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This chapter examines the origins and legacy of sexology – the scientific study of sexuality – in the modern world. First consolidated into a coherent programme in the late nineteenth century, sexology has its roots in the re-organization of knowledge about nature in the frameworks of taxonomy, evolutionism, and race. A pervasive preoccupation with heredity gave rise to powerful eugenics movements around the world. The interest in controlling variability and unlocking the secrets of the soul generated parallel developments in biomedicine, especially psychoanalysis and endocrinology. Sex experts worldwide converged in diagnosing cultural signs of homosexuality for the purpose of national modernization. As the centre of gravity in sexual science began to shift from Europe to North America, researchers gave growing support to the sex/gender distinction and redefined the meanings of normality. In the waning days of hereditarian theories, the rise of cultural anthropology coupled with a renewed scientific investment of colonial powers to reverse hierarchical templates of sexual practices and norms emanating from the metropoles. A public health crisis (HIV/AIDS), social movements (gender and sexual minority rights), and the systematization of research protocols (bioethics) shaped a comeback of biological sexology in the closing decades of the twentieth century.
This article identifies a few paradigmatic ways whereby the big picture of sexual science has been made possible, especially through a diversification in the uneven but interconnected geography of scientific practice. It focuses on the ways in which the life and work of individual researchers, institutional settings and journal circulations have anchored the development of narratives about the history of sexual science. By delineating the shifting cultural geography, epistemological premise and conceptual innovations in sexological research, it is possible to cast the co-constituted nature of knowledge making as an enterprise simultaneously local and global in its reach. The rise of modern sexual science represented as much a gestalt counterpart to the evolutionary paradigm as a response to the shifting terrains of religious and legal governance in the regulation of sexuality.
Electronic patient records were used to investigate the level of engagement and treatment that patients with very late-onset schizophrenia-like psychosis (VLOSLP) had with mental health services.
Results
Of 131 patients assessed and diagnosed, 63 (48%) were taking antipsychotic treatment at 3 months, 46 (35%) at 6 months and 36 (27%) at 12 months. At discharge from mental health services, 54% of patients had failed to engage with services or became lost to follow-up, 18% had engaged with services but were not taking antipsychotic medication and only 28% were taking treatment.
Clinical implications
Results showed that less than half of the patients with VLOSLP were commenced on antipsychotic treatment and less than a third remained on treatment at 1 year or at point of discharge. This highlights the need for services to consider being more assertive in taking potentially effective treatment to this patient group.
This collection of essays responds to the paucity of scholarship on the history of psychiatry and mental health in China. Looking across developments in the early modern and modern periods, the essays focus on the diagnosis, treatment and broader socio-cultural implications of madness and mental illness. This volume brings together for the first time a cohort of scholars who have worked on this topic independently but have not had the opportunity to come together as a group to formulate a synthesis of their respective expertise. The coverage is not intended to be exhaustive, but its aim is to inspire further scholarly dialogue in this underexplored area of medical history and Chinese studies. Whereas the existing literature on the history of medicine in China tends to center on the health and diseased conditions of the body, this book offers a concise integration of recent works that, together, delineate a historical trajectory of the medicalization of the mind in China's shifting cultural and political contexts.
This trajectory is neither linear nor unidirectional. As we will see, it is layered with competing meanings of key concepts such as madness, disorder, treatment and healing at different historical junctures; it has been shaped by various discourses as documented in a wide array of sources, from dream encyclopedias to case histories to missionary archives and from the patient records of neuropsychiatric wards to popular magazines to TV talk shows; above all.
This landmark collection examines psychiatric medicine in China across the early modern and modern periods. Essays focus on the diagnosis, treatment and cultural implications of madness and mental illness. From emotional therapy and missionary interventions in the late imperial era to the establishment of neuropsychiatry and the psycho-boom in the twentieth century, this book explores the complex trajectory of the medicalization of the mind in shifting political contexts of Chinese history.