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PubMed2004

S. Weir Mitchell's prose and poetry on the American Civil War.

The prose and poetry of S. Weir Mitchell (1829-1914)--related to the American Civil War--encompass a very significant portion of his non-medical writings. The Civil War, more than any other single event, shaped his future career as one of the founders of American neurology. Indeed, it should not be surprising how the war was also such a driving force in his non-medical writings. His novels, once widely read, now are scarcely noted. His accounts of the social, political and economic events of the Civil War are of historical interest to students of the period. Neuroscientists as a group, like others, are apt to be unfamiliar with these writings, with the possible exception of "The Case of George Dedlow." A major purpose of this essay is to introduce readers, especially neuroscientists, to Weir Mitchell's fictional works in which neurological cases so often appear. One appreciates more the medical aspects of his novels, written as they were by a first-hand observer. His non-medical writings, poetry and prose, are to a large extent timeless and can be appreciated by today's readers.

Drama↗
PubMed2004

Black bile and psychomotor retardation: shades of melancholia in Dante's Inferno.

The history of melancholy depression is rich with images of movement retardation and mental dysfunction. The recent restoration of psychomotor symptoms to the diagnostic terminology of affective disorder is not novel to the students of medieval melancholia. The move back to the biology of this psychomotor dysfunction with the technical advances in brain imaging in recent years only echoes centuries-old writings on the centrality of movement changes in the depressive condition. The Inferno, the first cantica of Dante Alighieri's Commedia, has a wonderful abundance of allusions to the importance of psychomotor symptoms in describing the depressed individual. Slowed steps, garbled speech, frozen tears, these and many other images keep the physical manifestations of psychomotor suffering in the forefront of the reader's mind. Considering Medieval and Renaissance writings on melancholy suffering, it is fitting that Dante shows a bodily illness reflected in the hellish torments visited on the damned. From the souls of the sullen to those of the violent, the panorama of psychomotor symptoms plays a prominent role in the poem as well as in the medical and literary prose of succeeding centuries.

Depressive Disorder↗
PubMed1997

Neurological concepts in archaic Greece: what did Homer know?

There are few written records which tell us about Archaic Greek thought and certainly no medical writings. The earliest notions about neurologic matters can be found, however, in the Homeric epics. The attitudes and information which made up the culture of the Archaic Greeks were the starting point from which the later Greek medical literature grew. Although the Odyssey and Iliad are not medical texts, they contain many neurologic descriptions which can be analyzed to reveal the knowledge and concepts which were held by the people in Archaic Greece. By knowing the beginnings of the ancient medical traditions one is better equipped to understand the later works written specifically about medical matters.

Greece, Ancient↗
PubMedDate not supplied

The phonological loop and memory for rhythms: an individual differences approach.

The purpose of the current study was to examine the relationship between short-term memory for rhythm and the phonological loop in working memory. Results showed that digit span scores significantly correlated with the scores on the rhythmic memory task, and that the correlation between the two scores remained significant even after the common variance with reading speed was partialled out. Partial correlation and regression analyses indicated that the relation between memory for rhythm and digit span scores is mediated by the third component in the phonological loop, the component that is responsible for regulation of timing mechanisms in immediate memory tasks.

Adult↗
PubMed2004

Teaching empathy to first year medical students: evaluation of an elective literature and medicine course.

BACKGROUND: Empathy is critical to the development of professionalism in medical students, and the humanities-particularly literature-have been touted as an effective tool for increasing student empathy. This quantitative/qualitative study was undertaken to assess whether reading and discussing poetry and prose related to patients and doctors could significantly increase medical student empathy and appreciation of the relevance of the humanities for their own professional development. METHOD: In 2000-2001, first year students (n=22) volunteered for an eight-session literature and medicine elective and were randomly assigned to either immediate participation in the class or a wait-list group, who participated in the same class 6 months later. Complete pre- and post-intervention data for 16 students from both groups were obtained for two quantitative measures of empathy and an attitudes-toward-the-humanities scale. Students also participated in a qualitative group interview pre- and post-intervention. RESULTS: Empathy and attitudes toward the humanities improved significantly (p<0.01) after participation in the class when both groups of students were combined. The scaled treatment effect size was in the moderate range (> or =0.60 standard deviation units) for both measures that had statistically significant pre-to-post changes. Furthermore, student understanding of the patient's perspective became more detailed and complex after the intervention. Students were also more likely post-intervention to note ways reading literature could help them cope with training-related stress. CONCLUSION: A brief literature-based course can contribute to greater student empathy and appreciation for the value of humanities in medical education.

Adult↗
PubMed2003

The cost of the muse: poets die young.

Although several investigations have found that poets tend to die younger than other types of writers, these studies often do not take into account variables of gender and culture. This study examines 1,987 deceased writers from four different cultures: American, Chinese, Turkish, and Eastern European. Both male and female poets had the shortest life spans of all four types of writers (fiction writers, poets, playwrights, and non-fiction writers), and poets had the shortest life spans in three of the four cultures (and the second shortest life span among Eastern European writers). Possible reasons for the poet's shorter life span are then discussed.

China↗