Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
By this system of greater liberality, it would soon be found, that
patients would no longer consist of violent and extreme cases alone, but
that every thing repulsive in their present state and aspect would
quickly disappear, their whole character assume a milder form in reality
as well as in appearance.—Indeed, this is already the case. All things
are improved. Thus popular prejudice ought to cease, and a more
favourable prepossession should occupy its place; and the world being
fully persuaded, that there is much more to hope than to fear from a
residence at such a place, persons at the commencement of the malady are
easily induced to enter them of their own accord, or are sent by their
friends without delay or reluctance, before the disease has passed the
curable stage. “Cases,” as a friend of mine justly observes, “were this
feeling fully established, would be relieved without proceeding to the
utmost degree of severity; and we might confidently anticipate that when
the decided excellence of such a system, as regards moral, intellectual,
and physical management, is adequately understood, the premonitory
symptoms, often slight and various, but generally significant, will no
longer be disregarded: and incipient mental disease, arrested by the
judicious means there pursued, will not be allowed to assume a form and
magnitude constituting the most awful calamity to which man is subject:”
and why should it be allowed to do so, when it may be asserted, without
contradiction, that functional disorders of the brain, are less liable to
end in disorganization, and possess a greater power of readjustment, than
any other part of the human system—woe unto us if it were not so.
The advantages which may arise from this system will appear in a still
more striking point of view, when we reflect that those cases which
without proper care in the early stages of the disease ultimately become
the worst and the most dangerous, are precisely those which are fatally
neglected, in the first instance, and which are scarcely ever placed
under any medical treatment or moral discipline until the evil is past
all remedy. Cases of suspension and cases of gradual decay of mind, as
well as cases of Hypochondria, are of this description. I had lately
applications to receive three patients of the latter description, all of
whom committed suicide during the delay between the application and the
intended removal.
Public-domain text, read in full here on John Shaqi.
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