Customers and Patrons of the Mad-Trade: The Management of by Jonathan Andrews

By Jonathan Andrews

This booklet is a full of life statement at the eighteenth-century mad-business, its practitioners, its sufferers (or "customers"), and its consumers, seen during the detailed lens of the non-public case e-book stored by way of the main well-known mad-doctor in Augustan England, Dr. John Monro (1715-1791). Monro's case e-book, comprising the doctor's jottings on sufferers he observed during his deepest practice--patients drawn from an exceptional number of social strata--offers a unprecedented window into the subterranean international of the mad-trade in eighteenth-century London.The quantity concludes with an entire variation of the case e-book itself, transcribed in complete with editorial annotations through the authors. within the fragmented tales Monro's case ebook offers, Andrews and Scull discover a poignant underworld of human mental misery, a few of it unusual and a few rather widespread. They position those "cases" in a true global the place John Monro and othersuccessful medical professionals have been practising, to not say inventing, the analysis and remedy 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

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Qxd 8/12/2002 9:13 AM Page 33 Profiling Patients and Patterns of Practice 33 by a cat she supposed “mad” (or rabid),22 emphasize the limits of overly simplistic social control interpretations of medical care for the insane in this period and the significance of patient demand for the specialist services of the mad-doctor. Monro’s practice was plainly focused in the metropolitan regions. Most of his patients whose addresses are mentioned were residents of the city and the surrounding communities, and other evidence suggests that the vast majority of his clients hailed, as one might expect, from the City of London and from Westminster and neighboring parishes.

Monro also acknowledges in the case book that he attended a Mr. ”9 THE MAD-DOCTOR IN BUSINESS: INHERITING AND BUILDING A PRACTICE The record of just one year’s attendance can allow only limited insight into the degree of follow-up on cases. However, as we have already indicated (see chapter 2), Monro was careful to cross-reference cases by assigning them marginal numbers, and to remark on those occasions when he made further visits to a patient (as in the cases of Mr. Bevan, whom he saw four times in 1766, Mr.

5 centimeters (half an inch) thick. The case book is thus of a handy pocket size, which would have made it easily transportable for the mad-doctor as he went about his daily business during the year. Monro records his entries in a neat hand, in what now appears as brown ink (though its current color may, of course, be an effect of the aging process). Dated 1766 on its cover and inscribed with Monro’s name on its first page, the book’s format suggests that Monro had for some time been accustomed to discreetly keeping track of his private patients in separate case books compiled for each year.

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