(41/49) Was Thomas Wolfe a borderline?
The distinction between the two types of borderline proposed by Spitzer, Endicott, and Gibbon--the Schizotypal Personality type of borderline and the Borderline Personality type of borderline--suggests an advance in our thinking about the borderline concept. However, it can be shown, at least in the case of Thomas Wolfe, that an appreciable amount of overlap exists between the two borderline types, in the sense that the same person can load substantially on items from both types. Such findings may tend to blur the distinction between the two types. Also, Wolfe, hailed as a genius, manifested unusual behaviors which are rarely observed and may constitute a form of borderline condition that challenges current diagnosis. (+info)
(42/49) Dr Samuel Johnson's movement disorder.
Dr Samuel Johnson was noted by his friends to have almost constant tics and gesticulations, which startled those who met him for the first time. He also made noises and whistling sounds; he made repeated sounds and words and irregular or blowing respiratory noises. Further, he often carried out pronounced compulsive acts, such as touching posts, measuring his footsteps on leaving a room, and performing peculiar complex gestures and steps before crossing a threshold. His symptoms of (a) involuntary muscle jerking movements and complex motor acts, (b) involuntary vocalisation, and (c) compulsive actions constitute the symptom complex of Gilles de la Tourette syndrome (Tourette's syndrome), from which Johnson suffered most of his life. This syndrome is of increasing interest recently because it responds to haloperidol, and because there are new insights into a possible biochemical basis for the tics, vocalisations, and compulsions. (+info)
(43/49) Oliver Wendell Holmes. "Miscuit utile dulci".
The life of Oliver Wendell Holmes was selected as the subject for a lecture in the 1974 History of Medicine series at Yale University School of Medicine because, as the Latin subtitle of the essay suggests, he represents a fortunate and uncommon, but by no means unique, synthesis of the practical and aesthetic, of science and the humanities. An attempt has been made by the lecturer, employing frequent, but brief, excerpts from the works of several disinguished biographers as well as Doctor Holmes' own lectures, medical papers, essays and poems to delineate the elite heritage and the events that led this complex person transiently into the sudy of law, the profession in which his older son reached the pinnacle of the U.S. Supreme Court, and finally into medicine where a short period of private practice was followed by more than three decades of distinguished teaching is anatomy. His lifetime (1809-1894) spanned most of the nineteenth century, in the literary hisory of which he played a significant role. His writings reveal a remarkable, and sometimes prophetic, appreciation of the impact that burgeoning science and evolving social pressures and changes would have on the teaching and practice of medicine in the future-our present. (+info)
(44/49) Richard Morton (1637-98) and his Phthisiologia.
Richard Morton was one of the outstanding physicians of the seventeenth century. After graduating BA at Oxford he elected to enter the Church, becoming ultimately Vicar of Kinver in Staffordshire. On the Restoration he found himself unable to comply with the requirements of the Act of Uniformity and was ousted from his Staffordshire living. He disappeared for eight years but reappeared in 1670 when, on the sponsorship of the Prince of Orange, the degree of MD was conferred on him by the University of Oxford. He set up in practice in London and was elected a Fellow of the Royal College of Physicians in 1678. He has left a lasting memorial in the form of his book Phthisiologia which deals with all aspects of phthisis, the word being interpreted in its widest sense to denote any disease associated with wasting. It is not known where Morton obtained his medical education nor is there anything in his writings to indicate where he spent the eight years between 1662 and 1670. It is suggested that he may have been in Holland for part of those years attending the University of Leyden and making the acquaintance of the Prince of Orange whose patronage was to prove so useful at Oxford in 1670. (+info)
(45/49) Doing harm: living organ donors, clinical research and The Tenth Man.
This paper examines the ethical difficulties of organ donation from living donors and the problem of causing harm to patients or research subjects at their request. Graham Greene explored morally similar questions in his novella, The Tenth Man. (+info)
(46/49) Whose life is it anyway? A study in respect for autonomy.
Brian Clark's drama, Whose Life Is It Anyway?, explores the difficulties of applying the principle of respect for autonomy to real-life circumstances. In the play a permanently disabled patient, who wishes to be allowed to die, raises moral questions about the adequacy of the autonomous agent, respect for the autonomy of others, the authority of the law, the allocation of society's resources, and the intrinsic value of human life. After a brief review of the story and definition of respect for autonomy, this paper cites passages from the play that dramatize the tension between respect for autonomy and these other moral concerns. There follows a review of relevant commentary from the classicists Kant and Mill and the modernists Childress and Gillon. The study concludes that although classical and contemporary philosophers have clarified and elaborated upon the relationship between ethical principles, they have not provided definitive guidelines. (+info)
(47/49) Convulsion of the lung: an historical analysis of the cause of Dr Johnson's fatal emphysema.
Of Johnson's fatal emphysema, it appears probable, on available historical and anatomic evidence, that it resulted from bronchiectasis, a diagnosis favoured by the pattern of illness: a protracted and severe respiratory infection succeeded by annual episodes of severe winter bronchitis, remitting in summer, and culminating in respiratory insufficiency; and by the findings of pleural adhesion and cor pulmonale at necropsy. That is resulted from chronic bronchitis is a proposition both plausible and irrefutable without the specimen. (+info)
(48/49) Red Cross only positive result of horrifying 1859 bloodbath.
Haunted by the suffering and human devastation he witnessed after the 1859 Battle of Solferino in Italy, Swiss banker Henry Dunant wrote a book that galvanized European governments and resulted in the first international agreement that established rules for the conduct of war. The Geneva Convention also resulted in the formation of the Red Cross. (+info)