Aids to Forensic Medicine and Toxicology — John Shaqi
Aids to Forensic Medicine and ToxicologyRobertson, W. G. Aitchison (William George Aitchison )
Science
Aids to Forensic Medicine and Toxicology
Robertson, W. G. Aitchison (William George Aitchison )
Medical jurisprudence; Poisons
A _delusion_ may be defined as a perversion of the judgment, a
chimerical thought; an _illusion_, an incorrect impression of the
senses, counterfeit appearances; hence we speak of a delusion of the
mind, an illusion of the senses. Lawyers lay great stress on the
presence of delusions as indicative of insanity. An _hallucination_ is a
sensation which is supposed by the patient to be produced by external
impressions, although no material object acts upon his senses at the
time.
=Partial Intellectual Mania=, or =Monomania=, also called =Melancholia=,
is a form of the disease in which the patient becomes possessed of some
single notion, contradictory alike to common-sense and his own
experience.
=General Moral Mania.=--This is a morbid perversion of the natural
feelings, affections, inclinations, temper, habits, moral dispositions,
and natural impulses, without any remarkable disorder or defect of the
intellect, or knowing and reasoning faculties, and particularly without
any insane illusion or hallucination. It is often difficult to
distinguish this form of mania from the moral depravity which we
associate with the criminal classes.
=Partial Moral Mania--Paranoia--Delusional Insanity.=--In this form one
or two only of the moral powers are perverted. Delusions are always
present, and very frequently are those of persecution. The patient's
conduct is dominated by his delusion; thus murder and suicide may be
committed. There are several forms:
_Kleptomania_, a propensity to theft; common in women in easy
circumstances. _Dipsomania_, or _Oinomania_, an insatiable desire for
drink. _Morphinomania_, a craving for morphine or its preparations.
_Erotomania_, or amorous madness. When occurring in women this is also
called _Nymphomania_, and in men _Satyriasis_. It consists in an
uncontrollable desire for sexual intercourse. _Pyromania_, an insane
impulse to set fire to everything. _Homicidal mania_, a propensity to
murder. _Suicidal mania_, a propensity to self-destruction. Some
consider suicide as always a manifestation of insanity.
=Insanity of Pregnancy.=--This may show itself after the third month of
pregnancy in the form of melancholia. It is not recovered from until
after delivery.
=Puerperal Mania.=--This form of mania attacks women soon after
childbirth. There is in many cases a strong homicidal tendency against
the child.
=Insanity of Lactation= comes on four to eight months after parturition,
either as mania or melancholia. The mother may repeatedly attempt
suicide.
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