Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
No doubt many would be cured by this system, and these would propagate
his fame; but whether the quality and proportion of those who would be
injured by such a system, were greater evils than the good which was thus
effected, we have now no means of ascertaining; nor is it necessary to
know this, before we venture to condemn a system so perfectly savage and
quackishly indiscriminate in its practice.
Where pride and vanity, angry passions, and love of power, are active, we
cannot, with impunity, force them to work against their inclination; at
the same time, it is our duty to lay the axe to the root of the evil, and
restrain, and if possible subdue, these inordinate passions; but what I
assert, is, that these are very difficult and dangerous passions to
encounter, and they are not, with this class, to be restrained and
subdued by the mere authority of a tax-master. When we encounter them,
it must be with great mental power and moral force; and this, even, to be
exercised with effect, requires, that we first make ourselves beloved and
respected by them. Oh! it is a difficult and delicate thing to preserve
that spirit, in combating these provoking cases, which alone has the
power to overcome and cure them.
A state of furious mania is frequently the effect of injudicious
management. Of this opinion, Mr. S. Tuke says, “a striking illustration
occurred in this Institution, some years ago. A patient, of rather a
vindictive and self-important character, who had previously conducted
himself with tolerable propriety, one day climbed up against a window,
which overlooked the court where he was confined, and amused himself by
contemplating the interior of the room. An attendant, who had not been
long in office, perceiving his situation, ran hastily towards him, and,
without preamble, drew him to the ground. The patient was highly
incensed: a scuffle immediately ensued, in which he succeeded in throwing
his antagonist; and had not the loud vociferations of this attendant
alarmed the family, it is probable that he would have paid for his rash
conduct, by the loss of his life. The furious state of the patient’s
mind did not continue long; but, after this circumstance, he was more
vindictive and violent.”
“In some instances, the superintendant has known furious mania
temporarily induced, by the privations necessary on a relapse, after a
considerable lucid interval, during which the patient had enjoyed many
privileges that were incompatible with his disordered state. Here we may
suggest the expediency, where it is possible, of employing such of the
attendants to control the patient during his paroxysms, as had little
intercourse with him in his lucid interval. Instances of furious mania
have been, however, very rare; but a considerable number of patients have
been admitted, who were reported to be so furiously insane as to require
constant coercion.
Public-domain text, read in full here on John Shaqi.
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