Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
It is true, there are cases, which require a very delicate, and
conditional sort of superintendance, and that harsh measures and
indiscriminate treatment would, in many instances, be more injurious than
even absolute neglect; but at the same time, it must be observed, that
such persons generally require to be placed under some judicious and
delicate restraint, from the fact that their vicious inclination (for in
these cases the disease begins in chronic inflammation and ultimately
softening of the cerebellum) leading them into vicious habits, would
rapidly accelerate the disease and make it a confirmed and incurable
case. I have had some cases of gradual decay of mind, which, if not
curable, might, with care, have continued for years in a tolerable state,
but when allowed their liberty only for one week, they so accelerated the
progress of the disease by dissipation and excess, that they suddenly
sank into hopeless idiotcy.
I have known several such cases, who were never under any care, but left
wholly to themselves, sink as suddenly into the same hopeless
state.—Cases of Melancholia and Suicide, are often unsafe; the first is
not a less decided case, though less avowed and acknowledged inclination
to suicide; the other, though avowed will often pretend to be much
better; sometimes even strongly confess their guilt in having allowed
themselves to indulge in so dreadful a propensity; and all this, merely
for the purpose of throwing their friends off their guard; when, the
moment they suspend their vigilance, the suicide seizes with avidity
whatever means or opportunity may be presented to him, to terminate his
present miserable state of existence.
It is evident that to pursue this system, it will require great anxiety
and vigilance, and that we must not care for labour or sacrifices but
seek to do good for the sake of the good to be done; and when this is the
case, we shall be most desirous thoroughly to understand every form and
species of the disease, for we shall then know that it requires that we
should, with the utmost nicety be able to discriminate between the
different forms and species of insanity, in order that we may discover,
prescribe, superintend, or enforce the peculiar treatment which each case
requires.
Public-domain text, read in full here on John Shaqi.
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