(130-200), Roman physician of the second
century A.D. (Byers, 1998; Thackery & Harris, 2003). Galen was a firm believer in the four humours
theory of disease causation of Hippocrates (Albrecht, 2006; Burns, 2001; Colp,
2000; Hills, 1901; Kelly, 2009a; Kelly, 2009b; Keyser & Irby-Massey,
2008; Merenda, 1987; Moulton, 1998; Skultans,
1987; Tuke, 1892; White, 2006), but applied the theory less strictly than
previous authors (Stone, 2006). For example an excess of yellow bile was
responsible for both mania and phrenitis (Stone, 2006). Whereas Hippocrates had
stated that for good health to follow, the humours had to be in balance
throughout the body, Galen argues that this balance was only necessary in each
organ (Kelly, 2009b). This implied that remedies specific to each organ of the
body were possible. He also believed that mental disturbances could sometimes
be caused by accidents (such as a blow to the head), sometimes by brain
fevers, and sometimes by hereditary flaws (which might produce retardation). He viewed hysteria not as a result of a
wandering womb, but due to toxic vapours that formed in the uterus because of
insufficient sexual intercourse (Albrecht, 2006; Millon, 2004). Galen also used
the term “alienation” for any behaviours that deviated from social norms,
particularly if that behaviour was bizarre (Stone, 2006). This term was to
remain current until the 19th century, along with the related term
“alienist” for any doctor who treated mental disturbance (Stone, 2006).
Galen
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