Melancholia

This article is about the mood disorder. For the song "Melancholy (Holy Martyr)" by the heavy metal band Iced Earth, see The Melancholy E.P.. For the "four humors" related concept, see Four Temperaments. For the film by Lars von Trier, see Melancholia (2011 film). For other uses, see Melancholia (disambiguation).

Melencolia I by Albrecht Dürer.

Melancholia (from Greek μελαγχολία - melancholia, "sadness", literally black bile),^[1] also lugubriousness, from the Latin lugere, to mourn; moroseness, from the Latin morosus, self-willed, fastidious habit; wistfulness, from old English wist: intent, or saturnine, (see Saturn), in contemporary usage, is a mood disorder of non-specific depression, characterized by low levels of both enthusiasm and eagerness for activity.

In a modern context, "melancholy" applies only to the mental or emotional symptoms of depression or despondency; historically, "melancholia" could be physical as well as mental, and melancholic conditions were classified as such by their common cause rather than by their properties.^[2]

Similarly, melancholia in ancient usage also encompassed mental disorders which might now be classed as schizophrenias or bipolar disorders.

History

The name "melancholia" comes from the old medical belief of the four humors: disease or ailment being caused by an imbalance in one or other of the four basic bodily liquids, or humors. Personality types were similarly determined by the dominant humor in a particular person. According to Hippocrates, melancholia was caused by an excess of black bile,^[3] hence the name, which means 'black bile', from Ancient Greek μέλας (melas), "dark, black",^[4] + χολή (kholé), "bile";^[5] a person whose constitution tended to have a preponderance of black bile had a melancholic disposition. See also: sanguine, phlegmatic, choleric.

Melancholia was described as a distinct disease with particular mental and physical symptoms in the 5th and 4th centuries BC. Hippocrates, in his Aphorisms, characterized all "fears and despondencies, if they last a long time" as being symptomatic of melancholia.^[6]

In the medieval Arab world, Ishaq ibn Imran (d. 908), known as "Isaac" in the West, wrote an essay entitled Maqala fi-l-Malikhuliya, in which he discovered a type of melancholia: the "cerebral type" or "phrenitis". He carried out a diagnosis on this mental disorder, describing its varied symptoms. The main clinical features he identified were sudden movement, foolish acts, fear, delusions and hallucinations.^{[7][verification needed]}

Ali ibn Abbas al-Majusi (d. 982) discussed mental illness in his medical encyclopedia, Kitab al-Malaki, which was translated into Latin as Liber pantegni, where he discovered and observed another type of melancholia: clinical lycanthropy, associated with certain personality disorders. He wrote the following on this particular type of melancholia: "Its victim behaves like a rooster and cries like a dog, the patient wanders among the tombs at night, his eyes are dark, his mouth is dry, the patient hardly ever recovers and the disease is hereditary."^{[7][verification needed]}

In The Canon of Medicine (1020s), Avicenna dealt with neuropsychiatry and described a number of neuropsychiatric conditions, including melancholia.^[8] He described melancholia as a depressive type of mood disorder in which the person may become suspicious and develop certain types of phobias.^{[9][verification needed]} The Canon of Medicine was also translated into Latin in the 12th century.

In his study of French and Burgundian courtly culture, Johan Huizinga^[10] noted that "at the close of the Middle Ages, a sombre melancholy weighs on people's souls." In chronicles, poems, sermons, even in legal documents, an immense sadness, a note of despair and a fashionable sense of suffering and deliquescence at the approaching end of times, suffuses court poets and chroniclers alike: Huizinga quotes instances in the ballads of Eustache Deschamps, "monotonous and gloomy variations of the same dismal theme", and in Georges Chastellain's prologue to his Burgundian chronicle,^[11] and in the late fifteenth-century poetry of Jean Meschinot. Ideas of reflection and the workings of imagination are blended in the term merencolie, embodying for contemporaries "a tendency", observes Huizinga, "to identify all serious occupation of the mind with sadness".^[12]

The most extended treatment of melancholia comes from Robert Burton, whose The Anatomy of Melancholy (1621) treats the subject from both a literary and a medical perspective. Burton wrote in the 16th century that music and dance were critical in treating mental illness, especially melancholia.^[13]

But to leave all declamatory speeches in praise [3481]of divine music, I will confine myself to my proper subject: besides that excellent power it hath to expel many other diseases, it is a sovereign remedy against [3482] despair and melancholy, and will drive away the devil himself. Canus, a Rhodian fiddler, in [3483]Philostratus, when Apollonius was inquisitive to know what he could do with his pipe, told him, "That he would make a melancholy man merry, and him that was merry much merrier than before, a lover more enamoured, a religious man more devout." Ismenias the Theban, [3484]Chiron the centaur, is said to have cured this and many other diseases by music alone: as now they do those, saith [3485]Bodine, that are troubled with St. Vitus's Bedlam dance.^[14][15][16]

A famous allegorical engraving by Albrecht Dürer is entitled Melencolia I. This engraving portrays melancholia as the state of waiting for inspiration to strike, and not necessarily as a depressive affliction. Amongst other allegorical symbols, the picture includes a magic square, and a truncated rhombohedron.^[17] The image in turn inspired a passage in The City of Dreadful Night by James Thomson (B.V.), and, a few years later, a sonnet by Edward Dowden.

Cult of melancholia

During the early 17th century, a curious cultural and literary cult of melancholia arose in England. It was believed that religious uncertainties caused by the English Reformation and a greater attention being paid to issues of sin, damnation, and salvation, led to this effect.

In music, the post-Elizabethan cult of melancholia is associated with John Dowland, whose motto was Semper Dowland, semper dolens. ("Always Dowland, always mourning.") The melancholy man, known to contemporaries as a "malcontent," is epitomized by Shakespeare's Prince Hamlet, the "Melancholy Dane."

Another literary expression of this cultural mood comes from the death-obsessed later works of John Donne. Other major melancholic authors include Sir Thomas Browne, and Jeremy Taylor, whose Hydriotaphia, Urn Burial and Holy Living and Holy Dying, respectively, contain extensive meditations on death.

A similar phenomenon, though not under the same name, occurred during Sturm und Drang, with such works as The Sorrows of Young Werther by Goethe or in Romanticism with works such as Ode on Melancholy by John Keats. In the 20th century, much of the counterculture of modernism was fueled by comparable alienation and a sense of purposelessness called "anomie"; earlier artistic preoccupation with death has gone under the rubric of memento mori.

In Islam

The Arabic word found as ḥuzn and ḥazan in the Qur'an and hüzün in modern Turkish refers to the pain and sorrow over a loss, death of relatives in the case of the Qur'an. Two schools further interpreted this feeling. The first sees it as a sign that one is too attached to the material world, while Sufism took it to represent a feeling of personal insufficiency, that one was not getting close enough to God and did not or could not do enough for God in this world.^[18] The Turkish writer Orhan Pamuk, in the book Istanbul: Memories and the City,^[18] further elaborates on the added meaning hüzün has acquired in modern Turkish. It has come to denote a sense of failure in life, lack of initiative and to retreat into oneself, symptoms quite similar to melancholia. According to Pamuk it was a defining character of cultural works from Istanbul after the fall of the Ottoman Empire. One may see similarities with how melancholic romantic paintings in the west sometimes used ruins from the age of the Roman Empire as a backdrop.

As a parallel with physicians of classical Greece, ancient Arabic physicians and psychologists also categorized ḥuzn as a disease. Al-Kindi (c. 801–873 CE) links it with disease-like mental states like anger, passion, hatred and depression, while Avicenna (980–1037 CE) diagnosed ḥuzn in a lovesick man if his pulse increased drastically when the name of the girl he loved was spoken.^[19] Avicenna suggests, in remarkable similarity with Robert Burton, many causes for melancholy, including the fear of death, intrigues surrounding one's life, and lost love. As remedies, he recommends treatments addressing both the medical and philosophical sources of the melancholy, including rational thought, morale, discipline, fasting and coming to terms with the catastrophe.

The various uses of ḥuzn and hüzün thus describe melancholy from a certain vantage point, show similarities with Female hysteria in the case of Avicenna's patient and in a religious context it is not unlike sloth, which by Dante was defined as "failure to love God with all one's heart, all one's mind and all one's soul". Thomas Aquinas described sloth as "an oppressive sorrow, which, to wit, so weighs upon man's mind, that he wants to do nothing".^[20]

See also

• Depression (mood)
• Dysthymia
• Major depressive disorder
• Melancholic depression
• Nostalgia
• Saudade
• Vapours (disease)
• Weltschmerz

Footnotes

1. ^ μελαγχολία, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library
2. ^ G E Berrios (1988) Melancholia and depression during the 19th century. A conceptual History. British Journal of Psychiatry 153: 298-304
3. ^ Hippocrates,De aere aquis et locis, 10.103, on Perseus Digital Library
4. ^ μέλας, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library
5. ^ χολή, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library
6. ^ Hippocrates, Aphorisms, Section 6.23
7. ^ ^{a b} Hanafy A. Youssef, Fatma A. Youssef and T. R. Dening (1996), "Evidence for the existence of schizophrenia in medieval Islamic society", History of Psychiatry 7: 55-62 [56].
8. ^ S Safavi-Abbasi, LBC Brasiliense, RK Workman (2007), "The fate of medical knowledge and the neurosciences during the time of Genghis Khan and the Mongolian Empire", Neurosurgical Focus 23 (1), E13, p. 3.
9. ^ Amber Haque (2004), "Psychology from Islamic Perspective: Contributions of Early Muslim Scholars and Challenges to Contemporary Muslim Psychologists", Journal of Religion and Health 43 (4): 357-377 [366].
10. ^ Huizinga, "Pessimism and the ideal of the sublime life", The Waning of the Middle Ages, 1924:22ff.
11. ^ "I, man of sadness, born in an eclipse of darkness, and thick fogs of lamentation".
12. ^ Huizinga 1924:25.
13. ^ Cf. The Anatomy of Melancholy, subsection 3, on and after line 3480, "Music a Remedy":
14. ^ Gutenberg.org
15. ^ "Humanities are the Hormones: A Tarantella Comes to Newfoundland. What should we do about it?" by Dr. John Crellin, Munmed, newsletter of the Faculty of Medicine, Memorial University of Newfoundland, 1996.
16. ^ Aung, Steven K.H., Lee, Mathew H.M. (2004). "Music, Sounds, Medicine, and Meditation: An Integrative Approach to the Healing Arts". Alternative & Complementary Therapies 10 (5): 266–270. doi:10.1089/act.2004.10.266. http://www.liebertonline.com/doi/abs/10.1089/act.2004.10.266?journalCode=act. 
17. ^ Mathworld.wolfram.com
18. ^ ^{a b} 'Istanbul', chapter 10, (2003) Orhan Pamuk
19. ^ Avicenna, Fi'l-Ḥuzn, (About Ḥuzn)
20. ^ "Summa Theologica", Thomas Aquinas

Other notes

• Melancholia is a specific form of mental illness characterized by depressed mood, abnormal motor functions, and abnormal vegetative signs. It has been identified in medical writings from antiquity and was best characterized in the 19th Century. In the 20th Century, with the interest in psychoanalytic writing, "major depression" became the principal class in psychiatric classifications. [See Taylor MA, Fink M: Melancholia for details of history.]
• In 1996, Gordon Parker and Dusan Hadzi-Pavlovic described Melancholia as a specific disorder of movement and mood. [Melancholia" A Disorder of Movement and Mood, Cambridge UK: Cambridge University Press, 1996]. More recently, MA Taylor and M Fink crystallized the present image of melancholia as a systemic disorder that is identifiable by depressive mood rating scales, verified by the present of abnormal cortisol metabolism (abnormal dexamethasone suppression test), and validated by rapid and effective remission with ECT or tricyclic antidepressant agents. It has many forms, including retarded depression, psychotic depression, post-partum depression and psychosis, abnormal bereavement.

External links

• Grunwald Center website: Durer's Melencolia and clinical depression, iconography and printmaking techniques
• "Dürer's Melancholia": sonnet by Edward Dowden
• Melancholy and abstraction, on the Berlin exhibition "Melancholy: Genius and Madness in Art"
• Diderot's historic writing on Melancholy
• A consideration of the Durer's work and the 2011 film 'Melancholia'