How to Care for the Insane: A Manual for Nurses — John Shaqi
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
_Illusions._--When illusions are present, the mind fails to perceive
correctly what the eye sees, or the ear hears, or the impressions that are
brought to the brain from any of the organs of sense. For instance, a
person looks at a row of trees, and they appear to him to be a row of
soldiers; or the whistle of a locomotive may be so changed as to seem to
be the voice of God; or the odor of a rose, burning sulphur; food may
taste like poison, or the hand of a friend feel like a piece of ice or a
red-hot iron, and is so believed to be. These are deceptions of the
senses.
In insanity, the truth and existence of delusions, hallucinations, and
illusions are fully believed in, and the patient cannot be argued out of
the belief, however absurd or unreal it may be.
_Incoherence of Speech._--When a person is incoherent, he rambles in talk;
there is little connection between different sentences, or the sentence
itself is meaningless, being a mere jumble of words; sometimes ideas come
too rapidly into the mind, and some new subject is begun and talked about
before the first is finished; sometimes the mind is slow, and memory
forgets what is being talked about.
_General States of Insanity._--There are a few general mental states in
insanity, one of which being present gives the character and name to the
disease. These are:
_a._ A state of exaltation of mind, or mania.
_b._ A state of depression of mind, or melancholia.
_c._ A state of enfeeblement of mind, or dementia.
But one of these first two states of feeling can be present at the same
time, for a person cannot at any one moment be both exalted and depressed,
though he have mania to day, and afterward be so changed in his feeling as
to have melancholia to-morrow, or next week, or next month.
In a general way all disease is divided into acute and chronic forms. An
acute disease is one of recent origin, and from which recovery is to be
hoped for; a chronic disease is prolonged and does not tend to recovery;
an acute disease may become chronic.
Mania and melancholia are at first considered acute and curable, but, if
recovery does not take place, they pass into either chronic mania or
chronic melancholia, or, if the mind is much enfeebled, into a condition
of dementia.
_Mania._--In mania the mind is generally very active, though lacking in
control, and is irregular and illogical in its action; the patient talks
rapidly, and upon many subjects, and is often incoherent, or he laughs,
sings, dances, or cries, perhaps in turn; he is often irritable and
unreasonable, and perhaps threatening, and becomes more violent if
interfered with.
Accompanying this mental excitement there is frequently persistent loss of
sleep, constant restlessness, and great bodily activity, and indifference
to or refusal of food. Sometimes the brain excitement is so great that
all self-control is lost, and the patient becomes a raving maniac.
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