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
Insanity is a common condition, but it has not been satisfactorily
defined. It supposes an appreciable unsoundness of the will, memory,
and understanding, or of one or two of these faculties, but no
alienist has given a short differentiation of that unsoundness. Where
shall we draw the line between the weak but responsible will and the
insane will? What degree of opacity between intellect and the world
separates the ignorant man from the lunatic? The extremes of sanity
and insanity are readily recognisable, but the intermediate degrees
are not clear. There is no test to apply to all cases; each must be
diagnosed from its peculiar symptoms, but the will of an insane man is
always weak. It can not deny or defer the gratification of a desire,
nor can it keep up an effort. Even in its lightest forms insanity is
selfish and {107} impolite, because it lacks the force of will
necessary to take trouble. It foregoes great future benefit for slight
present gratification. The insane man is idle, or busy only in work
that he likes, in pleasurable activity. A marked quality of sanity is
the capacity for sustained work, and the man that shirks work merely
because he does not like it is gratifying himself dangerously.
These defects are found commonly in sane persons, but the lunatic can
not rise from them, and he adds to the defects of will a warped
intellect. He can not adjust himself to his surroundings, and the
fault is in himself, not in the circumstances. His intellect may be
brilliant, but it sooner or later shows a taint. The insane man is not
a free, rational agent.
Alcoholism readily passes over into unmistakable insanity, and it
almost always is the cause of nervous degeneration in the children
born within its influence. This, is a phase of the evil not
sufficiently insisted upon by those that plead for total abstinence.
Public-domain text, read in full here on John Shaqi.
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