Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
To insure all these as well as many other advantages, and to make cure
the primary object, requires not only that the proprietor should live
amongst them, but also that he should be a medical man, and one who has
experience, guided by upright principles and Christian feelings; for if
medical men of talent and character could be induced to undertake this
painful and anxious life, submitting cheerfully to all these sacrifices
and inconveniences, much might be done to improve this neglected
department of medicine, and augment the number of cures; at all events,
most certainly increase the comforts of the incurable, and lessen the
distressing apprehensions of those who fear the accession, or recurrence
of mental aberration; yet notwithstanding the paramount importance of
these things, so ignorant or so blinded by prejudice is the world on the
subject, and so little aware of the talents and capabilities required for
such a situation, that they consider the very name of a proprietor, and
superintendant of an asylum, as absolutely sinking the character in
public estimation; whereas no class of medical men, were they efficient,
should be considered more honourable, because none can be more useful
than those who devote themselves to the cure and comfort of persons in
this most lamentable state.
When the gloom and horror at present thrown around establishments for the
insane shall be cleared away, Dante’s inscription over the gates of Hell,
will be no longer applicable to them,
“Lasciate ogni speranza, voi, ché ntrate;” {55}
this, or perhaps another passage from Euripides, has been imitated by our
Milton,
“Here hope never comes, which comes to all.”
They will be considered houses of cure, or hospitals for the insane.
The erroneous and false impressions, concerning the character and state
of the insane, will be corrected. The popular impression, that they are
all violent and vociferous, destructive and dangerous, will be removed.
Hitherto medical writers, by selecting the most striking cases, have
contributed their share to this popular error. They have been led to do
this, partly because they are cases, which more naturally arrest their
own observation; but chiefly, because they are more easily described;
make a more interesting picture, and are the most curable. A statement
of the recovery of such patients, though it may serve to exalt the writer
in public estimation, is wrong in itself, and very injurious in its
influence; for it increases the unreasonable horrors and false
impressions entertained about the insane, and propagates and perpetuates
the evils of which the public and legislature complain. They receive
impressions from extreme cases, which average about five per cent. then
speak just as if all the insane were in a similar condition.
Public-domain text, read in full here on John Shaqi.
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