Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
“It may probably be urged, and I am very well aware of it, that there is
a considerable class of patients, whose eccentricities may, in great
measure, be controlled; and who may be kept in subjection and apparent
orderly habits, by the strong excitement of the principle of fear.—They
may be made to obey their keepers, with the greatest promptitude; to
rise, to sit, to stand, to walk, or run at their pleasure; though only
expressed by a look. Such an obedience, and even the appearance of
affection, we not unfrequently see in the poor animals who are exhibited
to gratify our curiosity in natural history: but who can avoid
reflecting, in observing such spectacles, that the readiness with which
the savage tiger obeys his master, is the result of treatment, at which
humanity would shudder; and shall we propose by such means
“To calm the tumult of the breast,
Which madness has too long possest;
To chase away the fiend Despair,
To clear the brow of gloomy care;
Bid pensive Melancholy cease to mourn,
Calm Reason reassume her seat;
Each intellectual power return?”
“If those who are friendly to what may be termed the terrific system of
management, could prove, that notwithstanding it may fix for life the
misery of a large majority of the melancholies; and drive many of the
more irritable maniacs to fury or desperation; yet that it is still, in
its operation upon a large scale, adapted to promote the cure of
insanity; they would have some apology for its discriminate adoption.
If, on the contrary, a statement of the proportion of cures in the
Retreat, shall sufficiently prove the superior efficacy of mild means,
would not those, who are adopting an opposite line of treatment, do well
to reflect on the awful responsibility which attaches to their conduct.
Let us all constantly remember, that there is a Being, to whose eye
darkness is light; who sees the inmost recesses of the dungeon, and who
has declared, ‘For the sighing of the poor, and the crying of the needy,
I will arise.’”
“From the view we have now taken of the propriety of exciting fear, as a
means of promoting the cure of insanity, by enabling the patient to
control himself, it will, perhaps, be almost superfluous to state as our
opinion, that the idea, which has too generally obtained, of it being
necessary to commence an acquaintance with lunatics, by an exhibition of
strength, or an appearance of austerity, is utterly erroneous. The
sentiment appears allied to that cruel system, probably dictated by
indolence and timidity, which has so long prevailed, and unhappily still
prevails, in many receptacles for the insane.”
Public-domain text, read in full here on John Shaqi.
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