Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
The existence or the prevalence of insanity, however, does not depend on
any such conditions as relate to zymotic diseases, at least in the vast
majority of cases. Our study of its causes, therefore, has been in other
directions; and if our views of the influences which lead to degeneration
of nerve tissue are correct, these are even more easily appreciable than
are the causes of some other forms of disease, and consequently may be
avoided.
This must come largely, primarily, from the education of home and school
life, and from the regulation of daily conduct in its relation to the
brain; and, as the nervous system presides over and controls the body and
its several members in the discharge of their functions, an understanding
of its physiological action, at least in some degree, is of great
importance to everybody. While we cannot do much to lessen the amount of
brain-work or check the ambitions of adult life, as they have become so
intensified by modern modes of living and the requirements of business,
yet we may hope to do something by the judicious training and education of
the young.
That this may be effectually done, we must study the action of the brain
and nervous system when under the influence of different external
conditions and agencies. We have been accustomed to draw up long lists of
experiences and occurrences in the lives of those who have become insane,
as _causes_, such as _shock_, _grief_, _loss of friends_, _fever_, etc.,
etc. but it should be borne in mind that the vast majority of persons pass
through these or similar experiences, and yet do not become insane. It
becomes necessary, therefore, to go back of these experiences or
antecedents, and inquire as to the causation of that peculiar condition of
the nervous system which renders it susceptible of the effects of such
secondary causes.
This I have endeavored to do, more especially in the chapter on the Insane
Diathesis. I have sought particularly to draw attention to the delicacy
and great susceptibility of the brain while in childhood and youth to
external influences and impressions, and to show that if much in the way
of stimulation of any kind is added to its daily experiences, the effect
upon its future development and character may prove to be most
unfavorable. We have seen how at this early period of life it is moulded
and changed in no small degree by its experiences, and that if these are
of a disturbing character from any cause whatever, there can but result
such an influence on the brain-cells as will be incorporated into their
growth, and manifest itself in after-life in uncertainty and liability to
irregularity of brain-action.
Public-domain text, read in full here on John Shaqi.
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