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Abstract

Objectives: Syphilis has changed the course of history, shaped the path of medicine and had more influence on psychiatry than any other illness. This paper, part one of a two-part series, investigates the historical, social and cultural aspects of the interaction of syphilis and psychiatry.

Conclusion: Syphilis did not manifest as a psychiatric illness until the French Revolution. At the time, the Pinel School was focussing on the environment and moral therapy. Bayle, who made the first discovery of the cause of a psychiatric disease – chronic arachnoiditis – paid the price for his discovery by being driven from psychiatry. The 19th century led to the rise of a new medical polymath: the syphilologist – a specialist in every aspect of a disease that showed a remarkable capacity to affect every organ and tissue in the body and produce symptoms resembling other illnesses. The field was dominated by Frenchmen, Philippe Ricord and Alfred Fournier, and Englishman Jonathan Hutchinson. A middle-class illness, neurosyphilis struck at the heart of the class interests – property. This reeked havoc with the family business or finances, causing considerable distress to their relatives. General paresis of the insane became associated in the public eye with creative, intellectual or philosophical activity. It affected a long list of artists, writers and musicians, including Oscar Wilde, Robert Schumann, Baudelaire, Schubert and Ivan the Terrible. While the features of syphilis were delineated, confirmation remained elusive and neurosyphilis continued to hide its secrets. It remained the grand cause that defined psychiatry and it was not until the middle of the 20th century that it ceased to play a part in the daily life of doctors in psychiatric wards.

Keywords

history psychiatry syphilis

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References

Carmichael

. Syphilis and the Columbian exchange: was the disease really new? Marques

Cule

. The Maritime Discoveries and World Health. Lisbon: Ecola Nacional de Saude Publica 1991–187–200–

Guerra

. The dispute over syphilis. Europe versus America. Clio Med 1978; 13: 39–61–

Baker

Armelagos

. The origin and antiquity of syphilis: paleopatholgoical diagnosis and interpretation. Current Anthropology 1988; 29: 703–707–

Meyer

Jung

Kohl

Poenicke

Poppe

Alt

. Syphilis 2001 – a palaeopatho-logical reappraisal. Homo 2002; 53: 39–58–

Disease and fashion. British Medical Journal 2005; 331: 554–

Ross

. Syphilis, mysogyny, and witchcraft in 16th-century Europe. Current Anthropology 1995; 36: 333–337–

Shorter

. What can two historical examples of sexually-transmitted diseases teach us about AIDS? Dyson

. Sexual Behavior and Networking: Anthropological and Socio-cultural Studies on the Transmission of HIV. Liege, Belgium: Editions Derouaux-Ordina 1992; 49–64–

Porter

. Quacks: Fakers & Charlatans in Medicine. Stroud: Tempus 2003–

Hare

. The origin and spread of dementia paralytica. J Ment Sci 1959; 105: 594–626–

10.

Henry

. Organic mental diseases. Zilboorg

. History of Medical Psychology. New York: W. W. Norton & Company 1967; 526–

11.

Shorter

. A History of Psychiatry: From the Era of the Asylum to the Age of Prozac. London: Wiley 1998–

12.

Kraepelin

. General Paresis. Authorized English translation by JW Moore New York. The Journal of Nervous and Mental Disease Publishing Company 1913–

13.

Duffy

. General Paralysis of the Insane: Neuropsychiatry's First Challenge. Journal of Neuropsychiatry 1995; 7 (2) 243–9–

14.

Esquirol

JED

. Des maladies mentales considërêes sous les rapports medical, hygienique et mêdico-lêgal. Paris Balliere (1850) quoted in Brown EM. French Psychiatry's Reception of A. L.J. Bayle's Discovery of General Paresis of the Insane. Bulletin of the History of Medicine, Summer 1994 68: 235–253–

15.

Kligfield

. Laennec and the discovery of mediate auscultation. Am J Med 1981; 70: 275–278–

16.

Brown

. French psychiatry's reception of A. L.J. Bayle's discovery of general paresis of the insane. Bulletin of the History of Medicine 1994; 68: 235–253–

17.

Ackerknecht

. A Short History of Psychiatry. New York: Hafner 1968–

18.

Brown

(2005). Personal Communication–

19.

Dowbiggin

. Back to the future: Valentin Magnan, French psychiatry, and the classification of mental diseases, 1885–1925. Soc Hist Med 1996; 9: 383–408–

20.

Hunter

. Syphilis in the illness of John Hunter. J Hist Med Allied Sci 1953; 8: 249–262–

21.

Nitrini

. The cure of one of the most frequent types of dementia: a historical parallel. Alzeimher Disease & Associated Disorders 2005; 19: 156–158–

22.

Waugh

. Alfred Fournier, 1832–1914. His influence on venereology. Br J Vener Dis 1974; 50: 232–236–

23.

Brown

. Why Wagner-Jauregg won the Nobel Prize for discovering malaria therapy for General Paresis of the Insane. History of Psychiatry 2000; 11: 371–382–

24.

Crissey

Parish

. The Dermatology and Syphilology of the Nineteenth Century. New York: Preaeger 1981–

25.

Quétel

. History of Syphilis. Baltimore: Johns Hopkins University Press 1992–

26.

Shorter

. Private clinics in Central Europe 1850–1933. Soc Hist Med 1990; 3: 159–195–

27.

Shorter

. Women and Jews in a private nervous clinic in late nineteenth-century Vienna. Med Hist 1989; 33: 149–183–

28.

Roos

. Neurosyphilis. Semin Neurol 1992; 12: 209–212–

29.

Deborah Hayden. Pox: Genius, Madness, and the Mysteries of Syphilis. New York: Basic Books 2003–

30.

Carol

Diethe

. Nietzsche's Sister and the Will to Power: A Biography of Elisabeth Förster-Nietzsche. International Nietzsche Studies Series. Urbana and Chicago: University of Illinois Press 2003–

31.

Sax

. What was the cause of Nietzsche's dementia? J Med Biogr 2003; 11: 47–54.

32.

Schain

. The Legend of Nietzsche's Syphilis. Contributions in Medical Studies, no. 46–Westport: Greenwood Press 2001–

33.

Orth

Trimble

. Friedrich Nietzsche's mental illness – general paralysis of the insane vs. frontotemporal dementia. Acta Psychiatr Scand 2006; 114: 439–4–

34.

Lerner

Finkelstein

Witztum

. The enigma of Lenin's (1870–1924) malady. Eur J Neurol 2004; 11: 371–376–

35.

Kaplan

. Did Hitler have syphilis? A reply to Retief and Wessels. South African Medical Journal 2006; 96: 782–786–

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Syphilis,Sex and Psychiatry,1789–1925: Part 1

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