Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
Again, I have proceeded, in discussing the subject, on the supposition
that the nervous system is a unit; that, though the functions of the
several parts are of diverse character, such as motion, sensation, and
thought, yet the same laws of healthy activity pertain to all portions
alike; and that we could safely reason, in reference to the effects of
unfavorable influences, from the observed and known to the less known,
from the simple to the more complex processes of nerve-function; that what
is known to be injurious to the one must be so to the other. I have
endeavored to show that as too great or too little activity of the various
portions of the nervous system result in irregular activity or in failure
of activity, so, also, too much stimulation to the brain, as well as too
little exercise of function, both result in failure in some degree; that
through these two channels, and also from the effects of poisons acting on
the brain, comes the largest danger to its integrity of activity.
While some of the causes of insanity, however, are of such a character as
has been pointed out, and consequently preventable, yet it will readily be
perceived how difficult it will be to educate society so that it may be
avoided. The conditions of its existence pertain in many cases to all
classes of society, and ramify in the customs and habits alike of the rich
and the poor. In many other forms of disease there exists some degree of
unity in etiology, and we are able to discover their immediate hygienic
conditions with considerable certainty, and these conditions can in many
cases be avoided without much inconvenience; but those of insanity are so
multifarious, they are so interwoven with the very texture of our modern
civilization, that any warning which we can give, any words of help, or of
caution even, all are only too likely to fall on ears which are dull of
hearing. The ruling tendencies in our modes of living and of conducting
the great business enterprises of life, some of which are inherited, and
others learned in the years of early life, lie directly athwart its path.
Again, in many other forms of disease, we approach toward their nature and
causes by examination of the secretions and excretions of the body; we use
our chemical tests; we percuss and auscultate; we reason from the
pathological conditions existing after death, to those which must have
existed prior to death; but in cases of insanity, these modes of procedure
have so far availed us very little. While we find slight degrees of
difference in the secretions of the insane at times, yet these changes do
not appear to be pathognomonic. They may be found to exist equally with
the sane and insane, and therefore avail little or not at all in
determining any change which has taken place in the brain. Nor can we
determine the nature of those vibratory movements which are supposed to
take place during the processes of reasoning or the experiences of
sensation.
Public-domain text, read in full here on John Shaqi.
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