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
possessed the poor fellow—that not only took his life, but destroyed
his character, lost him the love and esteem of his friends, and doomed
him for half a dozen years to do things he would most have hated and
despised when he was himself. Dunlap, the assistant surgeon at Dayton,
told me that he found in this man's trunk letters from several—half a
dozen, I think, at least—women in various places, from which it
appeared that he was engaged to be married to each one of them. The
letters were neatly tied up in packages, each one's separately, in
several instances with photographs supposed to be of the writers, and
the date of reception and reply was noted on many of the letters in a
business-like way.”
As Westphal well says[15] of such persons, “They often think correctly
and logically, and show reflection and deliberation to a certain
degree; but there is a certain something lacking, and there are some
general conceptions, general processes of thought and judgment, of
which they are incapable. Their mentality stops short on a certain
plane, especially in matters of judgment where every even uneducated
person easily succeeds. They sometimes act as if they had good
judgment and common sense, of which they are really destitute,
particularly in regard to the proprieties of life and their proper
social relations and duties. Certain of the finer feelings are
absolutely impossible of development in them. Through their various
nets, perverted by their mental defect, the patients often seem
perverse (bösartig), passionate (leidenschaftlich), although of true
sustained passion they are incapable. What seems passion is a sudden
idea or fitful impulse to which they yield at once. Moral insanity is
a defect in the affective {146} sphere, but also an intellectual
defect of a peculiar kind, which is often concealed under the mask of
a perverted moral sense, and which requires time and practice on the
part of the physician for its detection.”
[Footnote 15: _Berl. klin. Wochenchrift_, 1878, No. 15.]
Moral insanity is quite certain to pursue a downward course, although
something can be done by training, general hygiene, simple diet,
mental discipline, avoiding overwork, a judicious choice of the few
occupations of which the moral insane are capable, and a constant
steadying hand to help them try to keep their balance.
Public-domain text, read in full here on John Shaqi.
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