Disease and Its CausesCouncilman, W. T. (William Thomas)
Science
Disease and Its Causes
Councilman, W. T. (William Thomas)
Diseases -- Causes and theories of causation
all this cannot be attributed to alcohol alone. There is first to be
considered a probable variation in the nervous system which is
expressed in the alcoholic habit; second, the environment consisting
in poverty, bad associates, etc., which the alcoholic habit brings;
third, the alcohol alone. That defective inheritance so frequently
takes the form of alcoholism is largely due to the environment. There
has never been the opportunity to study on a large scale the effect of
the complete deprivation of alcohol from a people living in the
environment of modern civilization. There is a possibility, and even
probability, that the defective nervous organization which predisposes
to alcoholism would seek satisfaction in the use of some other
sedative drug. So complex are all the interrelations of the social
system that it would be possible to regard alcohol as an agent useful
in removing the defective, were it not for its long-enduring action
and its effects on the descendants, procreation not being affected by
its use.
Diseases of the nervous system are particularly apt to affect the
offspring, and often the inherited condition repeats that of the
parents. This is due to the fact that most of the nervous diseases
depend both upon intrinsic factors which consist in some defective
condition of the nervous system representing a variation, and
extrinsic factors due to environment or occupation which make the
basal condition operative. The definite relation between alcoholism
and insanity is due to alcohol acting not as an intrinsic but an
extrinsic factor, bringing into effectiveness the hereditary weakness
of the nervous system. The influence of heredity in producing insanity
is variously estimated at from twenty-six per cent to sixty per cent
of all cases. This great difference in the estimation of the
hereditary influence is due to the personal equation of the
statistician, and the care with which other factors are eliminated. In
the more severe form of the hereditary degeneration the same
pathological conditions are repeated in the descendants. In certain
cases the severity of the condition increases from generation to
generation. According to Morel there may be merely what is recognized
as a nervous temperament often associated with moral depravity and
various excesses in the first generation; in the second, severe
neuroses, a tendency to apoplexy and alcoholism; in the third, psychic
disturbances, suicidal tendencies and intellectual incapacity; and in
the fourth, congenital idiocy, malformations and arrests of
development. There are some very definite data with regard to
inheritance in the nervous disease known as epilepsy. The essential
condition in this consists in attacks of unconsciousness, usually
accompanied by a discharge of nerve force shown in convulsions, the
attack being often preceded by peculiar sensations of some sort known
as the aura. In the most marked forms of the affection heredity plays
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