He meant by alienation that the patient feels like a stranger ( alienus ) to the world of the ' sane ' .
Pinel 's book had an enormous influence on both French and Anglo - American psychiatrists during the nineteenth century .
Pinel meant by alienation that the patient feels like a stranger ( alienus ) to the world of the ' sane ' .
Pinel 's book had an enormous influence on both French and Anglo - American psychiatrists during the nineteenth century .