The Anatomy of Melancholy

Burton, Robert M.

doi:10.1093/oseo/instance.00006619

Cited by 426 publications

(197 citation statements)

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“…These factors made the verbal communication difficult. Moreover, especially in populations of low socio-economic status with physician centred health systems, doctors are seemed like the hands of the God (manus dei) on the Earth by patients [9]. In this kind of health systems in low socio-economic-populations, in the patient point of view, it is thought that physicians know everything whether the patient told the symptoms shortly.…”

Section: Discussionmentioning

confidence: 99%

Problems in Communications with Patients in General Surgery Outpatient Practice

Yılmaz¹,

Gumus²,

Salman³

2015

Eurasian J Med

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Objective: Communication between the patient and physician is central to medical care. However communication skills in Turkey haven't been gained so much concern. This situation effect the national quality of health care. Here, we tried to perform some basic communication skills and to find the problems with the possible solution suggestions. Materials and Methods:The study was conducted for a month in general surgery outpatient department located in the slum part of Ankara with low socio-economic population. Basic communication skills were performed. The age, sex, education levels of the patients were obtained. Total symptom expression and interview time were recorded. Previous medical histories were asked. Interruptions including telephone, door knocking were noted. The questions of the patients at the end of the interview classified as hospital setting, nutrition and treatment.Results: Total 410 interviews were analysed. Mean symptom expression and interview times were 22.9 sec and 7.05 min, respectively. Educated patients, males and young patients expressed symptoms longer than the others (p<0.05). There were 174 interruptions in which total interview time signifantly increased than the non interrupted ones (p<0.05). Final questions about hospital setting were signifantly higher in illiterate patients than the educated ones (p<0.05). Awareness of medical history is higher in educated and young patients. Conclusion:Basic communications skills can be performed whether in rural regions. Much more concern should be given to the education of communication skills. The obstacles in communication in medicine are low education levels, and unorganised health system. Keywords: Communication skills, surgery, education ÖzetAmaç: İletişim, tıbbi bakımda hasta doktor arasında temel teşkil eder. Fakat Türkiye'de iletişim becerilerine fazla ilgi gösterilmemiştir. Bu konu ülkede sağlık kalitesini de etkilemektedir. Bu çalışmada bazı temel iletişim becerilerini uyguladık ve karşılaştığımız problemleri olası çözüm önerileri ile birlikte sunmak istedik. Gereç ve Yöntem:Çalışma Ankara'nın varoş semtinde bulunan Genel Cerrahi polikinliniğinde 1 aylık süre içinde gerçekleşirildi. Hasta muayenesinde temel iletişim becerileri kullanıldı. Hastaların yaşı, cinsiyet ve eğitim düzeyleri belirlendi. Toplam semptomları anlatma ve muayene süreleri belirlendi. Geçmiş tıbbi hikayeleri alındı. Telefon çalması, kapı açılması gibi muayeneyi engelleyen faktörler belirlendi. Muayene sonunda hastaların soruları hastane işleyişi, tedavi ve beslenme ile ilgili olarak gruplandırıldı. Bulgular:Toplam 410 görüşme yapıldı. Ortalama semptom belirtme 22,9 saniye, ortalama muayene 7,05 dakika sürdü. Eğitimli, erkek ve genç olma semptom anlatım süresini uzatmıştır (p<0,05). Toplam 174 kez muayene kesilmiştir ki bunlar muayene süresini anlamlı artır-mıştır (p<0,05). Hastane işleyişi ile ilgili sorular en çok okuma yazma bilmeyen hastalar tarafından sorulmuştur (p<0,05). Tıbbi öykü farkın-dalığı, eğitimli ve genç hastalarda daha fazla bulundu. Sonuç:Te...

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Section: Discussionmentioning

confidence: 99%

Problems in Communications with Patients in General Surgery Outpatient Practice

Yılmaz¹,

Gumus²,

Salman³

2015

Eurasian J Med

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“…Can one construct a chronological schema or historical framework for subjective loneliness change: such as a process of transitions from, firstly, what we might call archaic loneliness (which would be largely rural, and may at the extreme be linked to varying religious traditions of hermeticism, monasticism, or contemplation); through secondly, to proto-modern conceptions of loneliness associated with rural depopulations, increasing secularisation and the rise of big cities; through thirdly to "modern" types of loneliness, which one would see as underpinning many forms of artistic modernism, most notably in the period c. 1870-1930; and now, fourthly, to types of loneliness allied to the striking rise of singletons or solitaries, by which is partly defined the "second demographic transition" [48,49]. Some classics of loneliness and related topics, notably Daniel Defoe"s Robinson Crusoe [50], or Robert Burton"s The Anatomy of Melancholy [51], of course predate modernism. But it is perhaps with modernism and secularisation that loneliness most features in art, literature and science.…”

Section: Definitions Constructions and Themes For Studymentioning

confidence: 99%

Agendas for the Historical Study of Loneliness and Lone Living

Snell¹

2015

TOPSYJ

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This article opens up approaches and themes for a history of loneliness. It advocates handling of the subject by historians, and invites historical analysis of concepts, health issues, strategies from the past, theories of long-term loneliness change, "nuclear family hardship" and related demography. Topographies of isolation are raised. It then discusses one aspect of this: considering how living alone often seems to shape modern discussion of loneliness, and analysing the steep rise of sole living in Western societies over the past century.

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“…En este sentido, el medio intelectual humanista del siglo XVI concordaba en que la melancolía, en tanto descompensación del equilibrio de humores, es sinónimo de una gradual tristeza que va degenerando en locura (esta última conduce o puede conducir al suicidio si no es tratada de forma paciente). En 1613, el mismo Robert Burton nos advertía que la melancolía "en general se define como un tipo de locura sin fiebre que tiene como compañeros comunes al temor y a la tristeza, sin ninguna razón aparente" (Burton 1947(Burton [1613: 172). El corpus hipocrático y galénico, seguido por los médicos y filósofos modernos 11 , coincidía en que la melancolía no es inherentemente patógena: no es una enfermedad hasta que excede los otros estados de ánimo, expresando así una perturbación del equilibrio del cuerpo y del mundo (Storobinski 1962: 56).…”

Section: El Humor Melancólico En Tanto Saber Hegemónicounclassified

El Indio Melancólico Y Temeroso: Representaciones De Alteridad en Dos Textos De Indias, Perú Colonial Siglos Xvi-Xvii

Reyes

2014

Diálogo Andino

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Un número no despreciable de documentos manuscritos coloniales o textos de indias adjudican al indio americano una complexión o naturaleza vinculada al humor melancólico. La imagen del indio melancólico, tímido y temeroso, permitió a los colonizadores legitimar la conquista en razón de una supuesta falta de voluntad y virilidad, con la que se entendió, consecuentemente, la declarada incapacidad para gobernarse a sí mismos y disponer de una racionalidad política. Me interesa afirmar aquí, a partir del análisis de dos textos coloniales -Gobierno del Perú de Juan de Matienzo (1567) e Historia General del Perú de fray Martín de Murúa (1613)-, que la melancolía funcionó como una categoría de sujeción estratégica, por medio de ella los hispanos justificaron el ejercicio de su poder y legitimaron jurídicamente su estatuto de hombres racionales en el arte de gobierno.Palabras claves: Textos de indias, humor melancólico, indios, gobierno colonial. A not insignificant number of colonial manuscripts or "textos de indias" grant the american indian a social complexion and/or nature linked to melancholy humor. The image of the melancholy indian, shy and fearful, allowed colonizers to legitimize their conquest based on an alleged lack of will and virility on the part of the Indians, through which the declared incapacity to govern themselves and a lack political rationality were consequently understood. I'm interested in asserting here, based on the analysis of two colonial texts -"Gobierno del Perú" by Juan de Matienzo (1567) and "Historia General del Perú" by Fray Martín de Murúa (1613) -that melancholy worked as retaining strategic category a through which hispanics justified their exercise of power and granted legal legitimacy to their status as rational men in the art of government.

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The Anatomy of Melancholy

Cited by 426 publications

References 0 publications

Problems in Communications with Patients in General Surgery Outpatient Practice

Problems in Communications with Patients in General Surgery Outpatient Practice

Agendas for the Historical Study of Loneliness and Lone Living

El Indio Melancólico Y Temeroso: Representaciones De Alteridad en Dos Textos De Indias, Perú Colonial Siglos Xvi-Xvii

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