Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
He recovered, and his character appeared much improved by his severe
visitation. He became very much attached to me, and wrote a great deal
for me, as my amanuensis. It is worthy of remark, that he remained of
choice for a considerable time after his health was re-established, on
account of the dread he felt at returning to the place and circumstances
where his disease had arisen.
It is remarkable also, that after he had been some weeks in private
lodgings, assisting his father, in his profession at the Assizes, he, the
very night previous to their intended return home, made his escape to
America.
It is singular, that the first case I had, as an insane patient, after I
left York, was his sister.
I might select a great number of cases, where I conceive such attention
was apparently one principal cause of their recovery, and which I took
under my more immediate care on this account, and to whom I devoted much
of my time, and made many sacrifices of my comfort and convenience.
In order to show the importance of such attention, it will be necessary
briefly to explain the description and character of the cases to which I
more particularly allude, and that it may appear that these opinions are
not new, I shall quote from the first part of this volume already
published. I there say, “What is called mania and melancholia, are for
the most part effects of the same power being overactive, but overactive
in different directions.” If the distressing passions are overactive, we
have melancholia,—if the animal propensities, we have furious mania,—and
if the exhilirating passions, we have an exuberance of joyous activity.
“This is a view not before taken, and will account for much of the
difference in the effect from the same cause. This melancholy, or state
of depression, caused by the activity of the depressing passions, is to
be distinguished from the state of exhaustion and debility, which
succeeds some violent paroxysms, or which follows an exhausted state of
body and mind from overexertion, and assumes either an apparent
melancholy character, from torpor or partial suspension of mind, or is in
reality a case of melancholia of the most miserable description, from the
exclusive activity of these depressing passions, which are then more
likely to become the sole masters of the field of action.” {16}
In the former mentioned cases, it appears, that the exciting and
depressing passions alternately take on habitudes of action, so that it
is still over excitement, but the effects, from its direction being
different, are diametrically opposed to each other: in the one case, as I
have already said, this nervous energy is employed in exciting into
activity the passions which exhilirate: in the other, those which depress
us.
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