Medical explanations of bewitchment
Encyclopedia
Medical explanations of bewitchment, especially as exhibited during the Salem witch trials
Salem witch trials
The Salem witch trials were a series of hearings before county court trials to prosecute people accused of witchcraft in the counties of Essex, Suffolk, and Middlesex in colonial Massachusetts, between February 1692 and May 1693...

 but in other witch-hunt
Witch-hunt
A witch-hunt is a search for witches or evidence of witchcraft, often involving moral panic, mass hysteria and lynching, but in historical instances also legally sanctioned and involving official witchcraft trials...

s as well, have emerged because it is not widely believed today that symptoms of those claiming affliction were actually caused by bewitchment. The reported symptoms have been explored by a variety of researchers for possible biological and psychological origins.

Modern academic historians of witch-hunts generally do not give serious credence to medical explanations, citing the cherry-picking of biological symptoms by adherents of various medical theories to make the afflictions seem more consistent with the selected illness, and pointing out that the evidence cited as support for certain symptoms is often historically inaccurate. They believe that the accusers in Salem were motivated by social factors – jealousy, spite, or a need for attention – and that the extreme behaviors exhibited were "counterfeit," as contemporary critics of the trials had suspected.

Ergot poisoning

A widely-known theory about the cause of the reported afflictions attributes the cause to the ingestion of bread that had been made from rye grain that had been infected by a fungus, Claviceps purpurea
Claviceps purpurea
Claviceps purpurea is a fungus that grows on the ears of rye and related cereal and forage plants. Consumption of grains or seeds contaminated with the fruiting structure of this fungus, the ergot sclerotium, can cause ergotism in humans and other mammals.. C...

, commonly known as ergot
Ergot
Ergot or ergot fungi refers to a group of fungi of the genus Claviceps. The most prominent member of this group is Claviceps purpurea. This fungus grows on rye and related plants, and produces alkaloids that can cause ergotism in humans and other mammals who consume grains contaminated with its...

. This fungus contains chemicals similar to those used in the synthetic psychedelic
Psychedelic
The term psychedelic is derived from the Greek words ψυχή and δηλοῦν , translating to "soul-manifesting". A psychedelic experience is characterized by the striking perception of aspects of one's mind previously unknown, or by the creative exuberance of the mind liberated from its ostensibly...

 drug LSD
LSD
Lysergic acid diethylamide, abbreviated LSD or LSD-25, also known as lysergide and colloquially as acid, is a semisynthetic psychedelic drug of the ergoline family, well known for its psychological effects which can include altered thinking processes, closed and open eye visuals, synaesthesia, an...

. Convulsive ergotism
Ergotism
Ergotism is the effect of long-term ergot poisoning, traditionally due to the ingestion of the alkaloids produced by the Claviceps purpurea fungus which infects rye and other cereals, and more recently by the action of a number of ergoline-based drugs. It is also known as ergotoxicosis, ergot...

 causes a variety of symptoms, including nervous dysfunction.

The theory was first widely publicized in 1976, when graduate student Linnda R. Caporael
Linnda R. Caporael
Linnda Caporael is a professor at the Science and Technology Studies Department at Rensselaer Polytechnic Institute.-Educational background:Caporael studied psychology at the University of California, Santa Barbara and received both her B.A. and PhD. She studied human ethology at the Institute of...

 published an article in Science magazine
Science Magazine
Science Magazine was a half-hour television show produced by the Canadian Broadcasting Corporation from 1975 to 1979.The show was hosted by geneticist David Suzuki, who previously hosted the daytime youth programme Suzuki On Science...

, making the claim that the hallucinations of the afflicted girls could possibly have been the result of ingesting rye bread that had been made with moldy grain. "Ergot
Ergot
Ergot or ergot fungi refers to a group of fungi of the genus Claviceps. The most prominent member of this group is Claviceps purpurea. This fungus grows on rye and related plants, and produces alkaloids that can cause ergotism in humans and other mammals who consume grains contaminated with its...

 of Rye
Rye
Rye is a grass grown extensively as a grain and as a forage crop. It is a member of the wheat tribe and is closely related to barley and wheat. Rye grain is used for flour, rye bread, rye beer, some whiskeys, some vodkas, and animal fodder...

" is a plant disease caused by the fungus Claviceps purpurea
Claviceps purpurea
Claviceps purpurea is a fungus that grows on the ears of rye and related cereal and forage plants. Consumption of grains or seeds contaminated with the fruiting structure of this fungus, the ergot sclerotium, can cause ergotism in humans and other mammals.. C...

. which Caporael claims is consistent with many of the physical symptoms of those alleged to be afflicted by witchcraft.

Within seven months, however, an article disagreeing with this theory was published in the same journal by Spanos and Gottlieb. They performed a wider assessment of the historical records, examining all the symptoms reported by those claiming affliction, among other things, that 1) ergot poisoning has additional symptoms that were not reported by those claiming afflicting, 2) if the poison was in the food supply, symptoms would have occurred on a house-by-house basis not in only certain individuals, and 3) biological symptoms do not start and stop based on external cues, as described by witnesses, nor do biological symptoms start and stop simultaneously across a group of people, also as described by witnesses.

In 1989, Mary Matossian reopened the issue, supporting Caporeal, including putting an image of ergot-infected rye on the cover of her book, Poisons of the Past. Matossian disagreed with Spanos and Gottlieb, based on evidence from Boyer and Nissenbaum in Salem Possessed that indicated a geographical constraint to the reports of affliction within Salem Village.
  • Caporael, Linnda R. "Ergotism: The Satan Loosed in Salem?" Science, Vol. 192 (2 April 1976). See: http://web.utk.edu/~kstclair/221/ergotism.html
  • Matossian, Mary Kilbourne. Chapter 9, "Ergot and the Salem Witchcraft Affair," pp. 113-122. Poisons of the Past: Molds, Epidemics, and History. Yale University Press, New Haven, 1989. ISBN 978-0300051216
  • Sologuk, Sally. "Diseases Can Bewitch Durum Millers," Milling Journal, Second Quarter 2005, pp. 44-45. See: http://www.northern-crops.com/technical/durumdisease.pdf
  • Spanos, Nicholas P., "Ergotism and the Salem witch panic: a critical analysis and an alternative conceptualization," Journal of the history of the behavioral sciences, 1983 Oct; 19(4):358-69.
  • Spanos, Nicholas P. & Jack Gottlieb, "Ergotism and the Salem Village witch trials", Science. 1976 December 24;194(4272):1390-4.
  • Woolf, Alan, "Witchcraft or Mycotoxin? The Salem Witch Trials", Clinical Toxicology, Volume 38, Issue 4 July 2000, pages 457-60.


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Encephalitis

In 1999, Laurie Winn Carlson offered an alternative medical theory, that those afflicted in Salem who claimed to have been bewitched, suffered from encephalitis lethargica
Encephalitis lethargica
Encephalitis lethargica or von Economo disease is an atypical form of encephalitis. Also known as "sleepy sickness" , it was first described by the neurologist Constantin von Economo in 1917. The disease attacks the brain, leaving some victims in a statue-like condition, speechless and motionless...

, a disease whose symptoms match some of what was reported in Salem and could have been spread by birds and other animals.
  • Carlson, Laurie Winn. A Fever in Salem: A New Interpretation of the New England Witch Trials. Chicago, Ivan R. Dee, 1999. ISBN 978-1566633093

Lyme disease

M.M. Drymon has proposed that Lyme disease
Lyme disease
Lyme disease, or Lyme borreliosis, is an emerging infectious disease caused by at least three species of bacteria belonging to the genus Borrelia. Borrelia burgdorferi sensu stricto is the main cause of Lyme disease in the United States, whereas Borrelia afzelii and Borrelia garinii cause most...

 was responsible for witches and witch affliction, finding that many of the afflicted in Salem and elsewhere lived in areas that were tick-risky, had a variety of red marks and rashes that looked like bite marks on their skin, and suffered from neurological and arthritic symptoms.
  • Drymon, M.M. Disguised as the Devil: How Lyme Disease Created witches and Changed History. Wythe Avenue Press, 2008.ISBN 978-0615200613.

Jimson weed poisoning

Author-researcher Suzy Witten, in her historical novel of the Salem witch-hunt, "The Afflicted Girls", presents a theory that Jimson weed
Datura stramonium
Datura stramonium, known by the common names Jimson weed, devil's trumpet, devil's weed, thorn apple, tolguacha, Jamestown weed, stinkweed, locoweed, datura, pricklyburr, devil's cucumber, Hell's Bells, moonflower and, in South Africa, malpitte and mad seeds, is a common weed in the...

 [Datura stramonium] poisoning caused the strange maladies that sickened Salem Village youth in 1692, which triggered the infamous witch-hunt. Witten's theory was formulated after reading newspaper reports about a modern-day epidemic of Jimson weed poisoning among American teenagers. Seeing a range of similarities, she began comparing the historical descriptions of the Salem afflictions to contemporary medical analyses of Jimson weed poisoning. Datura intoxication typically produces a complete inability to differentiate reality from fantasy (delirium, as contrasted to hallucination); hyperthermia; tachycardia; bizarre, and possibly violent behavior; and severe mydriasis with resultant painful photophobia that can last several days.
  • Witten, Suzy "The Afflicted Girls: A Novel of Salem". Los Angeles, Dreamwand, 2009. ISBN 978-0615323138.

Post-Traumatic Stress Disorder (PTSD)

An event concurrent with the Salem witch trials
Salem witch trials
The Salem witch trials were a series of hearings before county court trials to prosecute people accused of witchcraft in the counties of Essex, Suffolk, and Middlesex in colonial Massachusetts, between February 1692 and May 1693...

 in New England was King William's War
King William's War
The first of the French and Indian Wars, King William's War was the name used in the English colonies in America to refer to the North American theater of the Nine Years' War...

, during which many British colonists in Maine, New Hampshire and northern Massachusetts were under attack, and fear of attack, by the French in Canada and their Wabanaki
Wabanaki
Wabanaki, Wabenaki, Wobanaki, etc. may refer to:In geography* area referred as the "Dawn land" by many Algonquian-speaking peoples to describe the Eastern region of the North American continent, generally described as being New England in the United States, plus Quebec and the Maritimes in CanadaIn...

 allies. Several of the "afflicted" accusers in Salem in 1692 were survivors of attacks in Maine, the witnessing of which is consistent with the psychological response of hysteria
Hysteria
Hysteria, in its colloquial use, describes unmanageable emotional excesses. People who are "hysterical" often lose self-control due to an overwhelming fear that may be caused by multiple events in one's past that involved some sort of severe conflict; the fear can be centered on a body part, or,...

 and Post-traumatic stress disorder
Post-traumatic stress disorder
Posttraumaticstress disorder is a severe anxiety disorder that can develop after exposure to any event that results in psychological trauma. This event may involve the threat of death to oneself or to someone else, or to one's own or someone else's physical, sexual, or psychological integrity,...

. Mary Beth Norton
Mary Beth Norton
Mary Beth Norton is an American historian. She is the Mary Donlon Alger Professor of American History Department of History at Cornell University. Norton was born in Ann Arbor, Michigan. She received her Bachelor of Arts degree from the University of Michigan and her Master of Arts and Ph.D. ...

 explains how many of the afflicted girls were orphaned maidservants from the Maine frontier who lived through the attacks and had many family members killed by the Wabanaki.
  • Beard, George M. The Psychology of the Salem Witchcraft Excitement of 1692 and its Practical Application to our own Time Stratford, CT: John E. Edwards, 1971 (1882). See copy at Google Books
  • Caulfield, Ernest. "Pediatric Aspects of the Salem Witchcraft Tragedy." American Journal of Diseases of Children, vol. 65 (May 1943), pp. 788-802. Reprinted in Witches & Historians: Interpretations of Salem, Marc Mappen, ed. 2nd edition. Kreiger Publishing, Malbar, FL, 1996. ISBN 0-89464-999-X
  • Kences, James E. "Some Unexplored Relationships of Essex County Witchcraft to the Indian Wars of 1675 and 1687." Essex Institute Historical Collections, July 1984. Excerpted in The Salem Witch Trials Reader, Frances Hill, ed. DaCapo Press, 2000.
  • Norton, Mary Beth. ' 'In the Devil's Snare' New York, Vintage,2003.

Hysteria and psychosomatic disorders

The symptoms displayed by the afflicted in Salem are similar to those seen in classic cases of hysteria
Hysteria
Hysteria, in its colloquial use, describes unmanageable emotional excesses. People who are "hysterical" often lose self-control due to an overwhelming fear that may be caused by multiple events in one's past that involved some sort of severe conflict; the fear can be centered on a body part, or,...

, according to Marion Starkey and Chadwick Hansen. Physicians have replaced the vague diagnosis of hysteria with essentially its synonym, psychosomatic disorder.

Starkey acknowledges that, while the afflicted girls were physically healthy before their fits began, they were not spiritually well because they were sickened from trying to cope with living in an adult world that did not cater to their needs as children. The basis for a Puritan society, which entails the possibility for sin, damnation, common internal quarrels, and the strict outlook on marriage, repressed the un-married teenagers who felt damnation was imminent. The young girls longed for freedom to move beyond their low status in society. The girls indulged in the forbidden conduct of fortune-telling with the Indian slave Tituba to discover who their future husbands were. They suffered from hysteria as they tried to cope with, “the consequences of a conflict between conscience (or at least fear of discovery) and the unhallowed craving."

Their symptoms of excessive weeping, silent states followed by violent screams, hiding under furniture, and hallucinations were a result of hysteria. Starkey conveys that after the crisis at Salem had calmed it was discovered that diagnosed insanity appeared in the Parris family. Ann Putman Jr. had a history of family illness. Her mother experienced paranoid tendencies from previous tragedies in her life, and when Ann Jr. began to experience hysterical fits, her symptoms verged on psychotic. Starkey argues they suffered from hysteria and as they began to receive more attention, used it as a means to rebel against the restrictions of Puritanism.

Hansen approaches the afflicted girls through a pathological lens arguing that they girls suffered from clinical hysteria because of the fear of witchcraft, not witchcraft itself. The girls feared bewitchment and experienced symptoms that were all in the girls' heads. Hansen contests that, “if you believe in witchcraft and you discover that someone has been melting your wax image over a slow fire…the probability is that you will get extremely sick [and] your symptoms will be psychosomatic rather than organic.” The girls suffered from what appeared to be bite marks and would often try to throw themselves into fires, classic symptoms of hysteria. Hansen explains that hysterics will often try to injure themselves, which never result in serious injuries because they wait until someone is present to stop them. He also concludes that skin lesions are the most common psychosomatic symptom among hysterics, which can resemble bite
Bite
A bite is a wound received from the mouth of an animal, including humans.Animals may bite in self-defense, in an attempt to predate food, as well as part of normal interactions. Other bite attacks may be apparently unprovoked. Self inflicted bites occur in some genetic illnesses such as...

 or pinch mark
Pinch mark
Pinch marks are a cutaneous condition, and when on the ears or in the genital region of male children may be suggestive of child abuse....

s on the skin. Hansen believes the girls are not accountable for their actions because they were not consciously responsible in committing them.

Now psychological processes known to influence physical health are called "psychosomatic". They include: "several types of disease known as somatoform disorders, in which somatic symptoms appear either without any organic disorder of without organic damage that can account for the severity of the symptoms. ...A second type, conversion disorders, involves organically inexplicable malfunctions in motor and sensory systems. The third type, pain disorder, involves sensation either in the absence of an organic problem of in excess of actual physical damage." (Bever)

Psychologists Nicholas P. Spanos and Jack Gottlieb explain that the afflicted were enacting the roles that maintained their definition of themselves as bewitched, and this in return lead to the conviction of many of the accused that the symptoms, such as bites, pinches and pricks, were produced by specters. These symptoms were typically apparent throughout the community and caused an internal disease process.
  • Bever, Edward. "Witchcraft Fears and Psychosocial Factors in Disease." Journal of Interdisciplinary History 30, no. 4 (2000). 577

  • Hansen, Chadwick. Witchcraft at Salem. New York: George Brazillier, 1969.

  • Spanos, Nicholas P. and Jack Gottlieb. "Ergotism and the Salem Village Witch Trials." Science 194, no. 4272 (1976).

  • Starkey, Marion L. The Devil in Massachusetts: A Modern Enquiry into the Salem Witch Trials. New York: Alfred A. Knopf, 1949.

Projection

Historian John Demos in 1970 adopted a psycho-historical approach to confronting the unusual behavior suffered by the afflicted girls in Salem during 1692. Demos combined the disciplines of anthropology and psychology to propose that psychological projection
Psychological projection
Psychological projection or projection bias is a psychological defense mechanism where a person subconsciously denies his or her own attributes, thoughts, and emotions, which are then ascribed to the outside world, usually to other people...

 could explain the violent fits the girls were experiencing during the crisis at Salem. Demos displays through charts that most of the accused were predominantly married or widowed women between the ages of forty-one and sixty, while the afflicted girls were primarily adolescent girls. The structure of the Puritan community created internal conflict among the young girls who felt controlled by the older women leading to internal feelings of resentment. Demos asserts that often neighborly relations within the Puritan community remained tense and most witchcraft episodes began after some sort of conflict or encounter between neighbors. The accusation of witchcraft was a scapegoat
Scapegoat
Scapegoating is the practice of singling out any party for unmerited negative treatment or blame. Scapegoating may be conducted by individuals against individuals , individuals against groups , groups against individuals , and groups against groups Scapegoating is the practice of singling out any...

to display any suppressed anger and resentment felt. The violent fits and verbal attacks experienced at Salem were directly related to the process of projection, as Demos explains,

"The dynamic core of belief in witchcraft in early New England was the difficulty experienced by many individuals in finding ways to handle their own aggressive impulses in a Puritan culture. Aggression was thus denied in the self and attributed directly to others."

Demos asserts that the violent fits displayed, often aimed at figures of authority, were attributed to bewitchment because it allowed the afflicted youth to project their repressed aggression and not be directly held responsible for their behaviors because they were coerced by the Devil. Therefore, aggression experienced because of witchcraft became an outlet and the violent fits and the physical attacks endured, inside and outside the courtroom, were examples of how each girl was undergoing the psychological process of projection
  • Demos, John. "Underlying Themes in the Witchcraft of Seventeenth-Century New England.The American Historical Review 75, no. 5 (1970): 1311-1326.
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