How to Care for the Insane: A Manual for NursesGranger, William D.
Science
How to Care for the Insane: A Manual for Nurses
Granger, William D.
Psychiatric nursing
The mind is a most complex affair, it is always active, nor is one faculty
at work and the rest idle, but many parts are at work at the same time,
and act and react upon each other. We may exercise our perceptive faculty,
or reason, memory, and will, and be affected by our feelings at the same
time. There is with it all a regulating power that coordinates or brings
these different actions into harmony, and we get the working of a healthy
mind.
CHAPTER III.
INSANITY; OR, DISEASE OF THE MIND.
In common language we speak of the mind diseased.
This is not strictly true, as it is the brain that is diseased and, in
consequence, we get disturbed mental action.
Every person has individual characteristics. As no two faces are alike, so
the mind, character, and manner of no two are alike, and it is by the
manifestation of these, that each is known.
When a person becomes insane there is always a change from his natural way
of thinking, feeling, and acting, due to disease of the brain. Sometimes
the change is slight, or concealed by the patient, and is apparent only to
near friends, or after a careful examination. Sometimes it is so great as
to attract immediate attention, when it may present the features of raving
madness, or of the most abject melancholy.
To illustrate this change, we may suppose both a king and a pauper to
become insane: there is, of course, a vast difference between them, but
the king may be so changed by the disease as to believe that he is a
pauper, and himself and his family starving, and he may also wish and even
try to work and dig like a laborer to support them; or a pauper may think
himself a king, and try to act like one. Such conditions show a _marked_
change in the manner of thinking, feeling, and acting, which involves
diseased action of the intellect, the emotions, and the will.
Sometimes the appetites are also changed, or control over them is lost,
and sometimes the moral nature is affected as well, sometimes a single
faculty of the mind appears more disturbed than do others; it is, however,
doubtful, or at least denied, that one faculty can show such disturbed
mental action as to indicate insanity, and the rest of the mind appear
perfectly healthy and normal. With the changes that have been spoken of,
there is generally disturbances of the physical health, and often of a
marked character. It must be remembered that mere oddity of appearance or
eccentricity of conduct, however marked, if natural, do not of themselves
constitute signs of insanity.
_Some Mental Symptoms of Insanity._--There are some important mental
symptoms which quite generally accompany insanity, and are found either
alone or combined in the individual case. These are:
_a._ Delusions.
_b._ Hallucinations.
_c._ Illusions.
_d._ Incoherence of speech.
Public-domain text, read in full here on John Shaqi.
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