Degerman Dan
Lancaster University, UK.
Hist Psychiatry. 2019 Dec;30(4):457-468. doi: 10.1177/0957154X19867059. Epub 2019 Aug 1.
This article revisits the notorious trial of William Windham, a wealthy young man accused of lunacy. The trial in 1861-2 saw the country's foremost experts on psychological medicine very publicly debate the concepts, symptoms and diagnosis of insanity. I begin by surveying the trial and the testimonies of medical experts. Their disparate assessments of Windham evoked heated reactions in the press and Parliament; these reactions are the focus of the second section. I then proceed to examine criticism of psychiatry in the newspapers more generally in the 1860s, outlining the political resistance to psychiatry and the responses of some leading psychiatrists. In conclusion, I consider what this says about the politics of medicalization at the time.
本文重新审视了对威廉·温德姆的那场臭名昭著的审判,他是一名被指控患有精神错乱的富有的年轻人。1861年至1862年的审判见证了该国心理医学领域最杰出的专家们公开辩论精神错乱的概念、症状和诊断。我首先概述一下审判情况以及医学专家的证词。他们对温德姆截然不同的评估在媒体和议会中引发了激烈反应;这些反应是第二部分的重点。然后我接着更全面地审视19世纪60年代报纸上对精神病学的批评,概述对精神病学的政治抵制以及一些顶尖精神病学家的回应。最后,我思考这对当时医学化的政治意味着什么。