be hindered, forced, enslaved, subjected to others—they imagine that it is right that they maintain every judgment they have made without compromising at all.

But the first issue is that the judgment should be a good one. For, if I wish to maintain the state of my body, it should be when it is healthy, well-exercised. If you show me that you have the tones of a fevered mind and brag about it, I will say ‘Dude, look for a therapist. This is not health, but sickness.’ “

ιε′. Πρὸς τοὺς σκληρῶς τισιν ὧν ἔκριναν ἐμμένοντας.

῞Οταν ἀκούσωσί τινες τούτων τῶν λόγων, ὅτι βέβαιον εἶναι δεῖ καὶ ἡ μὲν προαίρεσις ἐλεύθερον φύσει καὶ ἀνανάγκαστον, τὰ δ’ ἄλλα κωλυτά, ἀναγκαστά, δοῦλα, ἀλλότρια, φαντάζονται ὅτι δεῖ παντὶ τῷ κριθέντι ὑπ’ αὐτῶν ἀπαραβάτως ἐμμένειν. ἀλλὰ πρῶτον ὑγιὲς εἶναι δεῖ τὸ κεκριμένον. θέλω γὰρ εἶναι τόνους ἐν σώματι, ἀλλ’ ὡς ὑγιαίνοντι, ὡς ἀθλοῦντι· ἂν δέ μοι φρενιτικοῦ τόνους ἔχων ἐνδεικνύῃ[ς] καὶ ἀλαζονεύῃ ἐπ’ αὐτοῖς, ἐρῶ σοι ὅτι ‘ἄνθρωπε, ζήτει τὸν θεραπεύσοντα. τοῦτο οὐκ εἰσὶ τόνοι, ἀλλ’ ἀτονία’.

 

Image result for ancient greek asclepius relief
Hygeia [“Health”] and her father Asklepios Taken from Pinterest

Know-nothings, Faith-healers, and Quacks: Mystifying and Abusing Mental Illness

Hippocrates of Cos, The Sacred Disease 1 and 2

“This work is about that disease which people call “sacred”. It does not seem to me to be more divine or more sacred than any of the rest of the diseases, but it also has a natural cause and people have assumed it is sacred because of their own inexperience and their considerable wonder over how different it seems to them.”

[…]

Περὶ τῆς ίερῆς νούσου καλεομένης ὧδ᾿ ἔχει. οὐδέν τί μοι δοκεῖ τῶν ἄλλων θειοτέρη εἶναι νούσων οὐδὲ ἱερωτέρη, ἀλλὰ φύσιν μὲν ἔχει καὶ πρόφασιν, οἱ δ᾿ ἄνθρωποι ἐνόμισαν θεῖόν τι πρῆγμα εἶναι ὑπὸ ἀπειρίης καὶ θαυμασιότητος, ὅτι οὐδὲν ἔοικεν ἑτέροισι·

“Those who first claimed that the disease is divinely caused seem to me to be something like the wizards, snake-oil salesmen, faith-healers, and quacks of today, those kinds of men who pretend to great piety and superior knowledge. These kinds of healers shelter themselves and use superstition as a shield against their own helplessness when they have nothing they can do to help. They claim that this affliction is sacred so it won’t be clear that they don’t know anything. They add a ready-made story and throw in a treatment in order to keep their own position strong.”

Ἐμοὶ δὲ δοκέουσιν οἱ πρῶτοι τοῦτο τὸ νόσημα ἱερώσαντες τοιοῦτοι εἶναι ἄνθρωποι οἷοι καὶ νῦν εἰσι μάγοι τε καὶ καθάρται καὶ ἀγύρται καὶ ἀλαζόνες, οὗτοι δὲ καὶ προσποιέονται σφόδρα θεοσεβέες εἶναι καὶ πλέον τι εἰδέναι. οὗτοι τοίνυν παραμπεχόμενοι καὶ προβαλλόμενοι τὸ θεῖον τῆς ἀμηχανίης τοῦ μὴ ἔχειν ὅ τι προσενέγκαντες ὠφελήσουσι, καὶ ὡς μὴ κατάδηλοι ἔωσιν οὐδὲν ἐπιστάμενοι, ἱερὸν ἐνόμισαν τοῦτο τὸ πάθος εἶναι· καὶ λόγους ἐπιλέξαντες ἐπιτηδείους τὴν ἴησιν κατεστήσαντο ἐς τὸ ἀσφαλὲς σφίσιν αὐτοῖσι,

As Vivian Nutton makes clear in the overview of Mental Illness in the Ancient World (available in Brill’s New Pauly), Hippocrates Breaks from Ancient Near Eastern and Early Greek tradition here in offering physical explanations for mental illness of all kinds instead of divine explanations. Platonic and Aristotelian traditions follow with variations on somatism (the body as the cause), adding in addition to the humors, bile, and disharmony among the organs, habits (excessive consumption, actions) and environments. These approaches were refined by Hellenistic doctors and the work of Rufus and Galen where treatments also came to include psychotherapeutic as well as the physical treatments. The swing towards demonic possession as an explanation during Late Antiquity and the Christian middle ages took mental health approaches back towards the ‘sacred’ explanations of pre-rational antiquity.

Some other posts about mental health from antiquity. Oftentimes translators keep the ancient Greek term melancholy (“black bile”)

 

Galen says loss of speech is not melancholy

Women, misogyny, and suicide

Lykanthropy as a type of melancholy

Hippocrates on melancholic desire for isolation

Hippocrates and Galen on hallucination and depression

The positive side of delusion

Aristotle on Mind-body connection

Music for healing mental affliction

Galen on the use of narcotics

Celsus on abusive treatments for mental illness

Seneca and Epictetus on Sick Days for Mental Health

Seneca and Plutarch on Whether Peace of Mind Helps

Epictetus, Treatises Collected by Arrian, 2.15: To those who cling tenaciously to any judgments they have made 

“Whenever some people hear these words—that it is right to be consistent, that the moral person is free by nature and never compelled, while everything else may be hindered, forced, enslaved, subjected to others—they imagine that it is right that they maintain every judgment they have made without compromising at all.

But the first issue is that the judgment should be a good one. For, if I wish to maintain the state of my body, it should be when it is healthy, well-exercised. If you show me that you have the tones of a fevered mind and brag about it, I will say ‘Dude, look for a therapist. This is not health, but sickness.’ “

ιε′. Πρὸς τοὺς σκληρῶς τισιν ὧν ἔκριναν ἐμμένοντας.

῞Οταν ἀκούσωσί τινες τούτων τῶν λόγων, ὅτι βέβαιον εἶναι δεῖ καὶ ἡ μὲν προαίρεσις ἐλεύθερον φύσει καὶ ἀνανάγκαστον, τὰ δ’ ἄλλα κωλυτά, ἀναγκαστά, δοῦλα, ἀλλότρια, φαντάζονται ὅτι δεῖ παντὶ τῷ κριθέντι ὑπ’ αὐτῶν ἀπαραβάτως ἐμμένειν. ἀλλὰ πρῶτον ὑγιὲς εἶναι δεῖ τὸ κεκριμένον. θέλω γὰρ εἶναι τόνους ἐν σώματι, ἀλλ’ ὡς ὑγιαίνοντι, ὡς ἀθλοῦντι· ἂν δέ μοι φρενιτικοῦ τόνους ἔχων ἐνδεικνύῃ[ς] καὶ ἀλαζονεύῃ ἐπ’ αὐτοῖς, ἐρῶ σοι ὅτι ‘ἄνθρωπε, ζήτει τὸν θεραπεύσοντα. τοῦτο οὐκ εἰσὶ τόνοι, ἀλλ’ ἀτονία’.

 

Image result for ancient greek asclepius relief
Hygeia [“Health”] and her father Asklepios Taken from Pinterest

Ancient Shock Treatments for the Mentally Ill

Celsus, On Medicine, 3.21-23

“If [the patient] is sick with an insane mind, he should be treated well with certain torments. When he does or says anything troubling, he must be corrected with starvation, chains, and beating. He must be forced to pay attention, to learn something, and to keep it in his memory. He will change in this way so that he will be compelled bit by bit by fear to think about what he is doing.

Sudden fear and complete horror is a good for this sickness and so is anything else which troubles the spirit intensely. For a certain change may happen when the mind is in a different state from where it usually is. For insane hilarity is better treated by the frightening I just described. Excessive sadness, however, needs light and long-lasting massage twice a day along with cold water poured over the head and immersing the body in water and oil.

Here are some common treatments: insane people should exercise vigorously, be given lengthy massages, and then fed neither fat nor wine. Once they are purged of what they at before, they should have food of medium weight. You should not leave them alone or with people they don’t know or those they hate or ignore. It is best if they get a change of scenery and if their minds improve, they need to be shaken up with an annual trip.”

Si vero consilium insanientem fallit, tormentis quibusdam optime curatur. Ubi perperam aliquid dixit aut fecit, fame, vinculis, plagis coercendus est. Cogendus est et attendere et ediscere aliquid et meminisse: sic enim fiet, ut paulatim metu cogatur considerare quid faciat. Subito etiam terreri et expavescere in hoc morbo prodest, et fere quicquid animum vehementer turbat. Potest enim quaedam fieri mutatio, cum ab eo statu mens, in quo fuerat, abducta est. Interest etiam, ipse sine causa subinde rideat, an maestus demissusque sit: nam demens hilaritas terroribus iis, de quibus supra (§ 21) dixi, melius curatur. Si nimia tristitia, prodest lenis sed multa bis die frictio, item per caput aqua frigida infusa, demissumque corpus in aquam et oleum. Illa communia sunt, insanientes vehementer exerceri debere, multa frictione uti, neque pinguem carnem neque vinum adsumere; cibis uti post purgationem ex media materia quam levissimis; non oportere esse vel solos vel inter ignotos, vel inter eos, quos aut contemnant aut neglegant; mutare debere regiones et, si mens redit, annua peregrinatione esse iactandos.

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Medieval Breaking Wheel

This Current Time of Sickness

On the metacognitive deficit:

“Evils of the soul escape most people; for this reason they are worse—they prevent those who suffer from sensing them”

τὰ δ᾿ ἐν ψυχῇ λανθάνει τοὺς πολλοὺς κακά, διὰ τοῦτ᾿ ἐστι καίω, προσαφαιρούμενα τὴν αὑτῶν τοῦ πάσχοντος αἴσθησιν

This and the following passage are from Plutarch’s On Whether Sickness of the Body or Mind Are Worse (Moralia 500 ff). The following (especially the last line of the first paragraph) appears to perpetuate the stigmatizing of mental illness. And it does: many behaviors we today would see as parafunctional and requiring therapy, ancient authors viewed as issues of will.

“Just as, therefore, the storm which keeps you from docking is more dangerous than the one that won’t let you sail, the storms of the soul are worse when they do not allow a person to control or put down his troubled thoughts—this person goes without a helmsman, without ballast in confusion and wandering, taking off in steep and opposite courses until suffering a harrowing shipwreck and crushing his life. This is why it is worse to suffer sickness of mind than the body: For those who are sick, merely suffer; the sick of mind suffer and harm others.

But why is it necessary to repeat the great number of afflictions? Current events remind me of them. Do you see this immense, mix up crowd which clings together and mixes around the seat of government and the market?”

Ὥσπερ οὖν ἐπισφαλέστερος χειμὼν τοῦ πλεῖν οὐκ ἐῶντος ὁ κωλύων καθορμίσασθαι, οὕτως οἱ κατὰ ψυχὴν χειμῶνες βαρύτεροι στείλασθαι τὸν ἄνθρωπον οὐκ ἐῶντες οὐδ᾿ ἐπιστῆσαι τεταραγμένον τὸν λογισμόν· ἀλλ᾿ ἀκυβέρνητος καὶ ἀνερμάτιστος ἐν ταραχῇ καὶ πλάνῃ δρόμοις λεχρίοις καὶ παραφόροις διατραχηλιζόμενος εἴς τι ναυάγιον φοβερὸν ἐξέπεσε καὶ συνέτριψε τὸν ἑαυτοῦ βίον. ὥστε καὶ ταύτῃ χεῖρον νοσεῖν ταῖς ψυχαῖς ἢ τοῖς σώμασιν· τοῖς μὲν γὰρ πάσχειν μόνον τοῖς δὲ καὶ πάσχειν καὶ ποιεῖν κακῶς συμβέβηκε.

Καὶ τί δεῖ τὰ πολλὰ λέγειν τῶν παθῶν; αὐτὸς ὁ καιρὸς ὑπόμνησίς ἐστιν. ὁρᾶτε τὸν πολὺν καὶ παμμιγῆ τοῦτον τὸν ἐνταῦθα συνηραγμένον καὶ κυκώμενον ὄχλον περὶ τὸ βῆμα καὶ τὴν ἀγοράν;

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William Hogworth, “The Madhouse”