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
Any definition of insanity would be incomplete without the statement
of Hughlings Jackson's view, that disease only produces negative
mental symptoms answering to dissolution, and that all elaborate
positive mental symptoms (illusions, hallucinations, delusions, and
extravagant conduct) are the outcome of activity of nervous elements
untouched by any pathological process; that they arise during activity
on the lower level of evolution remaining; that the insane man's
illusions, etc. are not caused by disease, but that they are the
outcome of activity of what is left of him (of what disease has
spared), of all there then is of him. His illusions, etc. are his
mind.
THE CLASSIFICATION OF MENTAL DISEASES.—There is no universally
accepted classification of mental diseases, and the same terms even
are used by different writers to convey entirely different meanings.
The classification according to the causes of insanity was suggested
by Morel of Paris, and fully elaborated by Skae of Edinburgh, as
follows: (1) Moral idiocy; (2) intellectual idiocy; (3) moral
imbecility; (4) intellectual imbecility; (5) epileptic insanity; (6)
insanity of masturbation; (7) insanity of pubescence; (8) hysterical
mania; (9) amenorrhœal mania; (10) post-connubial mania; (11)
puerperal mania; (12) mania of pregnancy; (13) mania of lactation;
(14) climacteric mania; (15) ovario- and uteromania; (16) senile
mania; (17) phthisical mania; (18) metastatic mania; (19) traumatic
mania; (20) syphilitic mania; (21) delirium tremens; (22) dipsomania;
(23) mania of alcoholism; (24) post-febrile mania; (25) mania of
oxaluria and phosphaturia; (26) general paralysis; (27) epidemic
mania; (28) idiopathic sthenic mania; (29) idiopathic asthenic mania.
In a large proportion of cases the causes of insanity are so many and
so complex that it is not within human power to say which of a number
has been the most important, or the assigned and classified cause may
be only an accidental complication or the most striking, but by no
means most potent, cause.
The classification, according to the functions interfered with, is
that adopted by Maudsley and by Bucknill. According to Bucknill, we
have
(1) Insanity of the intellect or ideas: Idiocy, imbecility, dementia,
delusional insanity, monomania, mania.
(2) Insanity of the feelings and the moral sentiments: Moral
imbecility, moral insanity, melancholia, religious insanity,
hypochondriacal insanity, nostalgic hypochondriacal insanity,
exaltation regarding religion, pride, vanity, ambition.
(3) Insanity of the propensities, instincts, or desires: Mania,
homicidal mania, suicidal mania, erotomania, dipsomania.
Public-domain text, read in full here on John Shaqi.
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