A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Science
A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Medicine -- Practice
The popular idea of insanity is of wild, incoherent, or crazy conduct.
If maniacal, the timid or frightened young girl who would not hurt a
fly, and the tottering, harmless old man if confused and partly
demented, are hurried off to the asylum with the use and show of force
suitable for a desperate criminal, while the victim of overwhelming
delusions, because he seems clear, logical, and collected, is
vigorously defended against the physician's imputation of insanity
until he commits an offence against the laws, when he is fortunate if
he is not treated as a criminal. It is often impossible for judges,
juries, counsel, and even medical experts, to wholly divest themselves
of the popular notions of insanity in cases appealing strongly to the
passion or prejudice of the day. Cases involving the question of
responsibility for crime are decided against science and the evidence
because of certain preconceived notions upon insanity which no amount
of skilled opinion can controvert. Jurors, and less often judges, make
up their minds what a sane man would do under given conditions, and of
what an insane man is capable, judging from the facts within their own
experience; and in forming their decisions it is the act itself, and
not the man, diseased or otherwise, in connection with the act, that
chiefly governs them. Often they are right, not seldom wrong. Strange,
apparently purposeless, illogical, inconsistent action is frequently
attributed to the author of it being insane on that subject, whereas
he may be {100} simply acting from strong impulse or emotion, and may
be by no means insane. On the other hand, because a man knows right
from wrong in the abstract, and can ordinarily behave well, the very
characteristic workings of his insane mind are often seized upon as
unquestionable proof of sanity, even when they admit of no other
explanation to the skilled physician than that of insanity. There is
no doubt of the fact that the whipping commonly used in the treatment
of the insane by the monks several centuries ago put an end to much
insane conduct; and in insane asylums now, in spite of the best
efforts of the medical staff to the contrary, a brutal, bullying
patient is sometimes struck by another patient or an attendant in
return for some unusually exasperating and cruel conduct, with the
result of making him behave well in the future. It is with reference
to this class of cases that the crowd oftenest errs in its definition
of insanity. Society claims a voice in the enforcement of the laws for
its own protection, assuming to know who could control themselves from
crime and who not, and naturally wishes the standard of responsibility
to be kept high. Of course its sympathies and prejudices largely
govern its voice in the matter.
Public-domain text, read in full here on John Shaqi.
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