Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
There are few minds, even amongst the insane, who are not accessible to
the salutary influence of this kind and liberal mode of proceeding. It
is true, that many paupers, who have long been subjected to a very
different system, are scarcely receptive of any of the impressions which
belong to human nature; but with a higher class of patients, this can
seldom or never be the case, unless it be in cases of absolute dementia.
Even in the height of the most furious paroxysms, it is astonishing how
much may be done by liberality and kindness. Nothing but absolute
necessity should justify absolute restraint. It must always be
considered as an evil to which we are reduced, in order to avoid a
greater. Whenever it is unnecessary, and continued too long, it will do
more harm than good: the furious will be made more furious, and the
suicide more determined to effect his purpose. Whenever the patient is
indulged with more liberty and behaves better, we must have forbearance
to the utmost extent, and submit to all possible risks, losses, and
expenses, rather than again have recourse to it; and when it is repeated,
the patient must be made, if possible, to feel that it is deserved.
Their faults, like those of children, must be viewed with pity. They are
the wild displays of feeling, without understanding. We must make
excuses for them; often overlook, as often visit them slightly, only
seldom with seriousness, and always with moderation, justice, and
prudence. No evil is greater than the evil of constantly chiding and
suspiciously watching for faults. It is an evil spirit that poisons and
inflames every thing within its sphere. A contrary spirit has a healing
influence; and though it requires numerous attendants, and makes the
whole business of superintending the insane a source of constant and
intense anxiety and solicitude, yet it is pleasing to have it in my power
to state many “striking” examples of its efficacy, but I shall,
notwithstanding, content myself with only slightly glancing at two or
three.
_No._ 372.
I shall not at present give the particulars of this interesting case,
except so far as is necessary for the purposes of illustration.
When he came from a private Asylum, he was in a state of the most
furious, destructive, and malignant excitement, and had been in this
state for so many months, that he was considered by his friends as an
incurable case.
I attribute his cure, chiefly to his being treated with apparent
confidence, and induced to work with a spade, when even in his worst
state—a state so dreadful, that the least word or wrong look would have
roused him to commit some dreadful act of vengeance, and it therefore
required two men to be constantly in attendance to watch him, and this
without appearing to do so.
Public-domain text, read in full here on John Shaqi.
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