The Fascinating Evolution of Mental Disorders

Dr Neeshu Rathore
Dr Neeshu Rathore

A/Prof, Psywellpath Founder

 
March 18, 2025 3 min read

Mental disorders have been a part of human experience for centuries. Understanding their history helps us see how our views on mental health have changed over time. Let’s take a journey through the ages!

Ancient Beliefs

  • Supernatural Explanations: In ancient times, people believed that mental disorders were caused by evil spirits or demonic possession. Treatments included rituals, exorcisms, and trepanation (drilling holes in the skull).
  • Hippocrates: Around 400 BC, the Greek physician Hippocrates introduced a more natural approach, suggesting that mental disorders were a result of imbalances in bodily fluids or humors.

The Middle Ages

  • Religious Interpretations: During the Middle Ages, mental health issues were often viewed through a religious lens. Many individuals were thought to be witches or possessed by demons. This led to inhumane treatments, including torture.

The Enlightenment Era

  • Moral Treatment Movement: In the 18th century, a shift occurred with the moral treatment movement. Pioneers like Philippe Pinel argued for compassion and humane treatment of the mentally ill. Asylums began to be established with a focus on care rather than punishment.

19th Century Advances

  • Psychiatry Emerges: The 19th century saw the formal establishment of psychiatry as a medical specialty. Emil Kraepelin categorized mental disorders, laying the groundwork for modern classifications.
  • Freud’s Influence: Sigmund Freud’s psychoanalytic theory introduced the idea that unconscious mind plays a significant role in mental health, influencing therapy techniques.

20th Century Developments

  • Medical Model: With the advent of the medical model, mental disorders were increasingly viewed as biological conditions. This led to the development of medications like antipsychotics and antidepressants in the mid-20th century.
  • Diagnosis and Classification: The first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) was published in 1952. It provided a standardized way to diagnose mental health conditions.

Types of Mental Disorders

Real-Life Examples

  • Vincent van Gogh: The famous painter struggled with mental health issues, often believed to be bipolar disorder or depression. His life reflects the challenges faced by those with mental disorders.
  • Winston Churchill: The British Prime Minister referred to his depression as his “black dog,” illustrating how even influential leaders face mental health challenges.

Modern Perspectives

  • Continued Stigma: Despite progress, mental disorders still carry stigma. Awareness campaigns aim to educate the public and encourage those affected to seek help.
  • Holistic Approaches: Today, there’s a growing trend toward holistic and integrative approaches that consider emotional, psychological, and social factors in treating mental disorders.

The journey through the history of mental disorders shows a complex evolution from fear and misunderstanding to a more compassionate and scientific approach. Each era has contributed to our current understanding, emphasizing the importance of continued research and support for mental health.

Dr Neeshu Rathore
Dr Neeshu Rathore

A/Prof, Psywellpath Founder

 

Clinical Psychologist, Associate Professor in Psychiatric Nursing, and PhD Guide with extensive experience in advancing mental health awareness and well-being. Combining academic rigor with practical expertise, Dr. Rathore provides evidence-based insights to support personal growth and resilience. As the founder of Psywellpath (Psychological Well Being Path), Dr. Rathore is committed to making mental health resources accessible and empowering individuals on their journey toward psychological wellness.

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