Essay on the Classification of the InsaneAllen, M. (Physician)
Science
Essay on the Classification of the Insane
Allen, M. (Physician)
Mental illness
In most instances, however, it must be allowed, that among these old
incurable cases, {142} the most powerful exciting causes are within them.
When their minds are at all irradiated, striking ideas, and scenes of the
past, cross their imaginations; they are further excited by them; and in
proportion as the system is excited, these ideas are themselves more
powerfully awakened; they have no clear consciousness nor control over
themselves; and this dreaming state of their minds, to them all reality,
is sometimes as cheering as the dreams of hope can make it, and at other
times as horrible as the night-mare! and thus they are wrought up into
the most excited or exasperated state. In some cases, especially the
foregoing, this goes on until they are worn out, when they require a
corresponding portion of time to renew their vital energies; and thus
cause and effect mutually produce each other. These alternate states of
excitement and depression, being often repeated, they gradually increase
in strength and duration; and thus it is in some few cases, and
especially those similar to the last, we find, that their spirits are not
expended and renewed, as ours are, once in twenty-four hours, because
these changes have become the habitudes of their nature, so that their
system becomes governed by new laws of action. It is very singular that
those most liable to extremes, are most predisposed to insanity, and in
its more confirmed stage to this periodicity of excitement and
depression.
I have already noticed, {143} that the excitement of the depressing and
exhilarating passions alternately, is the most striking characteristic of
the old insane,—so striking that the general division of insanity is
intomania and melancholia; a division, however, which is altogether
unphilosophical, as the mania and melancholia are not any abstract
difference in the cause of the disease itself, but merely the results of
the over-active nervous energy operating in different directions—at one
time on the depressing, another on the exhilarating passions; this indeed
is the case, more or less, with all those who preserve not this mental
equilibrium, but who act more from the impulse of their feelings and
passions than the cold calculations of reason, and the rigid restraints
of principle. To what extremes are the passions of the human mind
liable, when neither the true light of the understanding nor any right
sense of justice guide them! We see this in ignorant and unprincipled
individuals, who suddenly rush out of their thraldom and pupilage into
liberty and licensciousness; we see the same thing exhibited by agitated
and wicked masses, as in the French Revolution, when the moral, like the
physical ocean, is let loose from its order and control, and heaves its
tumultuous waves of passion, as if by an earthquake, from one
overwhelming extreme to another.
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