Philippe Pinel, Traite medico-philosophique sur l'alienation mentale ou la manie,
Introduction (1809), xxvii-xxix

The consequences of great sorrow are among the most remarkable; they include a feeling of general listlessness, decline of muscular strength, loss of appetite, small pulse, tightening of the skin, pale face, cold extremities, very evident decline in the vital force of the heart and arteries, leading to an imaginary sense of fullness, a feeling of oppression and anxiety, labored and slow respiration with sighs and sobs; an exhaustion of irritability and sensitivity sometimes so complete as to entail a more or less total torpor, a comatose state, or even catalepsy.

This is Philippe Pinel providing a synopsis of Sir Alexander Crichton's An Inquiry into the Nature and Origin of Mental Derangement, Comprehending a Concise System of the Physiology and Pathology of the Human Mind, and a History of the Passions and their Effects. The alienist, Pinel, was a great contributor to psychiatry and was praised by Hegel for his particular method of dealing with the "intermittently insane" in such a way as to humanely exploit their lucid moments. The above passage pathologizes sorrow to such an extent that the concept of unhappiness becomes the center of a whole range of potentially unrelated symptoms. The mind/body split is erased here in a rhetorical gesture that grounds the concept "sorrow" in a constellation of acute physical occurrences. One is reminded of Sterne's jerkin; the body is the outside, the mind the inside; rumple one, you rumple the other.

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