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
Not unlike that condition which develops as the result of so-called
psychic epilepsy, in which patients perform apparently voluntary acts,
while the mind is really clouded by an epileptic attack, are those
states in which, as the result of a more or less blind impulse, acts
are performed for which the responsibility of the individual is at
least dubious. Modern experts in nervous and mental diseases have
sometimes spoken of these states as obsessions. This term is adopted
from the older writers on mysticism who used it to designate states of
mind in which an individual was under the influence of some spirit,
though his intellectual and volitional state was not as completely
under the subjection of this spirit as in the condition of possession.
It seems clear to the modern student of these obscure conditions that
the old mystics and the modern alienists practically talk about the
same state of affairs when using this term. As the result of
obsession, mystical writers would have conceded that responsibility is
not quite complete, though it is not entirely done away with. The
modern alienist is just as sure of the diminution of responsibility,
though he considers it due to the fact that for some physical reason
the will is not able to act or prevent action as it is under normal
conditions. The will is sometimes spoken of by certain of these modern
psychologists as mainly an inhibitory faculty, that is, a faculty
which prevents certain reflex acts from taking place, though
permitting one set of reflexes to have its way. Under the influence of
an obsession or, as the French call it, _une idée obsédante_, this
inhibition is not {267} exercised and as a result an action is
accomplished which the agent may very shortly afterwards regret
exceedingly.
There is no doubt that impulsions or impulsive ideas may push an
individual into the performance of an action which his reason
condemns. Uncontrollable anger is a well recognised example of this.
Impulses of other kinds may exercise just as tyrannic a sway, though
it is harder to recognise the elements that make up the mental
condition in other cases. Of course it may well be said that man must
control his impulses. It is, however, just such impulses as can not be
controlled that lessen responsibility and sometimes seem entirely to
destroy it. It would, without doubt, be very easy to advance the
uncontrollable impulse as an excuse for many criminal actions. In
fact, the discussion of responsibility and its limitation by impulse
would seem to be open to so many abuses as to make it advisable, in
the present indefinite state of our knowledge, to put the subject
aside entirely. The argument, however, from the abuse of the thing,
does not hold, and an effort must be made to get at the truth
concerning certain mental conditions which modify responsibility.
Public-domain text, read in full here on John Shaqi.
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