Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
This was one of the cases apparently saved by such timely attention, and
which I intend hereafter to describe more particularly, for the purpose
of illustrating both the medical and moral treatment of many similar
cases of insanity. I shall, however, state so much of the case now, as
will be sufficient to show, that there is not only a critical period of
the disease, when judicious medical and intellectual attention arrests
and prevents its transition into another and equally dangerous form of
over-excitation, so dangerous, that if allowed to take its course, it not
unfrequently ends in dementia, but also, and more especially to show,
that in all cases our moral treatment must have in view the nature of the
existing causes, in order that we may be able to adopt the most suitable
methods of counteracting their effects,—a part of treatment which has
hitherto been either wholly overlooked, or else exercised without much
knowledge and discretion; although I am certain it is of great importance
in the treatment of all curable cases of insanity, and in many cases so
important, that by such methods we may ultimately succeed in removing
these causes altogether; and removing them, remove also the fear of their
again (at any future time) being allowed to have any baneful operation.
This person, who was a dissenting minister, had always been reckoned by
all parties, one who entertained gloomy views in religion, and pushed
these into extremes; his zeal was equally violent and vindictive, and he
besides possessed a mind with every opposite quality in excess, and which
had always, as far as I could ascertain, been in a state of irregular and
discordant excitation; it is quite certain that during many years past,
it had been habitually kept in a very painful and irritable state, by
several causes, and one more especially deserving notice. He lived
unhappily with his wife and her friends,—instead of union and harmony,
all was dislike and contradiction, perpetual storms and altercations,
which had just before terminated in a separation between himself and
them.
Thus, from the condition of his own unsettled and ill-constituted mind,
his gloomy and vindictive views in religion, his variable and irritable
temper, and from the nature of the domestic excitement under which he had
suffered most severely, it was easy to trace the distressing and awful
form of his derangement to the causes which had produced it.
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