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To ask for the name of the devil adultery, avarice, envy, sloth, vanity, pride, sadness, lust, etc. We have proposed a synoptic scheme in order to compare the elements of continuity and discontinuity amongst the demonologic doctrine, the theological point, the temperaments and mental disorders. The human body contains blood, phlegm, yellow bile and black bile: the constitution of the body, the illness and the health derive from these humours. Therefore phlegmatic, melancholic and sanguine persons have been differentiated as inclinations toward particular illnesses: the melancholicus type presents an inclination toward the melancholy. Although in this kind of illnesses there is no simulation, there is nonetheless the deception of the similarity among them. De Morb. The daemons are looking for weakness of the emotional part of the psyche of the man and increase them. It is a capital vice [14] , capable of leading to the sin. The ideal temperaments mean a balanced mixture of main elements. The black bile could cause sadness. The four humours blood , phlegm , yellow bile and black bile, basic substances of the body constituting all tissues and organs, corresponded to elements constituting the inanimate world and like these they corresponded to fundamental physical features: warm and cold , humid and dry. And it is not rare that, while we labour long and in vain in these illnesses, we depreciate among the plebs the healthy remedies of medicine and expose ourselves to the calumnies of many: we will take care excellently of our name and reputation, when, after having contemplated the deepest causes of the illnesses, and those capable of overstep the limits of nature, we will have put ourselves out of the reach of calumny. It can culminate in irrationality, considered as a common mechanism of insanity Berrios, Soranus of Ephesus B. The sadness indeed has no power unless there are the other passions, like a chain is strengthless, without those who bound. They cause men to fix on the rigid aspect of the rules and thus presume on the good to lead the individual to a blind alley, in which the man loses the measure of the things and becomes a mere executioner of the law. According to monk Evagrius Ponticus , living in the Egyptian desert in the fouth century, the struggle against the daemons consists above all in the struggle against his own thoughts, often caused by strong sensations produced by the daemons, which are besieging us. This is a physiological explanation. Mental illness is the clinical expression of an organic pathology. Heedlessness, non-caring state is tristitia de spirituali bono , the sorrow about, or the aversion man feels against his spiritual good. You meet the term first in the oldest part of Corpus Hippocraticum V century B. When reciprocal mixture, effect and quantity of the individual humours are proportioned and when they are connected more closely, the man is at the top level of his health; instead when someone among the humours isolates itself and does not mix to the others, he falls ill. Sloth is that condition where a sad feeling nullifies any impulse. Even if it could be possible, the divinity would act for the good of the individual and not for his harm? The influence of the monastic theologian is incalculable. Thomas, 4, Sent, dist.

The term melancholia had origin from the theory of humours humoralism. Ergo cum verissimum sit, posse albo operatori sloth hominum corpora divexare morbis: fatis etiam constare arbitror, nullum esse agritudinis genus, quod ab illis induci non possit.

The term acedia animi remissio, mentis enervatio indicated, in medieval theology, this kind of torpor of spirit, that obstructed volitional action and hit particularly the ones who led a lonely and meditative casino ballroom concerts hampton, a condition where:.

Sloth and depression can overlap. If one of them isolates itself and remains as for itself, it will fall ill not only the part that remains empty, but also the one albo operatori sloth the humour is heading for and is accumulating, because the excess causes pain and trouble.

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Nonetheless, from other statement can be argued that demonological vision was not univocal, because the vision which is successful in Middle Ages is not necessarily in contrast with classical humoral theories, nor an exclusively supernatural conception. How those who are subdued by daemons or clung by witchcraft can be distinguished from the remaining ill ones. It illustrates in an abstract and simplified way the harmony and analogy between man and universe, microcosm and macrocosm. To destroy a person faithful to God and to keep this person away from Him, they also dress up as angel of light and propose an exaggerated good [8]. The second weapon is to oppose to the strength of the devil the strength of the word of God. Mental illness is one of the clinical expressions of the physical pathology: there is no distinction between body and mind and the same elements are the essential constituents of all the natural things. Anonym De mundi constitutione [1]. The prisoner is tied by the barbarians with iron chains, the sadness is held prisoner by the passions. There are many varieties of delusions in melancholy, all due to a corruption of imagination and connected with similar factors: fear and sadness. Originally the mixture of the humours caused above all the physical constitution and his predisposition to the illness; by developing the theory of four humours the prevalence of each humour on the other influences finally even the human fundamental psychic condition. The word temperament derived in fact from Latin tempero to mix and from temperies right mixture. The mental illness is clearly the expression of an organic trouble and the melancholic is not damaged by the envy of a divinity. It may sound paradoxical, but shows the contaminations of the different perspectives. It was much considered as anti-depressant from antiquity up to the beginning of Modern age the black hellebore , Helleborus niger , from whose roots green and black can be obtained a sternutatory, but above all an emetic and a strong laxative, not really innocuous; therefore hellebore could purify the body in different ways Muller, This root provoking a hard irritation to the melaena confirmed the conception of the black bile. The medicine, from Hippocrates B. If the emptying, the shift and the isolation of the other humours happen toward the interior, double pains necessarily manifest themselves where the humour is lacking and where the humour is over forming. Aretheus left us very detailed clinical descriptions and understood the association between melancholia and mania in the same patients, the distinction between melancholic delusions lucid and confused delirium in amenthia , anticipating the concept of olothymia; his authority went through the centuries, so that in , fifteen centuries after, we can find that some of his observations are still mentioned even if inside different interpretative patterns. At first, the conviction of his existence was founded on the observation that the sick persons sometimes eject black heaps faeces, vomit. You must not try to prohibit the sinful sensations and fantasies, because their strength would increase; simply they should be kept quietly and accompanied by the mental prayer and the practice of psalmody. Then, you must try to know the name of the devil who besieges us. Thus, being absolutely true that daemons can oppress with illnesses the bodies of men, I think it is also quite evident that there is no kind of illness that cannot be provoked by them [10]. The focus was on weariness, disgust, lack of fervour, sorrow. Actually it seemed that, quite apart from the melaena, gloomy persons benefited from it [5]. As an opacity of crystalline lens produces a dim vision the black bile acts: the man becomes like a child fearing the darkness. Nam, quanquam nulla in hoc genere simulatio est, est tantum in affectuum similitudine deceptio aliqua. There is an analogy among black despair, black bile that provokes it and black root capable to heal it [6] , and from antiquity up to modern age Burton, intellectuals took hellebore for sharpening their wits Koelbing, At the end of Classical Age the demonological vision of melancholia almost replaced the naturalistic one. Why the divinity should influence negatively the man? The melancholic persons are sad without a cause and neither understand why are crying and cannot realize. There are correspondences amongst the humours in man, the ages of man, the seasons of the year:. It will not be out of place here to discuss shortly how those that we call demoniac and affected by witchcraft can be distinguished from those that suffer of natural illnesses, of natural origins. What do you want? When these four humours flow more neither less than the right quantity, the man is in a very good health. Sed ne Ethici tantum Philosophi placita haec esse existimemus, D. According to the humoral theory, the variations in the liquid of the body the humours are the causes which could produce affective states. De Legibus. The illness is considered the expression of a supernatural intervention, of demons in the possession. Until when will you conceal to me your face? The four elements constitute the world water, air, earth, fire Koelbing, The course the long time has been one of the main characters of melancholia. Melancholy is due to a physical pathology, an illness of oesophagus Caelius Aurelianus, Subsequently Alexander of Tralles Trallianus VI century AD also connected mania to melancholy interpreting it as an accentuation of the disorder, as an advanced stage of melancholy [2]. In De lamentatione animae dolentis Saint Isidore of Sevilla In the Middle Ages prevailed a view of the passions related to the religious search for salvation. But also this development does not mean the disappearance of the demonological vision, which is still widely accepted in seventeenth century as we can notice in this writing of Paul Ammann. Galen AD broadened the theory of four humours and developed a theory of temperaments. To be tied foot it is an obstacle to the running, the sadness is an obstacle to the contemplation. And I think this is no news for the physician: actually, Hippocrates 2. Cassian employs Latin names gastrimargia, filargiria, acedia, cenodoxia the translittaeration from the Greek terms of Evangrius. While Evangrius wrote about temptations caused by daemons, which the monk has to fight, Medieval Christendom adopted the doctrine of cardinal sins. Who is tied by the sadness is subdued by the passions, and the chain is brought as an evidence of the defeat [9]. The emptying is painful even if from the body comes out a major quantity than necessary because of the excessive pressure. They suggest the right thing in the wrong moment and in the wrong situation, they subject the men to rigid rules without considering the concrete situation. Greek medical texts rejected a supernatural explanation of melancholy. Where do you come from? He describes somatic symptoms also, usually caused by the presence of black bile in the stomach and in the diaphragm Muller, The melancholy is an affection without fever, where the grown sad spirit remains always obsessed by the same idea and always there obstinately. The monk seeks the quiet, he finds himself fighting against the daemons, who suggest tempting thoughts disturbing the monk and trying to force him into a cardinal sin. Psalms 13, The saddened monk does not bend the mind to the contemplation and does not uplift a pure prayer to the sky; the sadness is an obstacle to all the best. The other atrabilious humour which is generated by combustion of yellow bile provokes violent delusion, in the presence or absence of fever, because it occupies the substance of the brain itself. But, not to think that these are just opinions of the Ethnic philosopher, the very influential D. There are four humours in man, which resemble the different elements, they are increasing in different times and prevail each in different ages. Then the mind judges as the black bile wishes. Moreover, in the individual constitution can prevails one of the humours: this particular mixture of the humours idiosyncrasia produces the predisposition to the illness of each person. They are more bodily constitutions.