Preaching Phrenitis: Augustine's Medicalization of Religious Difference

Like many late antique preachers and theologians, Augustine of Hippo understood deviant religious practices and beliefs in terms of mental illness. Whereas this metaphor was typically framed in generic terms (for example, “madness” or “insanity”), Augustine developed a consistent and specific diagno...

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Bibliographic Details
Main Author: Wright, Jessica 1985- (Author)
Format: Electronic Article
Language:English
Check availability: HBZ Gateway
Interlibrary Loan:Interlibrary Loan for the Fachinformationsdienste (Specialized Information Services in Germany)
Published: 2020
In: Journal of early Christian studies
Year: 2020, Volume: 28, Issue: 4, Pages: 525-553
Standardized Subjects / Keyword chains:B Augustinus, Aurelius, Saint 354-430 / Phrenitis / Medicalization / Mentally disturbed / Metaphor / Sin
IxTheo Classification:KAB Church history 30-500; early Christianity
NBE Anthropology
Online Access: Volltext (lizenzpflichtig)
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Summary:Like many late antique preachers and theologians, Augustine of Hippo understood deviant religious practices and beliefs in terms of mental illness. Whereas this metaphor was typically framed in generic terms (for example, “madness” or “insanity”), Augustine developed a consistent and specific diagnosis that made use of the symptoms of the mental illness phrenitis (acute delirium with acute fever) to undermine the self-knowledge and authority of those who thought their spiritual health did not depend upon the healing intervention of Christ or his substitute, the Christian preacher. This article argues that Augustine used the mental illness phrenitis as a model for sickness of the soul in order to reinforce his own authority as a physician of the soul and to justify coercive therapeutic interventions in the lives of his opponents. Phrenitis represented for Augustine a sickness characterized by distorted self-perception, the rejection of medical care, preternatural physical strength, and a tendency to violence. These symptoms, which were rooted in the medical concept of the disease, established a framework for his medicalization of religious difference, both at the local level (congregants, religious opponents) and on a broader theological plane. This medicalization motivated strategies of therapeutic coercion, and enabled Augustine to define his ecclesial community along therapeutic lines.
ISSN:1086-3184
Contains:Enthalten in: Journal of early Christian studies
Persistent identifiers:DOI: 10.1353/earl.2020.0046