Abstract:
:E.C. Seguin was one of the early, influential 19th-century neurologists who participated in the development of neurology as a specialty in the United States. Born in France, but raised from early childhood in the United States, Seguin published widely, developed a high-profile New York City practice, and was named Clinical Professor of Diseases of the Mind and Nervous System at the College of Physicians and Surgeons (New York) in 1874. Typical of the era, he studied neurologic disorders, but also several conditions that today would be considered in the realm of psychiatry. One of his seminal papers was titled "The treatment of mild cases of melancholia at home" (1876). Contrary to the widespread practice of isolating patients in either rest homes or asylums, Seguin introduced and formalized treatment of depression within the household. Against this academic backdrop, Seguin returned home on October 31, 1882, to discover that his own wife, afflicted with long-standing depression and treated at home, had committed suicide after murdering their 3 children. The grim dichotomy between the confidently written paper and the reality of the treatment failure is a neurologic lesson in humility regarding diseases and their unpredictable outcomes.
journal_name
Neurologyjournal_title
Neurologyauthors
Goetz CG,Harter DHdoi
10.1212/WNL.0b013e3182904f55subject
Has Abstractpub_date
2013-04-30 00:00:00pages
1710-4issue
18eissn
0028-3878issn
1526-632Xpii
80/18/1710journal_volume
80pub_type
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