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Author Hanganu-Bresch, Cristina, author

Title Diagnosing madness : the discursive construction of the psychiatric patient, 1850-1920 / Cristina Hanganu-Bresch & Carol Berkenkotter
Published Columbia, South Carolina : The University of South Carolina Press, [2019]

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Description 1 online resource (xii, 180 pages)
Series Studies in rhetoric/communication
Studies in rhetoric/communication
Contents Introduction: diagnosing madness-imagining the psychiatric patient, 1850-1920 -- The patient as a psychiatric and legal subject in nineteenth-century America: between norm and normal -- Wrongful confinement in late nineteenth-century fiction: sensation, fact, public fear, and compond rhetorical situations -- From admissions records to case notes: the illocutionary power of occult genres -- Narrative survival: personal and institutional accounts of asylum confinement -- Symptoms in search of a concept: a case study in psychiatric enregisterment -- Conclusion -- Appendix 1 Henrietta Unwin's medical certificates and case note excerpts from her 1866 and 1867 Ticehurst hospitalizations -- Appendix 2 List of Baldwin's hospitalizations at Ticehurst -- Notes -- Bibliography -- Index
Summary "Diagnosing Madness is a study of the linguistic negotiations at the heart of mental illness identification and patient diagnosis. Through an examination of individual psychiatric case records from the late nineteenth and early twentieth centuries, Cristina Hanganu-Bresch and Carol Berkenkotter show how the work of psychiatry was navigated by patients, families, doctors, the general public, and the legal system. The results of examining those involved and their interactions show that the psychiatrist's task became one of constant persuasion, producing arguments surrounding diagnosis and asylum confinement that attempted to reconcile shifting definitions of disease and to respond to sociocultural pressures. By studying patient cases, the emerging literature of confinement, and patient accounts viewed alongside institutional records, the authors trace the evolving rhetoric of psychiatric disease, its impact on the treatment of patients, its implications for our contemporary understanding of mental illness, and the identity of the psychiatric patient. Diagnosing Madness helps elucidate the larger rhetorical forces that contributed to the eventual decline of the asylum and highlights the struggle for the professionalization of psychiatry."-- Provided by publisher
"This book is the result of years of research spent in archives and libraries on two continents in an attempt to decipher the textual footprints of asylum patients. Some of the results of this research have already been published in Carol Berkenkotter's book Patient Tales: Case Histories and the Uses of Narrative in Psychiatry, as well as in various journals. Here, we focus on tracing not just the patients' medical histories but also their life stories before they became patients and after they were discharged. We find that the diagnosis event is the watershed moment in their lives, and so we are looking for the textual--and textural--makeup of this decision. This was our own version of "starring the text," in the words of Alan Gross, of placing rhetorical analysis of the written word at the center of the web of cultural practices that made asylums possible in the nineteenth century; thus, we observe firsthand the psychiatric argumentation practices that led to diagnosis and the patients' efforts to counter those arguments. For a while we inhabited a world of fading calligraphy inscribed in esoterically paginated dusty tomes, amalgamated genres that also hosted occasional patient letters and artifacts (drawings, paintings, diagrams, objets d'art sometimes engraved in what appeared to be the patient's own blood). Whenever possible, case notes, certificates, and private correspondence were copied, transcribed, and analyzed (in some instance coded); and while we used various analytical frameworks, for the most part we let the texts guide us to what we hoped to be intelligible, plausible approximations of the embodied experience of mental illness for those who found themselves in an asylum"-- Provided by publisher
Bibliography Includes bibliographical references and index
Notes Description based on online resource; title from digital title page (viewed on August 19, 2019)
Subject Psychiatry -- Case studies -- History -- 19th century
Psychiatry -- Case studies -- History -- 20th century
Mentally ill -- History
LANGUAGE ARTS & DISCIPLINES / Rhetoric.
MEDICAL / Psychiatry / General.
Mentally ill
Psychiatry
Genre/Form History
Form Electronic book
Author Berkenkotter, Carol, author
LC no. 2019009249
ISBN 9781643360263
1643360264