By Lilian R Furst
Strains portrayals of psychocomatic problems in clinical and resourceful literature of the 19th and 20th centuries.
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Extra resources for Idioms of Distress: Psychosomatic Disorders in Medical and Imaginative Literature
Example text
The imperative for speed in delivering immediate care is likely to result in the setting aside of any investigation of the patient’s psychological style and social environment in favor of more urgent needs. The biopsychosocial model becomes wholly appropriate, however, in the context of Barbour’s Diagnostic Clinic, to which the cases most resistant to diagnosis are referred and where rapidity is no longer a primary concern. Whatever the obstacles to the application of the biopsychosocial model in the emergency room, it is without doubt ideally suited to the analysis of illness in literary characters.
Are they a source of pleasure or of worry to their grandparents? Does Mr. or Mrs. Glover have an aged parent who imposes the strain of constant vigilance as well as a financial drain? These various facets of Mr. Glover’s social context and psychological profile could be depicted in a literary work to fill out his entire history leading up to the heart attacks. His life would be interpreted as a series of responses at crucial junctures, largely conditioned by his upbringing, his previous experiences, and his disposition.
The inexplicable sequelae of railroad accidents are classic examples of psychosomatic conversion reactions, although this was not understood at the time. Still, physicians concluded that these passengers had been traumatized, and their hurt was becoming manifest in a figurative manner. This conclusion amounted by implication to the concession that mind and body were somehow connected. How this connection took place was of intense fascination to the British physician Daniel Hack Tuke (1827–95). In his monumental volume Illustrations of the Influence of the Mind upon the Body in Health and Disease, Designed to Elucidate the Action of the Imagination (1872) Tuke discusses multiple examples of mystifying bodily manifestations.