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nd Perfect became influential; and soon Pinel and Esquirol followed in France; and Reil and Langermann in Germany. Reil recognized clearly at the threshold of the nineteenth century that "Both psychical and physical diseases may be cured by psychical means, but at the same time psychical diseases may also be cured by physical means." And in his "Rhapsodies," rhapsodies on the application of psychical methods in the treatment of mental disturbances, he declared, "that the medical Faculties will soon be obliged to add to the two existing medical degrees still a third, namely, the doctorate in psychotherapy." This stream became broader and broader and every new development of psychiatry in the last hundred years did new justice to the influence of psychological means in the treatment of mental diseases; to be sure, without allowing up to the present day the hope that mental factors as such can cure the grave forms of insanity. The borderland cases and the incipient mild forms alone allow the hope of a cure. Outside of them the work of psychotherapy in the insane asylum meant essentially improvement and relief only. Again, in another direction, the general dietetic influence of sound mental life may be called a part of psychotherapy and this engaged not a few of the leading medical thinkers in all countries during the last century, especially the nerve physicians who gave serious attention to the wholesome engagements of the mind. Finally, might not much be attributed to psychotherapy, which offically belongs to the doctrines of homeopathy? But we may return to the new heralds of suggestion. Liebeault's book on the artificial sleep in 1866 became the starting point of the new great movement. Yet at first it remained unnoticed. It is claimed that for a long time only one copy was sold. But he continued to make his hypnotic experiments on the poor population of Nancy and they finally attracted the attention of some of the leading medical men there. Bernheim became convinced and Dumont, the physiologist Beaunis joined the movement, and in the eighties we find Nancy the center of hypnotic interest to which medical men from everywhere made their pilgrimage. This latter phase was paralleled by Charcot's studies in Paris, who brought hypnotism into nearest neighborhood with hysteria. And also the later development of the Paris school by Richer, and especially the brilliant work of Janet, kept hysteria in the foreground of the the
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