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Although modern, scientific psychology is often dated from the 1879 opening of the first psychological clinic by Wilhelm Wundt, attempts to create methods for assessing and treating mental distress existed long before. The earliest recorded approaches were a combination of religious, magical and/or medical perspectives. Early examples of such psychological thinkers included Patañjali, Padmasambhava, Rhazes, Avicenna and Rumi.
In an informal sense, psychotherapy can be said to have been practiced through the ages, as individuals received psychological counsel and reassurance from others. Purposeful, theoretically based psychotherapy was probably first developed in the Middle East during the 9th century by the Persian physician and psychological thinker, Rhazes, who was at one time the chief physician of the Baghdad bimaristan. In the West, however, serious mental disorders were generally treated as demonic or medical conditions requiring punishment and confinement until the advent of moral treatment approaches in the 18th century. This brought about a focus on the possibility of psychosocial intervention—including reasoning, moral encouragement and group activities—to rehabilitate the "insane".
In the 19th century, one could have ones head examined, literally, using phrenology, the study of the shape of the skull developed by respected anatomist Franz Joseph Gall. Other popular treatments included physiognomy—the study of the shape of the face—and mesmerism, developed by Franz Anton Mesmer—designed to relieve psychological distress by the use of magnets. Spiritualism and Phineas Quimby's "mental healing" technique that was very like modern concept of "positive visualization" were also popular. By 1832 psychotherapy made its first appearance in fiction with a short story by John Neal titled "The Haunted Man."
While the scientific community eventually came to reject all of these methods, academic psychologists also were not concerned with serious forms of mental illness. That area was already being addressed by the developing fields of psychiatry and neurology within the asylum movement and the use of moral therapy. It wasn't until the end of the 19th century, around the time when Sigmund Freud was first developing his "talking cure" in Vienna, that the first scientifically clinical application of psychology began—at the University of Pennsylvania, to help children with learning disabilities.