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Queen Mary and Westfield College London University PhD Thesis ...

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assessment that 'very little of real use can be said concerning [madness]', was readily anticipated<br />

by Battie's enlightened objective; 'to separate what we actually <strong>and</strong> usefully know from what we<br />

are, <strong>and</strong> perhaps shall always be without any great damage, entirely ignorant of'; <strong>and</strong> appears<br />

lame <strong>and</strong> pessimistic by comparison 308 . While Battie cited the more modern investigations of<br />

Locke, Sydenham, Willis, Stahl <strong>and</strong> Mead, Monro harped back repeatedly to the antique wisdom<br />

of classical authors to prove his points. Nevertheless both authors looked to their own empirical<br />

experience, while Monro appealed, also, to the authority of Mead <strong>and</strong> Bryan Robinson. Monro's<br />

(ironic) claim that '1 will never subscribe to the errors of antiquity', however, bespeaks more of<br />

the shortsightedness, than the objectivity, of his regard for his classical textbooks 309 . Suggesting<br />

at one point that he might present Battie's 'metaphysical enquiries' 'as prize questions...to the<br />

academicians of Beihlem', Monro's joke at the expense of his patients casts a poor light on his own<br />

regard for them 310. Moreover, Battie was a great deal more dubious about the benefits derivable<br />

from the stock array of 'heroic' medicaments, than was Monro; much more concerned about the<br />

damage generalised, 'plentiful' or 'rough', dosages might do to patients; much more prepared to<br />

adapt his prescriptions to the individual case; <strong>and</strong> much more emphatic in counselling 'caution',<br />

which emerges as almost a watch-word for his approach 3". Monro, contrariwise, espoused<br />

'evacuation' as 'the most adequate <strong>and</strong> constant cure' of madness312 . While Battie stressed<br />

the dangers of 'rougher cathartics, emetics' etc, impeached 'vomits' in particular as 'shocking'<br />

<strong>and</strong> often harmful, advised a period of respite in between each course of medicines, that only<br />

in 'chronical' cases should violent evacuants be employed, Monro, on the contrary, sided with<br />

men like Robinson, who had confidently asserted that cures were often protracted or defeated<br />

by physicians' timidity in applying the necessary, strong dosages 313. The numerous causes of<br />

the 'state of the Patient', Case' <strong>and</strong> 'of the Methods (if any) used to obtain a Cure'. See book in St. Luke's,<br />

Woodside, archive,, entitled, 'Considerations upon the usefulness', 14. For Monro's scepticism on these matter,,<br />

see Remark,, 15, 21-3, 33-4.<br />

308 Remark,, opening 'Advertisement', 21-3; T,ieati,e, 21. Vide also Battie's c<strong>and</strong>id admissions or ignorance<br />

<strong>and</strong> 'conjecture' during the piece; e.g. 80-81.<br />

Treatise, 28, 32, 75; Remark,, 1, 4, 5, 8, 31, 47, 45.<br />

310 Remark,, 16.<br />

311 Treal,,e, asp. 63-4, 75-7, 81, 98-99.<br />

312 Remark,, 50-51.<br />

313 Treatise, 75-7, 97-9; Remark,, 50-51; Bryan Robinson, Observation, on the Virtse. <strong>and</strong> O7evalion, of<br />

Medicine, (<strong>London</strong>, 1752), 145. Monro might also have cited the work of the Bethiem Governor, Nidiolas<br />

313

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