Ueber hypochondrie von brachet (7 Ergebnisse)
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Ins Deutsche übersetzt unter Redaction von Dr. G. Krupp. - Leipzig, Verlag von Christian Ernst Kollmann, 1846, 8°, IV, 402 pp., Halbledereinband d.Zt.; Rücken erneuert; minimal fleckig. Rare First German Edition of "Traité complet d'hypocondrie" (Lyon 1844)! Jean-Louis Brachet (1789-1858) "is one of those obscure figures whose w…ork in the early 19th century paved the way for the experimental sciences, the clinical anatomical method, and psychology, which would respectively blossom with Claude Bernard (1813-1878), Alfred Vulpian (1826-1887), and Jean- Martin Charcot (1825-1893) followed by Pierre Janet (1859- 1947). After a biographical sketch and a brief look at his numerous publications in all fields of medicine, we will mainly focus on his research into the physiology of the vegetative nervous system, hydrocephalus and meningoencephalitis, epilepsy and most importantly his work on hysteria." . "The conceptual rigor and ever critical position that Brachet adopted in study and research on his broad range of subjects easily explains why he developed a purely cerebral theory of hysteria for the 1845 Prix Civrieux awarded by the Académie Royale de Médecine. He had already defended this concept in 1832 in his study of hypochondria: ''A bizarre contamination of the sensation of the cerebral nervous system, of several acts of organic life and of the functions of the organ of intelligence, relative to the perception of these phenomena and the judgment of this organ itself''. Brachet's work owes its novelty to the fact that he solely used clinical cases he had personally handled, and to his placing of hysteria in its social and cultural context. He recognised masculine hysteria but only in effeminate men, as did Etienne Georget (1772-1840), with whom Brachet shared the view that women had more fragile nervous systems: ''The real world doesn't suffice for [the hysteric]; she needs an imaginary world that her mind delights in embellishing''; but ''hysteria does not damage the intellectual faculties in any way''. For Brachet, a precursor to Pierre Briquet (1796-1881) and Charcot, the hysteric expressed an immoral and socially inappropriate behaviour without any sexual deficiency. He outlined a theory of the gender-specific brain, whereby each sex has its own way of reacting dynamically to emotions and psychic aggressions the basis for the idea that women have specific behavioural reactions. The novelist Gustave Flaubert (1821-1880) would completely assimilate this in his character of Madame Bovary. Brachet proposed, like Esquirol and later Paul Sollier (1861-1933), a ''moral'' treatment of hysteria, during a hospitalisation that removed the patient from her traumatic environment and included repeated one-on-one interviews with the physician, so that her complaints could be heard. Hydrotherapy and ''anti-spasmodics'' were also used. Hysteria is a theme that Brachet had continually studied since 1828, with his treatise on asthenia, followed by a work on hypochondria in 1832 and his hysteria treatise in 1847. Brachet ultimately shared the 1845 Prix Civrieux with Hector Landouzy (1812-1864) who defended a neuro-uterine theory, which their contemporaries were much more receptive to. It is unfortunate that this prize, recognising two authors with opposing views, and Charcot's tendency to refer mainly to Briquet led the innovative concepts advanced by Brachet as early as 1832 to be overshadowed." O. Walusinski, Jean-Louis Brachet (1789-1858). A forgotten contributor to early 19th century neurology. REVUE NEUROLOGIQUE I 7 I (2OI5): pp.688-697.
