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
Our modern newspapers, by supplying all the details of every suicide
that occurs, especially if it presents any criminally interesting
features or morbidly sentimental accessories, familiarise the mind,
particularly of the impressionable young, with the idea of suicide.
When troubles come lack of experience in life makes the youthful mind
forecast a future of hopeless suffering. Love episodes are responsible
for most of the suicides in the young, while sickness and physical
ills are the causes in the old. In a certain number of cases, however,
domestic quarrels, and especially the infliction of punishment on the
young at an age when they are beginning to feel their independence and
their right to be delivered from what they are prone to consider
restriction, are apt to be followed in the morbidly unstable by
thoughts of suicide.
The important practical question is the prevention of the fulfilment
of the morbid impulse during these impressionable years. Many a young
person has been saved from suicide at this time to realise the
enormity of the act and to live without any further temptation to its
commission for a long lifetime. As a rule the motive for the act is so
trivial and often so insensate that it is not difficult to make
patients (because patients they truly are) see the folly of their
irrational impulse.
In order to forestall the putting into action of their impulse it is
important that those who are close to the patient should have some
realisation of the possibility of its occurrence. There are usually
some signs beforehand of the possibility of the crime. Many of these
early suicides have distinct tendencies to and stigmata of hebephrenic
melancholia. The best known symptoms of this condition are those
described by Dr. Peterson, the present president of State Commission
of Lunacy of New York in his book on mental diseases. The symptoms
noted are extraordinarily rapid and paradoxical changes of
disposition. Depressed ideas intrude themselves in the midst of
boisterous gaiety, and untimely jocularity in the deepest depression,
or at solemn moments. Then there is the paradoxical facial expression,
the so-called paramimia, that is, a look of joy and pleasure when
really mental depression is present, or a look of depression when
joyful sentiments {310} are being expressed. The existence of such
rather noticeable peculiarities may lead to the suspicion of mental
disequilibration in young people.
Public-domain text, read in full here on John Shaqi.
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