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
That all should have the sanction and concurrence of medical
recommendation, is every way indispensable; but what I argue for is, that
this should be done, in the manner best calculated to make it appear to
the patient, that cure, and not mere confinement, is the object of the
measure they are recommended to accede to without reluctance. That a
great number will require certificates, and all the aid of authority, to
make them submit to the measure, is certain; and in these cases, the law,
so far from being a hardship, is a great convenience and advantage.
Again, violent and extreme cases may be said to certificate themselves,
in these there can be no risk of making any mistake, and doing any
injustice in the first instance; the injustice may be afterwards in
improper treatment, and in over detention. But to prevent all such
abuses, we must first make men perfect, and then we should have no
diseases to cure. It is certain, that under a proper system, ameliorated
by all these plans of procedure I have stated, it is astonishing how
these violent and extreme cases would become less prominent. I believe
they would not average five per cent. at any one time; and take the
average of a number of years, and I suppose it would not be more than
half that number. I am certain the proportion, during sixteen years of
my experience, has been much less than even this; it is seven years since
we had occasion to treat any one single case as a constantly furious and
dangerous maniac; and even suppose, such cases, under the best
management, were more frequent in occurrence, and continue in this state
for some time, how easy it would be so to contrive an Establishment, that
these violent cases should not annoy or disturb the rest; and when thus
managed, so far from their influence being hurtful, they would become
interesting and salutary objects of reflection and commiseration to those
who are in a better state; and often, by example, would teach the
greatest of all moral lessons, that which holds the primary place as a
preventive, and is always a necessary adjunct in the business of
restoration—self control.
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