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
After a time, longer or shorter in individual cases, the paranoiac
begins to recognise definitely who his persecutors are. As a rule, it
is not some single individual, but a combination of individuals.
Already there is the beginning of the third state of the disease--the
grandiose stage of the disease, in which the patient feels an extreme
sense of his own importance. It would be derogatory to his self
conceit to consider himself the subject of persecution by an
individual, and so it is usually some society, or the government, or
its officials, or some secret organisation that is persecuting him,
and perhaps also persecuting those who are near and dear to him.
Sometimes it is the Odd Fellows, or perhaps the Masons, who are the
persecutors. If the newspapers have recently had some account of the
disappearance of Morgan years ago, and this subject crops up
periodically in the papers, then the Masons become a favourite subject
for paranoiacs' delusions of persecutions. Just after the Cronin
murder in Chicago, the Clan-na-Gael became an extremely fearsome
spectre for paranoiacs who thought themselves persecuted. It is of
some {289} importance to know, as a rule, what the usual reading
matter of a patient is, and what things are likely in his past history
to have impressed him, in order to realise what the real source of his
delusions of persecutions are.
It is curious how rational these patients may be on all other subjects
except the special topic of their delusion. During the past year a
paranoiac has been under observation, who is considered a reasonably
rational individual by those who know him well, who follows his daily
occupation, that of clerk, without intermission and with business
ability, who is a faithful attendant at church, and who is very kind
to his family, but who is sure that he is the subject of persecution
by the Clan-na-Gael. He never belonged to the organisation. He is
not able to give any good reason why he should be persecuted, except
perhaps the fact that, though an Irishman, he never did belong to
them. He is perfectly sure, however, that they are planning to poison
him and his family. He finds peculiar tastes in the tea and the coffee
at times. He throws out these materials and insists on his wife
getting others at another grocery store. He sometimes brings groceries
home from a distance and yet finds that if he ever buys materials a
second time in the same place, they are sure to have been tampered
with in the meantime by emissaries of this secret organisation. He
feels sure that he has seen these secret agents, but he is only able
to give vague descriptions. Not a little of the prejudice against
these organisations is really founded on such morbid suspicions.
Public-domain text, read in full here on John Shaqi.
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