Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
From these circumstances and states of mind, it appears, that, instead of
their stock of animal spirits being expended, under the guidance of a
moral agency, and regularly diffused over their existence, they are
subject to mere physical influence, and become the sport of every eddying
wind that blows; and therefore we find every possible variety and
irregularity exhibited.—A perfect contrast to that of the good and wise
man, if such a one can be found, whose balance of mind is preserved,
whose spirits are tranquil and even, who enjoys perpetual sunshine
within, and diffuses peace and serenity around him.
Thus, because when their spirits are buoyant, they strangely exhibit
their inherent defects of mind, it has in many instances been mistaken
for an exacerbation or a returning accession of the disease, and called
the chronic type of old incurable cases.
It further appears, that this view is correct, from the fact, that if
their manner of talking and acting, in expending their increased flow of
spirits, is improperly encouraged or exasperated, then we find their
individual and latent defects become more obvious; but with proper
treatment, they gradually die away: in fact, these appearances are more
or less perceptible, in a great measure, according to the spirit and
conduct of the superintendant; and even, under him, to that of their
respective attendants. Of this, I could give some striking
illustrations. It is astonishing how much the increased flow of the
spirits will be dark, gloomy, and vindictive; or light, cheerful, and
full of kindliness; just as we by our treatment excite and keep alive one
part of the mind or another. The same principle might be illustrated
also, on a larger scale, by surveying the conduct of different parties
and governments in the world; and on a smaller scale we see every one in
authority, a magistrate, a gentleman, a minister, a pastor, the captain
of a ship, and a parent, stamp their character on the sphere in which
they move.
Were it the place, nothing could be more instructive than examples to
demonstrate the correctness of these observations.
The preceding case, I consider, is one of these examples. I have said,
that for the most part, these states of excitement and depression, are
merely an irregular exhibition in the accumulation and expenditure of the
animal spirits, and not always to be considered, according to Dr.
Halloran’s view, as the remains of the disease in the state of a
returning paroxysm, and that which characterises the permanently insane;
but that this originated in, and depended on, causes which equally affect
the animal spirits of the sane and insane, with this difference, that in
the insane, as in this case, they are modified by the peculiar state of
mind, and the sort of treatment they have received.
Public-domain text, read in full here on John Shaqi.
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