My blogosphere silence lately has been due to the extreme busy-ness of conferences, Pitch Wars, and my own editing, but I found this interesting tidbit while researching Renaissance life and health, and I had to post about it. I’m reading the letters of a seventeenth century woman who complains of suffering from “the spleen.” Her symptoms sound like depression and/or general anxiety disorder, so I did a bit of research and, sure enough, “the spleen” was the sixteenth century catch-all term for those and related mental health problems.
This was interesting to me because of the similarities and differences between mental health then and now. The symptoms were recognizable: moodiness, withdrawal, long-lasting “blue” feelings, irritability, trouble sleeping and/or oversleeping, and general nervousness or worry. Mental illness is not a phenomenon belonging only to the modern world.
One thing that was refreshing was the general Renaissance medical consensus that mental illness had a physical component: it was called “the spleen” because Renaissance doctors believed the symptoms were caused by an imbalance of the “four humors” that made up the body (blood, phlegm, black bile, and yellow bile) caused, in this instance, by trouble in the spleen. With some modern folks claiming that mental illness and other hard-to-quantify health problems are just in the sufferers’ imaginations, it’s good to remember that it was recognized centuries ago as a real, physical health issue resulting from chemical imbalances in the body (even if early physicians weren’t clear on what those chemicals were).
On the disappointing side, there was a stigma even then against “the spleen” as being a woman’s illness. Though my seventeenth-century letter writer recognized some of the symptoms in the man she was writing to, she hesitated to “accuse” him of suffering from a “feminine” disease. This attitude persists today, making men less likely to seek help for their mental health issues. I also suspect it’s why mental illness came to be taken less seriously as a medical issue–as later generations focused on women’s perceived weaknesses, they began more and more to see mental illness as just a sign that women can’t handle much of anything (studying serious topics, thinking about politics, eating meat…), leaving countless men and women to suffer in silence (or in horrendous institutions for hiding away the mentally ill) until the recent push for reconsidering our understanding of mental illness.
I think mental illness is a topic we should shed more light on and continue to de-stigmatize, and I’m looking forward to exploring it in my upcoming NaNoWriMo writing project.