It is possible that the flower hints that the doctor is a charlatan as does the funnel hat. The woman balancing a book on her head is thought by Skemer to be a satire of the
Flemish custom of wearing amulets made out of books and scripture, a pictogram for the word
phylactery. Otherwise, she is thought to depict folly.
Michel Foucault, in his 1961 book
History of Madness, says "Bosch's famous doctor is far more insane than the patient he is attempting to cure, and his false knowledge does nothing more than reveal the worst excesses of a madness immediately apparent to all but himself." ==See also==