Elliott, Carl, 83, 90
emergency room:
author’s experience with, 19–23, 97–99, 163–69, 190, 207
patient evaluation for, 3–6, 20–23, 99, 101–2, 125, 137–38, 163–65
treatment protocol for, 172–73
endoscopies, 24–25, 31, 58–59
enucleation, 33–34
epileptic seizures, 143, 170–71, 173–74, 177–79
euphoria:
malignant potential of, 106–9, 131–32
spiritual state of, 12, 101–7, 109
see also Colin
Euripides, 135
evaluation, author’s procedure for, 5, 7–8, 20–23
executions, 52
exorcism, 201
exposure therapy, 158–59
eyes, self-removal of, 33–34
face, in BDD, 71, 72
fainting, mass, 196–97
Favazza, Armando, 33–37
fear:
author’s experiences of, 93–96, 131, 149–52, 182, 215
of doing harm, 135–40, 159
heightened senses in, 6
plans vs., 158
in schizophrenia, 116
female genital self-mutilation, 34
fetters, in hospitalization, 16
filicide, 140–44, 208
classification in, 141–43
motivation for, 160–61
in nature, 153–54
risk matrix for, 156–57
stress and, 150–54, 155
finger foods, 20–21, 28
fingers, in BDD, 73
Florence syndrome, 121–23
“foreign body,” 32, 52
Foscolo, Ugo, 123
Fourth Amendment rights, 124–25
Fra Angelico, 122
Frankel, David, 53
Freiburg, University of, 189
Freud, Sigmund, 45
Friedrichs, Dr., 25
From Paralysis to Fatigue: A History of Psychosomatic Illness in the Modern Era (Shorter), 84, 181, 188
Frost, Robert, 19–20, 64
frostbite, 86, 88
Furth, Gregg, 84, 85
Gabbard, Glen, 52
gag reflex, 10, 16
Galen, 185–86
gangrene, 85
gastroenterology, 19–20, 25
gender dysphoria (gender identity disorder; transsexualism), 85
gender reassignment, 87
genetics, in mental illness, 78
genital massage, 185–88
genius, madness and, 110–13
Georgia, 105
Germany, 201
Gloria (movement disorder patient), 193–96
Gnarls Barkley, 97
God, in religious delusions, 34–35, 117, 131
Goodell, William, 186
Grandier, Urbain, 200–201
Great Britain, 78–79, 154–55
hysterical men in, 185
grief, dissociation in, 52–53
Guardian, 118
gynecology, 188–89
Haines, Janet, 50–51
hair, in BDD, 75
hair pulling, 36
Halim, Nadia, 121–22
hallucinations, 33, 35, 56, 59, 146–47, 166
hallucinogens, 103, 124
hand, self-amputation of, 56–60
Handel, George Frideric, 110, 111
Harlow, Margaret and Harry, 48–49
Harrington, Colin, 48
Harvey, William, 184
head banging, 36, 49, 170, 173
health insurance companies:
clinical decisions influenced by, 14
economics of, 30, 62, 74, 89, 99, 175
shortcomings of, 56, 62–64
Hegar, Alfred, 189
helplessness, 202–3, 210–11
Hemingway, Ernest, 110
Henry (nurse), 5–10, 196
Highmore, Nathaniel, 187
Hinduism, 118
Hippocrates, 177, 185
homelessness, 127–28
homicide, 21
of father, 15
homosexuality, as motivation for self-amputation, 35
hope, in BDD, 76–81
Hôpital Sainte-Anne, 121
hospitalization:
admission to, 14, 37, 164–75
involuntary, 12, 104–6, 163
role of, 27
Hudson River, 155–56
hugging, Amma’s use of, 118
humor, as coping mechanism, 42–43, 86–87, 100–101, 106
hurricane, as metaphor for life trauma, 93–96
hygiene, 4, 121, 124
hyperstates, 106
hypnotism, 192
hysterectomies, 189
hysteria, 184–89, 190–92
mass, 196–203
Hysterical Men (Micale), 185
“hysterical paroxysm,” 185
hystero-epilepsy, 191
iatrogenic harm, 177
“imagined ugliness,” 69
Imlin’sche family, 198
“In a Dark Time” (Roethke), 208
India, 118–19, 198, 199
infanticide, 141–43
laws pertaining to, 154–55
Infanticide Act (British; 1922), 155
infection, 21
inferiority, 78
infidelity, projection in, 45–46
intentional ingestion, 19–33, 42–43, 75, 207
items swallowed in, 23–24, 25, 27–29, 31–32, 42–43, 208
self-injury by, 12, 21–29
see also Lauren
Internet, 117
interpersonal conflict, 50
intubation, 177, 178
“Iron Rations: Fakirs Swallow Swords, but Amateurs Take Cake Lunching on Hardware,” 42
isolation:
body image in, 69, 71
desire for, 11, 16
early, 48–49
in filicide, 155
social, 194–95
Israel, 119–21
Jamison, Kay Redfield, 112
Jane 5 ward, 44
Japanese tourists, 121
Jehovah’s Witnesses, 90
Jerusalem syndrome, 119–21
Jesus Christ:
Colin and, 97–98, 101
delusions involving, 34, 56, 59, 120
Jim and Wendy (author’s neighbors), 95
Joan of Arc, 130
Johnson, Eric Michael, 150, 153–54
José (mental health worker), 190
Joseph (catatonic patient), 3–11, 12, 16–17, 196, 207, 208
Journal of Abnormal Psychology, 50
Journal of Applied Philosophy, 88
Journal of Clinical Psychiatry, 34
Journal of Hand Surgery, 86
Journal of Neurological Sciences, 92
Journal of Neurology, 178
Julie (BDD patient), 74–75, 86
Justice Department, U.S., 141
Kalogjera-Sackellares, Dalma, 176, 182–83
Kay (grandmother’s friend), 114
Kleeman, Jenny, 118
Klein, Melanie, 45
kleptomania, 37
koro, 198–99, 202
labor, 74
LaFrance, W. Curt, Jr., 176–83, 193–96, 203, 208
Lauren (intentional ingestion patient), 19–33, 207
causes for disorder of, 50–51, 54–55, 56
as chronically returning patient, 19, 29, 31, 43–44, 54, 60–62
compared with amputation patient, 58–59
failure of health care system for, 62–64
family background of, 55
hostility of, 21–23, 38–44, 46–47, 60
projective identification as response to, 46–47, 50
superficial/moderate self-mutilation in, 36–37, 59
treatment strategy for, 31–33, 37–38, 51, 54–55, 56, 59–64
Lee, Nathaniel, xi
Levy, Neil, 87–89
Lidofsky, Diana, 53
lightbulbs, 19, 21–23
Literary Digest, 42–43
Little Green Men, Meowing Nuns, and Head-Hunting Panics (Bartholomew), 198
London Eye, 149
loss, death and, 209–11, 215
Loudun, France, 200
Lowell, Robert, 107, 110
“lunatics,” 13
Macbeth (Shakespeare), 1
McGeoch, Paul D., 92–93
McKee, Geoffrey R., 156–57
Mad Pride, 110
“Mad Tourists” (Halim), 121–22
Maestripieri, Dario, 152–53
Magherini, Graziella, 122–23
“magical genital loss,” 199–200
magnetoencephalography, 92
Maines, Rachel, 186–88
major self-mutilation, 33–35, 59
malingering, 8–9, 180–81
managed care, see health insurance companies
mania, 127–28, 130
depression and, 106–7
manslaughter, vs. murder, 155
marijuana, 21, 103
Martha (tourist), 122
Mary, Virgin, 34
mass psychogenic illness:
causes of, 202–3
examples of, 196–202
“Maternal Filicide Risk Matrix,” 156–57
Matthew, Book of, 33, 67, 207
Mayo Clinic, 72
Medea (Euripides), 135, 142
media, images of perfection in, 78
Medical and Behavioral Treatment Plan, 26–28
medication:
effective, 30, 125–26
ineffectiveness of, 29–30, 88, 145
for mental illness, 16, 23, 29, 103–4, 119, 130–32
misuse of, 127–28
patient volition and, 12, 104, 105, 108, 163
reliable use as important in, 31, 67, 79, 107, 116
in seizure threshold, 171
side effects of, 31
see also specific drugs
medicine:
author’s evolving perception of, 1–2
“cover your ass” (CYA) approach in, 165
ethical issues in, 14, 25, 56–60, 85, 87–93, 104–6, 119, 125–27, 131–32
financial issues in, 14, 16, 29
hierarchies of decision making in, 164–75
intersection of psychiatry and, 163–205
judgment calls in, 128–30
omission vs. commission in, 58–59
potential treatment hazards in, 177
shortcomings of, 17, 46–47, 77
see also doctors; specific disciplines
meditation, 17
medulla, 10
Melancholy, 15
memories, personal, 13
memory loss, 8
men, and hysteria, 184–85, 189
mental illness:
dangers of undertreatment of, 107–8
drug use in, 7
ethical issues in, 56–60, 131–32
historical treatment and mistreatment of, 13–17, 188–89, 190–93, 197–98, 200–201
importance of correct diagnosis in, 12, 146–47, 157–58, 166, 176–77, 182
interdisciplinary conference on, 109–13
myth of romantic madness in, 15, 110–13, 132
onset of, 115–16
perceptual acuity in, 39–41, 136
physical illness vs., 93, 129–30
social circumstances vs., 29–30
subjects as “spectacles” in, 15, 190–93, 201–2
see also specific disorders
mental retardation, 35
Messiah (Handel), 111
Mexico, 85
Micale, Mark, 185
Michigan, author’s fondness for, 65, 114, 147, 212, 213
midwives, 186–87
migraines, 11
mind:
as domain of psychiatry, 11–12, 17
intersection of body and, 12, 163–205, 207
mysteries of, 12
minimal engagement, 4
mirrors, obsession with, 68–70, 80
misdiagnosis:
dangers of, 12
of depression, 30
Missouri, University of, 33
mockingbirds, 114–15
Molière, 163
Monica (manic patient), 127–28
monkeys:
bonding research on, 48–49, 55
cortisol and stress in, 152–54
Monro, Thomas, 16
Montross, Christine:
contemplation of hard questions by, 1–3, 16, 17, 90–91, 93, 112–14, 117, 119, 126–33, 147–53, 203, 207–16
doubts and unease of, 1–3, 16, 17, 38–42, 44–47, 61–65, 77, 90–91, 108–9, 110, 116, 131, 160–61, 165, 168, 170–75, 180, 182, 212, 215
evolving perceptions of, 1–2, 12–13, 207–16
grandmother of, 114–15
hurricane experience of, 93–96
mission of, 2–3, 39–40, 106
motherhood of, 6, 12–13, 61, 65, 82, 93–95, 114, 130, 133, 147–53, 164, 203–5, 213–16
parents of, 148, 211
partner of, see Deborah
presentation on theme of madness by, 109–13
psychiatry as career choice of, 2–3, 19, 167–68, 208, 212
residency of, 3, 19, 39, 67, 72, 99, 163, 207
as risk-averse, 164–65
mood disorders, 30
mood stabilizers, 29
Morselli, Enrico, 69–70
mortification, 200
Mother Nature (Blaffer Hrdy), 153–54
mothers:
fears of, 149–53
harming of children by, 135–61
murders by, 141–44
movement disorders, 176, 193–96, 202
Mrs. Dalloway (Woolf), 111
Munch, Edvard, 110
Munthe, Axel, 192
murder:
manslaughter vs., 155
of one’s own children, see filicide; infanticide
mutilators, 51
mystics, 12
nail biting, 36
Nancy (paranoid schizophrenic patient), 124–26
Natchez, Miss., 197
natural selection, 150, 153
nausea, induced, 16
neglect:
child, 53–54
in predisposition for self-injury, 47–48
neonaticide, 141–43
nerves, 11
“nervous breakdowns,” 185
Nervure, 121
neurological examination, 5–7
symptom validity tests in, 8–10
neurology:
BIID origins in, 91–92
intersection of psychiatry and, 11–12, 172, 175–84
neuropsychiatry, 176–84, 193
Neuropsychology Review, 92
New York, State University of, Buffalo, 117
New York State, 202
New York Times, 30, 118, 122, 196
New York Times Magazine, 202
New Zealand, 155
Nigeria, 199–200
nipples, in BDD, 73
nonhuman primate research, 48–49
nonmutilators, 51
&n
bsp; nonsuicidal self-injury, 35
Northwestern University, 189
noses, in BDD, 72, 74–75, 86
nuns, 200–202
nurses:
briefing role of, 3, 169
functions of, 20, 169–70, 174
resentment felt by, 37–38, 46, 174, 182, 190
object relations theory, 45
Observationum et Curationum Medicinalium ac Chirurgicarum, Opera Omnia (van Foreest), 186
obsession:
in BDD, 67–81
in BIID, 90
command hallucinations vs., 146–47
of harming child, 135–40, 152, 158
obsessive-compulsive disorder, 36, 147, 158–60
see also Anna
ocean, as metaphor for life, 212–14
O’Connor v. Donaldson, 105
Ojibwa tribe, 201–2
“ominous extravagance,” 106
One Flew Over the Cuckoo’s Nest, 105, 107
opiates, 7, 165, 180
natural occurrence of, 50–51
orgasm, as treatment for hysteria, 185–88
Osiris, 15
ovarian compressor belt, 192
ovaries, 189, 192
Oxford English Dictionary, The, 69, 83
pain:
assessing of, 9
in BDD, 73–75
as deterrent to self-injury, 33
distancing from, 179
as evaluative tool, 5–6, 8, 10
lack of sense of, 35, 50–51
as penance, 34, 200
physical vs. psychic, 21–23, 47, 75, 86, 202, 208
physiological response to, 6
in psychogenic disorders, 181
paralysis, 9
paranoia, 15, 109, 115, 122, 123, 124–26, 143, 163
paraphilias, 83
parent-infant bonding:
in attachment theory, 53
research on, 48–50
parenting:
author’s experience of, 6, 12–13, 61, 65, 82, 93–95, 114, 130, 133, 147–53, 164, 203–5, 213–16
psychiatry compared with, 13
research on, 48–49
parietal lobe, 92–93
Paris, 190
Paris syndrome, 121
paternalism, 104
patients:
abiding with, 12, 136
antagonistic stance of, 21–23, 38–43
autonomy issues and, 12, 89–90, 104–6, 119, 125–27, 163
briefing routine for, 3–4
as chronically returning, 4, 14, 23–24, 99, 157, 164
classification of, 14
doctors duped by, 6, 136, 170–75, 180–84
“gravely disabled,” 105
as imposters, 182–84
nonjudgmental relationship to, 181–82
palliative measures vs. cures for, 26
premature discharging of, 14, 23
resentment engendered by, 37–38, 42–45
self-perception of, 102, 103
self-reporting by, 50
sense of loss in, 209–11
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