A Cut‐marked and Fractured Mesolithic Human Bone from Kent's Cavern,Devon, UK

An isolated adult human ulna fragment recovered from the ‘black mould’ layer of Kent's Cavern by William Pengelly in 1866 exhibits a series of stone tool cut marks. The specimen has been directly AMS ¹⁴C‐dated to 7314–7075 cal bc (OxA‐20588: 8185 ± 38 bp ) and may be from the same individual as a maxilla fragment dated to the same period. The cut marks are located on the olecranon process, in a position indicative of dismemberment, whereas the fracture characteristics of the bone furthermore suggest peri‐mortem breakage, typical of butchery for the extraction of marrow. We here present and discuss the specimen and consider both ritual mortuary treatment and anthropophagy as possible explanations. Although it is difficult to interpret a single element in isolation, the latter scenario seems to be better supported and is not without parallel in prehistoric Europe, as indicated by a review of the available literature. Copyright © 2012 John Wiley & Sons, Ltd.     

Alveolar bone status of some pre-seventeenth century inhabitants of Taumako,Solomon Islands

The alveolar bone condition of 34 pre-seventeenth century Solomon Island Polynesians aged 20–35 years was investigated from dental remains. The distance between the cementoenamel junction and the alveolar crest (CEJ-AC distance) was measured for six index teeth. The mean CEJ-AC measurements for each tooth, which ranged from 3.9 to 7.9 mm, greatly exceeded the distance of 2 mm frequently cited as representative of teeth supported by healthy bone. Many pathological bony defects were seen, suggestive of episodes of acute periodontitis with remissions to a quiescent phase.     

Neolithic case of metastasizing carcinoma: Multiple approaches to differential diagnosis

The remains of the fragmented skeleton of a mature male individual from a Neolithic mass burial (ca. 5000 years BP) are presented. The lesions consist of osteoblastic proliferation and replacement of previously normal haematopoietic tissue. The most affected area seems to have been the iliac blade. So-called ‘seeding’ of tumour tissue has been found in different loci in the femoral neck, sacrum, L4 and scapula. Differential diagnosis points to metastatic carcinoma, most likely from the prostrate gland. In order to support the observations, radiological and histological analyses have been performed. Trace element analyses of tumour and control samples have shown the limited contribution of these data to ascertain the aetiology of secondary neoplasias in buried material.     

Historical note: "the epileptic constitution": the psychoanalytic concept of epilepsy

The rise of the psychoanalytic approach to behavioral medicine in the early part of the 20th century created a unique concept of the nature and the aetiology of epilepsy based upon dynamic psychopathology. As a direct result of this a radical change in both medical and community perception of this condition was generated, and this was to persist up to and beyond the mid-century mark. This historical note details the adoption, and the rise and fall of this concept of "the epileptic constitution", and a consideration of the negative effects that flowed from this, permeating all areas of psychiatry, neurology and even the criminal justice system.     

Narcolepsy -- cataplexy and psychoanalytic theory of sleep and dreams

Narcolepsy had been documented some twenty years before the psychoanalytic movement, emphasizing the central role of sleep and dreams in the understanding of mental health, offered an entirely novel theory of its aetiology. And when the full range of the behavioral aspects of the condition were documented, it was obvious that intense psychoanalytic interest in it was inevitable. Unfortunately, even mainstream neurology, lacking any rival physiological explanation, for a time tended to entertain a definite role for such beliefs, at least in some cases. However, such a theory involving outre concepts of repressed, guilt-ridden sexual drives as an explanation of the behavioral aspects of narcolepsy-cataplexy, of necessity simply added to the burdens of the sufferer. For it became clear that the condition by itself produced enough psycho-social problems without further adding to them. This historical note details the persistence of this misconceived theory up to the later decades of this century, and the burden that it placed upon those who suffered from this condition.