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This paper considers the portrayal of mental illness in case histories that appeared in non-specialized medical journals, before psychiatry as a discipline became more professionalized in the 1880s. In this critical time when mental illness was just starting to be considered a medical (rather than spiritual) phenomenon, I will examine how psychiatric and psychological disturbances were narrativized through a new framework. I will pay particular attention to the limitations psychiatrists were encountering in both observing and depicting interiority, and the different approaches taken by different journals and doctors to approach this problem.