George Cheyne, MD (Source: Wellcome Library) |
(Source: Wellcome Library) |
Cheyne not only addressed physical health, but also mental illness. He described a form of mental illness which we would probably now label "Major Depressive Disorder, Severe with Psychotic Features," (Index of Psychiatric Disorders at http://allpsych.com/disorders/disorders_alpha.html, accessed 18 November 2012) and then we would list the religious symptoms or manifestations. He called it "religious melancholy":
"There is a kind of melancholy, which is called religious, because 'tis conversant about matters of religion; although, often, the persons so distempered have little solid piety. And this is merely a bodily disease, produced by an ill habit or constitution, wherein the nervous system is broken and disordered, and the juices are become viscid and glewy." (Cheyne, George. An Essay of Health and Long Life, 1st ed (London, 1724, p. 57, in Madden, "Pastor and Physician", 97.)
Remember, he is basing his explanation on the construct of the humours being out of balance when one became ill. He does accurately summarize, though, the psychotic (out-of-touch with reality) thought processes that some religiously preoccupied patients have, even though they may not be religious or pious at all in their normal state. Nowadays we treat these patients with antipsychotics, because we agree it is not a moral or religious issue but a physical illness affected by biochemical changes.
Interestingly, Cheyne and Wesley knew of each other, since Cheyne's brother-in-law, John Middleton, was John and Charles Wesley's physician in Bristol (Barry, Jonathan. "Piety and the patient: Medicine and religion in eighteenth century Bristol" in Porter, Patients and Practitioners, 168). So early Methodists got what Wesley thought was the best of Cheyne's advice when he incorporated a lot of Cheyne's advice into Primitive Physick.
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