Essays In Pastoral MedicineWalsh, James J. (James Joseph)
Religion
Essays In Pastoral Medicine
Walsh, James J. (James Joseph)
First aid in illness and injury; Medicine
Notwithstanding this general principle with regard to heredity, there
are a number of striking observations which show that even unimportant
peculiarities may occur from generation to generation, though it is
not always easy to decide where the peculiarity originated. The
well-known example of the occurrence of six toes has already been
mentioned, and is an oft-quoted bit of evidence as regards hereditary
transmission. An extra finger on the hand, or some portion of an extra
finger, at least, comes in the same category. Not long since it was
pointed out that harelip is another of these peculiarities that
readily lends itself to hereditary transmission. Recently there was
the report of a family into which there were born four girls with
harelip and cleft palate, and three boys not showing any trace of
these deformities.
Often when in such cases there is no definite history of harelip, it
is found that in either one of the parents there is a very high arched
palate and a thin upper lip, showing that the normal occlusion of the
cleft which exists here during foetal development is not quite
perfect, and this peculiarity may be traced for several generations
back, with an occasional occurrence of harelip as an exaggerated
example of the faulty tendency not to produce sufficient tissue in
this neighbourhood for the proper closure of the embryonic cleft.
An even more striking manifestation of a physical anomaly, as a family
trait, is the condition known as hemophilia. This {124} tendency to
bleed easily, so that a slight scratch, or the pulling of a tooth, may
give rise to fatal hemorrhage, occurs, as a rule, only in males, but
is transmitted through the female line. It is in the mother's male
relatives that the history of its previous occurrence is found, and
the tendency usually can be traced through several generations, until
it is lost in vague tradition. It is no wonder, with such examples
before them as six-toedness, harelip, and hemophilia, that physicians
have been ready to accept heredity of qualities in the moral order,
traits of character and disposition, and pathological tendencies to
crime or passion or indulgence.
One of the most frequently discussed conditions of supposed
pathological inheritance of this order is dipsomania. Everyone has
heard it said, "Poor fellow, how can he help it; his father was a
drunkard before him." As we have already said, in such direct cases
inheritance is absolutely unproven. An alcoholic father may transmit a
very weak physical constitution to his children, and this may prove
inadequate to enable them to withstand the emotional strain and worry
of modern great city life, and, as a consequence, they may take to
alcohol for consolation until the habit is formed, and then the
craving for stimulants supplies the place of any hereditary influence
that may be supposed to be needed.
Public-domain text, read in full here on John Shaqi.
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