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
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Title Page, Copyright, Dedication
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List of Illustrations
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This is the second of two books we have devoted to the examination ofJohn Monro, his patients, and the world of eighteenth-century madnessand mad-doctoring. Once again, as with its predecessor (Undertaker ofthe Mind), Customers and Patrons of the Mad-Trade is the product of aclose and continuing collaboration that has been facilitated by (indeed,...
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Naturally, we are especially grateful to the late Dr. F. J. G. Jefferiss; hiswidow, Phyllis Jefferiss; his son, Jeremy James Jefferiss; and his cousin,James Mackenzie, for agreeing to permit the publication of the casebook that forms the basis of the analysis of the patrons and customers ofthe mad-trade that we present in part 1, and that we reprint in its...
PART I. Managing Lunacy in Eighteenth-Century London
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...then a Prisoner in the King’s Bench; at last she tore all things,of a respectable farmer, in the country]. I found her sitting upbed. In a chair at the bed-side, were, Wesley’s Journal, Watt’s...
1. Customers, Patrons, and Their Mad-Doctor
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The history of psychiatry, as David Ingleby wittily remarked some yearsago, once resembled “the histories of colonial wars[: it told] us moreabout the relations between the imperial powers than about the ‘thirdworld’ of the mental patients themselves.”1 In recent years, his gibe haslost some of its sting, as historians belatedly have begun to make efforts...
2. A Rare Resource: John Monro’s Case Book
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In common with at least some other physicians of his generation, JohnMonro kept careful notes of the cases he treated—more particularly ofthose he encountered in his private practice. Like the records kept byhis colleagues, most of his case notes have long since disappeared.Abandoned in obscure places and left to endure the gnawing criticism of...
3. Profiling Patients and Patterns of Practice
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Possibly the most interesting details provided in Monro’s case book arethose that give us clues about the identity of the customers of the mad-doctor, an aspect of the mad-business that historians, thus far, barelyhave begun to investigate.1 On the one hand, Monro’s case book reveals,as one might expect, that a significant number of his clients came from...
4. The Craft of Consultation: Managing Patients and Their Problems
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A significant proportion of Monro’s patients were plainly regarded asserious cases of madness. He refers to these cases with such terms as“violent,” “raving,” “furious,” “lunatic,” “mad,” and so forth. Manymore among those Monro encountered, however, were observed to bemerely “bewildered,” “nervous,” “hysterical,” “dull,” or “low/high in...
5. Diagnosing the Mad
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Monro’s case book allows us, as one might hope, to obtain a relativelygood idea of what both the mad-doctor and contemporary families con-sidered to be the signs and symptoms of madness. The text revealsMonro to be someone who displayed considerable deliberation and awillingness to suspend judgment when diagnosing cases until more...
6. Religion, Madness, and the Case Book
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A Tory in his political sympathies and an Anglican in his religious obser-vances, a man who in his youth had flirted with Jacobitism and whocame from a family tainted by Jacobitism, John Monro was unlikely tohave had much sympathy with “enthusiastic” forms of Protestant belief.And in his suspicion of the religiously transported and obsessed, he was...
7. Treating Patients and Getting Paid
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Monro devotes considerably more space in the case book to discussingpatients’ 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 experimenta-tion and remained steadfastly conservative in their espousal of the stan-...
8. Being Mad in Eighteenth-Century England: Patients’ Views of Their Own Illnesses
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When patients consulted physicians about all forms of illness in Monro’stime, the clinical encounter bore little relationship to its modern coun-terpart. Conversation was as a matter of routine quite central to the diag-nostic process, for patients’ own accounts of the history of their disorderslearned from the doctor’s direct examination of the body before him....
PART II. John Monro’s 1766 Case Book
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...people in the street all are all employ’d to look at him & know :ting & continued obstinate in that point but days before he died wch...
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Page Count: 352
Publication Year: 2003
Series Title: Medicine and Society