Essay on the Classification of the Insane — John Shaqi
Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
Many married persons get into this destructive habit of indulging in
these extremes of anger and affection; and where they are known to have
existed in no common measure, they propagate this their state of mind in
their children, and which is afterwards most effectually and successfully
educated by their conduct and example; and hence such domestic circles
are fruitful soils in producing insane cases. I could state some fearful
examples of the truth of these observations, but I would gladly throw a
veil over these melancholy pictures of human nature. The sword may slay
its thousands, but the demon of domestic strife is much more destructive
to man’s life, health, and peace.
I mention all these matters, to show that such are exactly, in their
incipient form, the cases which require the most delicate, intellectual,
and laborious attention. The delusions which occur in an after stage,
arise out of these habits, and until they appear without disguise, it is
difficult for strangers to pronounce them insane; and yet these are
causes which produce the worst and most incurable consequences; and if
cure is to be effected, it can only be by a system of management, which
by calming and tranquillising the mind, will best allow the physical
effects to subside. But when this painful and irritable state of mind
has been of long duration, and some chronic and inflammatory state of
insiduous, slow, and gradual growth, is the consequence; then a longer
time will be required before cure can be brought about. I may here
remark, that it is absurd to suppose we can expect this, by moral or
medical means singly,—they must always co-operate, and never be separated
in the mind of him whose object is cure: and it is a most important and
fearful consideration, that on their treatment depends the increase or
diminution of their disease.
To show there is the greatest difficulty, delicacy, and anxiety required
to be exercised in the management of these cases, it is only necessary to
mention, that they are precisely those, who, as I have already said,
though they are either in reality, or ultimately prove the worst and most
dangerous cases, can nevertheless, in the incipient stage of the disease,
and more especially immediately after being placed under moral restraint
and medical care, exert their remaining power of self-control over their
delusions and extravagances, so as to appear, for some considerable time,
perfectly sane. Indeed, it may be considered as a general fact, that
where the insane person preserves his individuality of character, and his
alarming state is chiefly indicated by his having his prominent
peculiarities in the natural constitution of his mind in a highly
exaggerated and caricatured state, (which is always a most unfavourable
prognostic, and more particularly if this exaggeration be grounded in
self-love,) the incipient stage assumes this delusive appearance.
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