Making Distinctions: The Contribution of Hector Landouzy to Differential Diagnosis in Relation to Hysteria and Epilepsy

Hector Landouzy (1818-1864) is known for his Traité Complet de l'Hystérie (1846), which was crowned by the Académie de Médecine, but this work is not given much importance in historical accounts. It deserves more attention because it was more than an orthodox statement about the nature of hysteria. In the context of the diagnostic confusion between epilepsy and hysteria, it introduced a method of presenting criteria to facilitate diagnosis. An examination of French authors on epilepsy and hysteria in the second half of the nineteenth century suggests that this method probably set the example which was to be followed by later clinicians, including Charcot at the Salpêtrière.     

Titus's Tinnitus

Historical approaches to tinnitus have depended highly on cultural factors. While ancient Oriental mysticism regarded it as sensitivity to the divine, Roman medicine associated it with depressive and seizure disorders on the basis of presumed common pathophysiology shared by the three conditions. In the Babylonian Talmud, tinnitus appears as Titus's curse: a gnat buzzing in the brain, responding to sound therapy, and then habituating. Various sources show varied emphases with common attention for contextual and emotional aspects that have become an important focus in modern management of tinnitus.     

Georg Friedrich Handel's strokes*

Abstract

Although there is no definite proof, it seems most likely that Georg Friedrich Handel suffered from cere‐brovascular disease, which caused two or three minor strokes and weakness of his eyesight in his last years. His etiologically important risk factors and the symptoms of Handel's strokes are presented and evaluated by primary sources; various diagnoses are discussed. In Handel's musical work, no direct impact from his illness can be found, but there are some indirect outflows of Handel's pathography on his compositions, especially the Messiah.     

Cajal's Brief Experimentation with Hypnotic Suggestion

Spanish histologist Santiago Ramón y Cajal, one of the most notable figures in Neuroscience, and winner, along with Camillo Golgi, of the 1906 Nobel Prize in Physiology or Medicine for his discoveries on the structure of the nervous system, did not escape experimenting with some of the psychiatric techniques available at the time, mainly hypnotic suggestion, albeit briefly. While a physician in his thirties, Cajal published a short article under the title, “Pains of labour considerably attenuated by hypnotic suggestion” in Gaceta Médica Catalana. That study may be Cajal's only documented case in the field of experimental psychology. We here provide an English translation of the original Spanish text, placing it historically within Cajal's involvement with some of the key scientific and philosophical issues at the time.     

Magic Bullets for Mental Disorders: The Emergence of the Concept of an “Antipsychotic” Drug

When “antipsychotic” drugs were introduced into psychiatry in the 1950s, they were thought to work by inducing a state of neurological suppression, which reduced behavioral disturbance as well as psychotic symptoms. This view was reflected in the name “neuroleptic.” Within a few years, however, the idea that the drugs were a disease-specific treatment for schizophrenia or psychosis, and that they worked by modifying the underlying pathology of the condition, replaced this earlier view, and they became known as “antipsychotics.” This transformation of views about the drugs' mode of action occurred with little debate or empirical evaluation in the psychiatric literature and obscured earlier evidence about the nature of these drugs. Drug advertisements in the British Journal of Psychiatry reflect the same changes, although the nondisease-specific view persisted for longer. It is suggested that professional interests rather than scientific merit facilitated the rise of the disease-specific view of drug action. The increasing popularity of atypical antipsychotics makes it important to examine the origins of the assumptions on which modern drug treatment is based.     

Did Herbert Spencer Have Reading Epilepsy?

Herbert Spencer, the nineteenth-century philosopher, has frequently been dismissed as a “fantastical hypochondriac” (as his most recent biographer, Mark Francis, terms him). Yet he left a record in his Autobiography of symptoms that suggest a very different diagnosis. Abruptly at age 35, he found that the activity of reading, previously indulged in without difficulty, triggered paroxysmal episodes of disturbing “head-sensations” including “giddiness” (so Spencer described them); these severely curtailed his ability to carry out his philosophical studies. Of all possible explanations for such episodes, none seems as likely as reading epilepsy. Enduring preconceptions about Spencer's presumed neurosesmay have kept modern historians from appreciating that Spencer suffered from a legitimate, if esoteric, neurological malady.     

A Unique Project of Mission: Forty Years on,a Personal Memoire

Fifty years ago, Call to the North was conceived against the background of sectarian terrorism. This was a unique occasion when all the traditional Christian churches of the North of England were engaged in unitedly presenting the Christian faith to the general population. The exercise was led by the Anglican Archbishop of York together with the Roman Catholic Archbishop of Liverpool and Dr John Marsh representing the Free Churches.

The objectives of the exercise, the methods employed, the problems encountered and its eventual outcome in 1973 are outlined, together with an account of the Roman Catholic Archbishop’s strategy of seeking Pope Paul VI’s support to help his traditional dioceses come to terms with the new Vatican thinking of Pope John XXIII and Vatican II.

The account concludes with a reflection on the historic outcome of this unique exercise.     

On Roman Remains Recently Discovered at Headington near Oxford

Plans to redisplay the Bayeux Tapestry raise anew the questions as to where and how it was originally intended to be displayed. Analysis of the linen fabric provides new insights into the tapestry’s design and manufacture, and enables its original length to be calculated. Re-examination of the (largely destroyed) 11th-century cathedral at Bayeux and of its liturgical layout demonstrates that the tapestry would have fitted neatly into the nave west of the choir screen. Its narrative falls into three discrete sections that reflect the way in which it would have been hung within the building, and the arrangement of the scenes takes account of the uneven bay-spacings of the nave arcades and the positions of the doorways. It can therefore be concluded that the tapestry was designed for a particular location within the nave of Bayeux cathedral. The cathedral’s liturgical traditions shed light on the way in which the tapestry would have been viewed in the Middle Ages, and the wider implications for the way in which it could and should be viewed today are briefly considered.     

The Calderstones,Near Liverpool

Abstract

This article is a contribution to the revisionist literature on the monastic orders in late medieval England and their art and architecture. It discusses the visual and material cultures of the Cistercians in northern England in the period immediately before the Dissolution of the Monasteries, demonstrating the enduring popularity of the Order in the late Middle Ages and that patronage of art and architecture continued until the very moment of the Suppression. Evidence is also discussed showing that monks and nuns salvaged property from their houses in the hope that their monasteries would be restored.