Neurology in Tulp's Observationes medicae

The beginning of the seventeenth century marked the start of a scientific revolution, which had consequences for medicine. Vesalius in anatomy, and Harvey in physiology, were important figures who gave the Hippocratic and Galenic traditions new impulses. In this period of change in medical thought, Nicolaas Tulp (1593-1674) wrote his 'Observationes Medicae' (Tulp, 1641). A controversy existed in The Netherlands, concerning the circulation, with many doctors still adhering to the Galenic tradition. The following analysis discusses some of the neurologic cases from Tulp's book, seen in the light of modern medical thought.     

Albert the Great's interpretation of neuropsychiatric symptoms in the context of scholastic psychology and physiology* 1

Abstract

Albert the Great (ca. 1193–1280) serves as an example to show how the Latin West successfully integrated Greco‐Arabian psychology with Galenic physiology. He divised a model of perceptive, cognitive and mnestic powers located in different areas of the “brain cells”; and interacting with the immaterial and man‐specific intellect. He managed to describe anmesis, epileptic seizures and psychotic states as results of disturbed brain fuction. Finally, further aspects of Scholastic theorizing on mental disorders are discussed.     

Les Maladies de L’âme Comme Lieu de Rencontre Entre Médecine et Philosophie dans les Textes Arabes Médiévaux (IXe-XIe Siècle)

In the medical texts written in Arabic between the 9^th and the 11^th centuries, the diseases of the soul played an important part in the physicians’ reflection on the nature of the soul and its relationship to the body. In the 9^th and the beginning of the 10^th century, this medical anthropology was shaped by a tradition that was both Platonic and Galenic. But in the 10^th, the influence of Aristotle became most prominent in Arabic philosophy, and as a result the main lines of this medical anthropology were questioned, as was the role of medical knowledge and its relation to natural philosophy.     

Epicureanism at the Origins of Modernity

ABSTRACT

Across a broad range of late nineteenth-century French medical texts that described the newly denoted sexual pathologies of frigidity, inversion, fetishism, nymphomania, sadism and masochism, one finds a term being used for which no current equivalent exists. This term is l’amour morbide – morbid love. Its use was initially as common in respectable medical texts as it later became in erotic fictional writings. In some cases, it appeared to refer to a particular sexual pathology, albeit one which troubled the very notion of perversion as aberrant or abnormal. This article considers the role that l’amour morbide played in the sorting of medical terminology for describing sexual perversions in late nineteenth-century France, and examines what its relationship was to degenerationist thought. Engaging with Ian Hacking’s notion of “transient mental illnesses” produced by unique cultural ecologies, it is proposed that morbid love occupied the space between decadent culture of fin-de-siècle France on the one hand, and on the other hand degenerationist frames adopted by French doctors in the context of international medical and psychiatric conversations.     

Highland Lodge,Kilkelly, County Mayo: An Autobiographical Sketch

Fragments of neurology can be found in the oldest medical writings in antiquity. Recognizable cerebral localization is seen in Egyptian medical papyri. Most notably, the Edwin Smith papyrus describes hemiplegia after a head injury. Similar echoes can be seen in Homer, the Bible, and the pre-Hippocratic writer Alcmaeon of Croton. While Biblical writers thought that the heart was the seat of the soul, Hippocratic writers located it in the head. Alexandrian anatomists described the nerves, and Galen developed the ventricular theory of cognition whereby mental functions are classified and localized in one of the cerebral ventricles. Medieval scholars, including the early Church Fathers, modified Galenic ventricular theory so as to make it a dynamic model of cognition. Physicians in antiquity subdivided the brain into separate areas and attributed to them different functions, a phenomenon that connects them with modern neurologists.     

Milton,the passions,and the knowing body

ABSTRACT

This paper challenges the notion that Galenic humouralism stripped the early modern body of agency and argues that some accounts of early modern materialism were connected to epistemology. It evidences how Milton’s passions are inscribed with the shocking language of agency and moral responsibility to overturn the assumption of “passive”, unconscious passions. It explores two pictures of passions in connection with knowledge: passions as obstacles to knowledge, and passions as sources as knowledge. Both images recast the material body as a knowing agent, but do so with complications. Agency-ridden passions complicate a straightforward notion of agency, and seem to leave early moderns with the option of blaming their passions instead of themselves for deception. Frequent references to internal passions in political discourses also suggests an unsettling degree of comfort with subjectivity in making knowledge-statements, but it is a version of subjectivity that seems far more public than private.     

CHILD PATIENTS,HOSPITALS AND THE HOME IN EIGHTEENTH-CENTURY ENGLAND

Abstract

This article seeks to map out some of the principal pathways to medical care used by the parents of poor children. We focus on the most formal provider of healthcare in eighteenth-century towns, the voluntary general hospitals, but we use these institutions as a prism to consider the way that the treatment of child sickness was managed more generally in five local settings. Utilising eighteenth-century hospital admissions and discharge registers we find that not only were children consistently treated as patients; but that these institutions also operated as part of a wider medical network which included domiciliary care, poor law services, and other medical charities. The boundaries surrounding hospital treatment in eighteenth-century towns were thus considerably more porous than is usually thought, and suggests that they operated as part of a wider medical network accessed by poor families for their children.     

Creating the world: the origins of all things in ancient Greek myth and medicine

Abstract

In the sixth and fifth centuries BC, a series of dramatic shifts in science and the arts took place in the Greek world, and history, medicine, philosophy, and science came into being. This paper examines 'the Greek miracle', looking at how new ideas about 'the origin of all things' were rooted in traditional mythic patterns of thought. In particular, it examines how medical writers thought about the origins of the cosmos, and of disease. The multiple creations of the world present in Greek myth, where the origin of all things was seen as a process of differentiation out of original similarity, may have predisposed the Greeks to be open to the new theories of early scientific thinkers.     

Pilgrims Progress In Society Augustines Political Thought In The City Of God

Abstract

This essay attempts to study Augustines political thought in The City of God De Civitate Dei. It will demonstrate that the notion of pilgrimage is essential for understanding the political thought that Augustine develops in The City of God. To support the thesis, I will explore what role the theme of pilgrimage plays in Augustines formulation of anthropology, ecclesiology, and political thought in The City of God. Augustines ideas of pilgrimage stem from his pilgrim eschatology, which regulates the entire political aspect of the Christians life. Augustine does not lay any neutral realm between the city of God and the earthly city. The political work of pilgrims of the city of God for the citizens of the earthly city is associated with evangelism persuasion to love God, peace the mutual aim of the two cities, justice which starts from true worship, and prayer which is intending toward the final perfection.     

A history of anatomy theaters in sixteenth-century Padua

The history of anatomy includes not only professors and the support of their institutions but also medical students. Because medical students were quick to assess a teacher's pedagogy, their complaints tell us a great deal about the transition from Galenic to Aristotelian projects of anatomy. When Fabricius of Aquapendente instituted a new style of anatomical inquiry, one based on Aristotle and the search for universal principles, students repeatedly complained that his demonstrations did not provide technical education in structural anatomy (as demonstrations employing a hands-on, Galenic pedagogy did). Within the new anatomy theater (the second of its kind in Padua), however, students were persuaded to accept Fabricius's demonstrations. Fabricius's philosophical orientation combined with the formal atmosphere and aesthetic features of the new theater to create anatomy demonstrations that relied on orations and music for their structure (rather than on the progressive stages of human dissection). A place that emphasized a discourse of anatomy as the study of the "secrets of nature," the new theater so effectively publicized a new style of anatomy that a larger, more diverse group of spectators attended subsequent demonstrations and participated in the celebration of leading academic figures as well as the institution of the university.     

Endorheic currents in ecology: an example of the effects from scientific specialization and interdisciplinary isolation

ABSTRACT

Mainstream ecological thought is explored in three sections: (i) Epistemological traits. Given the typical scientific development and the necessity of preserving our intellectual heritage, the conservatism outlined in (i) is cyclical, so its stages are graphically summarized. (ii) Methodological benchmarks antithetically derived from (i), in order to get faster advancement consistent with the growing environmental challenges which spur ecological development. (iii) The renaissance of an old paradigm. This section exposes the misunderstanding of the physical concept of equilibrium by the mainstream ecological thought; this explains its current state. Consequently, section (iii) also summarizes the evolution of a recent set of proposals (organic biophysics of ecosystems) that rescues the foundational paradigm of ecosystem ecology based on physics, neglected by the mainstream thought before producing its most valuable results. We highlight that the main problems emerge from the weakness of integration between ecology, physics and epistemology, and spurious links between ecology and neoclassical economics.     

Wilhelm Reich: Culture as power

The past several generations of scholarship on Rembrandt's “Anatomy Lesson of Dr. Nicolaas Tulp” have suffered from the anxiety of influence exercised by the influential interpretations of William Heckscher and William Schupbach. Schupbach's interpretation in particular has guided interpretation of the painting in the past generation and has given rise to a fundamental misunderstanding of the painting and its cultural significance. Schupbach and those whom he has influenced have failed to recognize that, from the standpoint of Baroque consciousness, there is an inner compatibility rather than a paradox or tension between the optimistic endorsement of earthly science and the putatively pessimistic resignation to the inevitability of death. Where the figure of Tulp represents the optimism of science and technology, that of the topmost surgeon Van Loenen represents the recognition that the technological project functions within the larger context of a Christian worldview. A reflection on the original form of “Tulp,” in which Van Loenen was depicted wearing a hat, shows how Rembrandt's painting can still speak to us from a distance of almost four hundred years and pose a challenge to our own secular ambitions.     

Feature Reviews

Abstract

Liberal education has a real, if precarious, place in America. Its purpose is to remind each of us that were all more than middle-class, more than beings with interests or rights. American liberal education finds its resources in classical and Christian thought, both European and indigenous. The main challenge to liberal education today comes from the libertarians.     

Artifacts of the neurosciences: A resource guide to museums and collections

ABSTRACT

Medical museums and collections care for important artifacts relating to the history of the neurosciences across the United States, the United Kingdom, and Europe. This essay highlights the collections and galleries of greatest interest and worth a visit. It also provides a list of online directories of medical museums and bibliography of related publications.     

The Mid-Tang Scholar-Monk Shenqing and His Beishan lu

Abstract

This article investigates the thought of the mid-Tang scholar monk Shenqing through an examination of his Beishan lu. In this work, Shenqing launched a fervent attack against Southern Chan, while pressing for the harmonization of the Three Teachings. His critique of Southern Chan reflects his Theravadin tendency, as he expressed negative views about Southern Chan's violation of traditional Buddhist teachings. He specifically attacked its de-emphasis on the vinaya, and the fabrication of the 28-Patriarchs theory of transmission. In an effort to establish the orthodoxy of Southern Chan in early Northern Song, Chan clerics found it necessary to respond to Shenqing's critique, as clearly reflected in the writings of the monk Qisong. Beishan lu is a valuable source for a study of Shenqing's thought, and the unfolding of the harmonization of the Three Teachings. It also allows us to trace the historical unfolding of the Southern Chan movement from a different perspective.     

Kant and the Two Principles of Publicity

ABSTRACT

The aim of this article is to argue that the principle of “publicity” constitutes a fundamental idea in Kant’s political thought. Publicity provides a central insight that binds together various strands of Kant’s political writings (on issues as diverse as the question of Enlightenment, the right of revolution, historical teleology, reflective judgment, cosmopolitan citizenship, democratic peace, and republican government), and moreover, it offers a much-needed cornerstone for a systematic exposition of his nonexistent political philosophy. Apart from some eminent examples, publicity has been a rather neglected topic in the ever-expanding literature on Kant’s political ideas. Revisiting this notion will make us more attentive to his evocation of the “spirit of republicanism” over and above the letter of the law, and might prompt us to reconsider Kant’s reputation as a classical representative of liberal political thought. Indeed, it should inspire us to situate Kant’s appeal for the “public use of reason” in the vicinity of the republican ideal of political liberty.     

Lurching through Public Law: The Unsteady State of the Subfield

Abstract

David Walsh is a student of Eric Voegelin's political thought, and this essay evaluates the influence of Voegelin's work on Walsh, while also suggesting how Walsh deviates from Voegelin's philosophy. The analysis is performed in terms of several key concepts from Voegelin's work, including Gnosticism, metaxy, luminosity, equivalences of experience, and history. It is argued that Walsh makes extensive use of Voegelin's ideas of metaxy, luminosity, and the equivalences of experience, but that he transforms these concepts as he moves beyond Voegelin's philosophy of consciousness and turns to a philosophy of existence that is not subject to the epistemological problems that continue to challenge Voegelin's thought. Finally, it is suggested that, in so doing, Walsh is actually continuing Voegelin's philosophical project, rather than undermining it.     

Historiographical Foundations of Modern International Thought: Histories of the European States-System from Florence to Göttingen

Summary

The foundations of modern international thought were constructed out of diverse idioms and disciplines. In his impressive book, Foundations of Modern International Thought, David Armitage focuses on the normative idioms of natural law and political philosophy from the Anglophone world, from Hobbes and Locke to Burke and Bentham. I focus on parallel developments in the empirically-oriented disciplines of history and historiography to trace the emergence of histories of the states-system in the Italian- and German-speaking worlds, from Bruni and Sarpi to Pufendorf and Heeren. Taking seriously Armitage's remark that ‘the pivotal moments in the formation of modern international thought were often points of retrospective reconstruction’, I argue that the historical disciplines supplied another significant intellectual context in which the modern world could be imagined as ‘a world of states’.     

Missing or Misdiagnosed? General Paralysis of the Insane,Yaws, and Syphilis in Fiji, 1884–1940

ABSTRACT

General Paralysis of the Insane (GPI) was a deadly disease, once common in Fiji’s lunatic asylum and, by the early 20th century, thought to be caused by syphilis. The conundrum is that the majority of GPI sufferers in the asylum were Indigenous Fijians, considered to have immunity to syphilis. This immunity was probably through the prevalence of yaws amongst Indigenous Fijians. Yaws had symptoms similar to GPI and syphilis with which it was easily confused. Yaws and syphilis also invoked divergent scientific and moral discourses, with implications for how medical and scientific knowledge about the aetiology of GPI and associated moral discourses were transferred to Fiji. This paper discusses European nosology and diagnosis of GPI, yaws and syphilis, asking if GPI was misdiagnosed in Fiji, or if reports of GPI among Fijians and the effects of yaws on the nervous system are missing from tropical medicine orthodoxy.     

Hans Urs von Balthasar’s Theological Critique of Nationalism

Abstract

This paper argues that Han Urs von Balthasar’s work contains a thorough critique of nationalism that is rooted in theological categories. First, it examines the bases of this critique in Balthasar’s theology of history and in his thought on biblical Israel. Then, it outlines four categories of actors included in Balthasar’s notion of a theological drama: Christ, the individual, humanity, and the Church. Both implicitly and explicitly, these four categories displace the nation from the realm of theologically-significant history. Thus, the paper contends, there is a clear and compelling theological rejection of nationalistic ideology running throughout key aspects of Balthasar’s thought.