Madhouse: A Tragic Tale of Megalomania and Modern Medicine

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Madhouse: A Tragic Tale of Megalomania and Modern Medicine
AuthorAndrew Scull
CountryUnited States
LanguageEnglish
Subject
PublisherYale University Press
Publication date
2005
Pages376
ISBN978-0-300-10729-6

Madhouse: A Tragic Tale of Megalomania and Modern Medicine is a 2005 book by the psychiatric sociologist Andrew Scull which discusses the work of the controversial psychiatrist Henry Cotton at Trenton State Hospital in New Jersey in the 1920s.

Cotton became convinced that insanity was fundamentally a toxic disorder and he surgically removed body parts to try to improve mental health.[1] This often began with the removal of teeth and tonsils:

An 18 year-old girl with agitated depression successively had her upper and lower molars extracted, a tonsillectomy, sinus drainage, treatment for an infected cervix, removal of intestinal adhesions—all without effecting improvement in her psychiatric condition. Then the remainder of her teeth were removed and she was sent home, pronounced cured.[1]

Scull argues that Cotton's obsession with focal sepsis as the root cause of mental illness "persisted in spite of all evidence to the contrary and the frightening incidence of death and harm from the operations he initiated".[1] Cotton's approach attracted some detractors, but the medical establishment of the day did not effectively renounce or discipline him.[1]

One reviewer called Madhouse "a fine piece of historical research with a modern relevance", and added that "it makes compelling reading".[1]

Reviews[edit]

The book was reviewed in Psychiatric Services,[2] The Journal of Nervous and Mental Disease,[3] History of Psychiatry,[4] BMJ,[5] The Journal of the American Medical Association,[6] Canadian Medical Association Journal,[7][8] The New England Journal of Medicine,[9] Bulletin of the History of Medicine,[10] Journal of the History of Medicine and Allied Sciences,[11] Journal of Social History,[12] Journal of American History,[13] London Review of Books,[14] The Times Literary Supplement,[15] The New York Times,[16] and other publications.[1][17][18][19]

See also[edit]

References[edit]

  1. ^ a b c d e f Freckelton, Ian (1 November 2005). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". Psychiatry, Psychology and Law (Book review). 12 (2): 435–438. doi:10.1375/pplt.12.2.435. S2CID 219728333.
  2. ^ Geller, Jeffrey (1 July 2006). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". Psychiatric Services. 57 (7): 1054–1055. doi:10.1176/appi.ps.57.7.1054. PMC 558112.
  3. ^ Charuvastra, Anthony (July 2006). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". The Journal of Nervous and Mental Disease. 194 (7): 553–554. doi:10.1097/01.nmd.0000224947.31227.fb.
  4. ^ Gladstone, David (December 2006). "Book Review: Madhouse: A Tragic Tale of Megalomania and Modern Medicine" (PDF). History of Psychiatry. 17 (4): 499–500. doi:10.1177/0957154X0606072901. S2CID 72200486.
  5. ^ Double, DB (28 May 2005). "Book Review: Madhouse: A Tragic Tale of Megalomania and Modern Medicine". BMJ. 330 (7502): 1276. doi:10.1136/bmj.330.7502.1276. PMC 558112.
  6. ^ Hirshbein, Laura (24–31 August 2005). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". The Journal of the American Medical Association. 294 (8): 968–969. doi:10.1001/jama.294.8.968-b.
  7. ^ Warme, Gordon (3 January 2006). "A cautionary tale. Madhouse: a tragic tale of megalomania and modern medicine". Canadian Medical Association Journal. 174 (1): 68. doi:10.1503/cmaj.051016. PMC 1319358.
  8. ^ Deshauer, Dorian (26 May 2009). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". Canadian Medical Association Journal. 180 (11): 1139. doi:10.1503/cmaj.081925. PMC 2683237.
  9. ^ Michel, Robert (3 November 2005). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". The New England Journal of Medicine. 353: 1980–1981. doi:10.1056/NEJM200511033531824.
  10. ^ Brown, Edward (Fall 2006). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine (review)". Bulletin of the History of Medicine. 80 (3): 597–598. doi:10.1353/bhm.2006.0086. S2CID 70360485.
  11. ^ Moran, James (April 2007). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine (review)". Journal of the History of Medicine and Allied Sciences. 62 (2): 262–264. doi:10.1093/jhmas/jrl055.
  12. ^ Gollaher, David (Summer 2006). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine (review)". Journal of Social History. 39 (4): 1221–1223. doi:10.1353/jsh.2006.0038. S2CID 142665783.
  13. ^ Dwyer, Ellen (2006). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". The Journal of American History. 93 (1): 253–254. doi:10.2307/4486164. JSTOR 4486164.
  14. ^ Barham, Peter (18 August 2005). "Elimination. Madhouse: A Tragic Tale of Megalomania and Modern Medicine". London Review of Books. 27 (17): 22.
  15. ^ Freeman, Hugh (2 September 2005). "Infectious lunacy. Madhouse: A Tragic Tale of Megalomania and Modern Medicine". The Times Literary Supplement.
  16. ^ McGrath, Patrick (29 May 2005). "'Madhouse': Nonelective Surgery". The New York Times.
  17. ^ Fink, Max (September 2005). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". The Journal of ECT. 21 (3): 191–193. doi:10.1097/01.yct.0000181118.17443.c6.
  18. ^ Prior, Pauline (2006). "Madhouse: A Tragic Tale of Megalomania and Modern Medicine". Social History of Medicine. 19 (1): 150–152. doi:10.1093/shm/hkj010.
  19. ^ Meyer, Charles (January 2007). "Brilliance or Brutality? Two stories of 20th century physicians who thought they could surgically rid their patients of mental illness". Minnesota Medicine. 90 (1).