By Jonathan Andrews
This e-book is a full of life remark at the eighteenth-century mad-business, its practitioners, its sufferers (or "customers"), and its consumers, seen during the particular lens of the non-public case e-book saved via the main well-known mad-doctor in Augustan England, Dr. John Monro (1715-1791). Monro's case publication, comprising the doctor's jottings on sufferers he observed during his inner most practice--patients drawn from an outstanding number of social strata--offers a unprecedented window into the subterranean international of the mad-trade in eighteenth-century London.The quantity concludes with a whole variation of the case ebook itself, transcribed in complete with editorial annotations through the authors. within the fragmented tales Monro's case publication presents, Andrews and Scull discover a poignant underworld of human mental misery, a few of it unusual and a few rather general. They position those "cases" in a true international the place John Monro and othersuccessful medical professionals have been working towards, to not say inventing, the prognosis and therapy of insanity.
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Extra resources for Customers and Patrons of the Mad-Trade: The Management of Lunacy in Eighteenth-Century London, With the Complete Text of John Monro's 1766 Case Book
By and large, however, its language is rather detached. In contrast to some other early modern case books, such as that of John Hall (which is almost exclusively confined to cases with successful outcomes),32 there is little evidence of selectivity in the cases described and presented by Monro. The nonrecovery or death of a substantial number of patients (as well as the restitution of others) is faithfully recorded, even if for some the outcome remains unrecorded and hence a mystery. Monro is at times critical and dismissive of the information that patients and their friends provide to him, but at others is rather noncommittal or nonjudgmental in the observations he makes, displaying a concern to report accurately what he heard and saw.
Bevan, a well-traveled clerk to the established and reputable London merchant company Messrs. Drake and Long. Some of his customers, though, were from distinctly humble backgrounds, including servants and even slaves. Among the sizable number referred to as “poor,” at least some must have been in the service of relatively well-off families who presumably paid for their treatment, while a number of others in distressed circumstances appear to have suffered rather dramatic reversals in their fortunes, either precipitated by or precipitating their mental troubles.
Qxd 8/12/2002 9:13 AM Page 28 Chapter 3 Profiling Patients and Patterns of Practice WHO WERE THE CUSTOMERS? 1 On the one hand, Monro’s case book reveals, as one might expect, that a significant number of his clients came from the “respectable,” moneyed classes, including merchants, lawyers, journalists, and established tradesmen. 2 At still higher levels of the social hierarchy, his services were sought by members of the aristocracy. 5 Not surprisingly, there is no evidence that Monro ever felt the need to advertise his services, something that was disdained as the method of quacks, itinerants, and tradesmen.