Disowned (25-29)

Surely my act of kindness should not become an obligation for the future, nor should the fact that I conferred a benefit of my own free will constitute a reason that I should be ordered to do it against my will; neither should it become customary that once a "man has cured anybody, he must for ever treat all those whom his former patient wishes him to treat. Under those conditions we should have elected our

That is what I might have said if what he enjoined upon me were possible, and I were refusing to obey him in absolutely everything, and under compulsion. But as things are, consider now what his commands are like. “Since you have cured me,” says he, “from insanity, since my wife too is insane and has the same symptoms” (for so he thinks), “and has been given up by others in the same way, and since you can do everything, as you have shown, cure her too and free her forthwith from the disorder.”” That, to hear it so simply put, might seem very reasonable, particularly to a layman, inexperienced in matters of medicine. But if you will listen to my plea on behalf of my profession, you will discover that all things are not possible to us, that the natures of ailments are not alike, that the cure is not the same or the same medicines effective in all cases; and then it will be clear that there is a great difference between not wishing to do a thing and not being able. Suffer me to indulge in scientific discourse about these matters, and do not consider my discussion of them tactless, beside the point, or alien and unseasonable.

In the first place, the natures and temperaments of human bodies are not the same, although they are

In addition to these important distinctions, it is easy to grasp the fact that the bodies of women differ very widely from those of men, both in respect to

It is not right, then, to ask of the physicians the same treatment for both, when we know that there is a great gulf between them, dissociated as they have been from the very first in their entire mode of life, and in all their activities and all their pursuits. So when you say “It is a case of insanity,” add, “insanity in a woman,” and do not confuse all these variations by subsuming them under the title of insanity, which seems always one and the same thing, but distinguish them, as is right, in their nature and see what can be done in each case. That is what we do, for, as I remember telling you in the beginning of my speech, the first thing that we consider is the constitution and temperament of the patient’s body, what quality predominates in it, whether it is inclined to be hot or cold, whether it is