Customers and Patrons of the Mad-Trade
The Management of Lunacy in Eighteenth-Century London
Publication Year: 2003
The volume concludes with a complete edition of the case book itself, transcribed in full with editorial annotations by the authors. In the fragmented stories Monro's case book provides, Andrews and Scull find a poignant underworld of human psychological distress, some of it strange and some quite familiar. They place these "cases" in a real world where John Monro and othersuccessful doctors were practicing, not to say inventing, the diagnosis and treatment of madness.
Published by: University of California Press
Series: Medicine and Society
Title Page, Copyright, Dedication
List of Illustrations
This is the second of two books we have devoted to the examination of John Monro, his patients, and the world of eighteenth-century madness and mad-doctoring. Once again, as with its predecessor (Undertaker of the Mind), Customers and Patrons of the Mad-Trade is the product of a...
Naturally, we are especially grateful to the late Dr. F. J. G. Jefferiss; his widow, Phyllis Jefferiss; his son, Jeremy James Jefferiss; and his cousin, James Mackenzie, for agreeing to permit the publication of the case book that forms the basis of the analysis of the patrons and customers of...
PART I. Managing Lunacy in Eighteenth-Century London
1. Customers, Patrons, and Their Mad-Doctor
The history of psychiatry, as David Ingleby wittily remarked some years ago, once resembled “the histories of colonial wars[: it told] us more about the relations between the imperial powers than about the ‘third world’ of the mental patients themselves.”1 In recent years, his gibe has...
2. A Rare Resource: John Monro’s Case Book
In common with at least some other physicians of his generation, John Monro kept careful notes of the cases he treated—more particularly of those he encountered in his private practice. Like the records kept by his colleagues, most of his case notes have long since disappeared....
3. Profiling Patients and Patterns of Practice
Possibly the most interesting details provided in Monro’s case book are those that give us clues about the identity of the customers of the mad-doctor, an aspect of the mad-business that historians, thus far, barely have begun to investigate.1 On the one hand, Monro’s case book reveals,...
4. The Craft of Consultation: Managing Patients and Their Problems
A significant proportion of Monro’s patients were plainly regarded as serious cases of madness. He refers to these cases with such terms as “violent,” “raving,” “furious,” “lunatic,” “mad,” and so forth. Many more among those Monro encountered, however, were observed to be...
5. Diagnosing the Mad
Monro’s case book allows us, as one might hope, to obtain a relatively good idea of what both the mad-doctor and contemporary families considered to be the signs and symptoms of madness. The text reveals Monro to be someone who displayed considerable deliberation and a...
6. Religion, Madness, and the Case Book
A Tory in his political sympathies and an Anglican in his religious observances, a man who in his youth had flirted with Jacobitism and who came from a family tainted by Jacobitism, John Monro was unlikely to have had much sympathy with “enthusiastic” forms of Protestant belief....
7. Treating Patients and Getting Paid
Monro devotes considerably more space in the case book to discussing patients’ symptoms and histories than he does to recording treatments. This adds further weight to the view generally taken of all the Monros: namely, that they had very little interest in therapeutics or experimentation...
8. Being Mad in Eighteenth-Century England: Patients’ Views of Their Own Illnesses
When patients consulted physicians about all forms of illness in Monro’s time, the clinical encounter bore little relationship to its modern counterpart. Conversation was as a matter of routine quite central to the diagnostic process, for patients’ own accounts of the history of their disorders...
PART II. John Monro’s 1766 Case Book