Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
In examinations after death of the brains of those who have died while
insane, we find certain morbid changes in the cells and connective tissues
in many cases, and a few years since we were indulging large expectations
that we had at length arrived on solid ground, and thenceforth could
proceed to more perfect knowledge and definite results. But, so far, there
has very little of positive value, in determining the "_fons et origo_" of
insanity, been brought to light through pathological researches. The
changes in brain tissue found after death in the insane are degenerations
in various stages of progress, and in no essential respect differ from
those which may be found in some cases after death from injury and
disease, where no insanity has existed.
Indeed, if we ever should be able to definitely determine the connections
between morbid changes in the brain and the various modifications of
thought and action among the insane, while we should be in a position to
frame more perfect classifications of the insaniæ, yet it is not easy to
perceive how we should be much the gainers in our appreciation of the
ultimate causes of insanity, or in its treatment.
Notwithstanding all these and other difficulties, however, we may hope for
progress in the future in our ability to appreciate at least some of the
causes of insanity more fully and be able to avoid them.
A few sentences in the form of a recapitulation will serve to recall some
of the more important points embraced in our discussion, and indicate
through what channels we may anticipate successful effort in the
prevention of insanity.
I.--_In Improved Methods of Education._
1. A larger appreciation of the importance of _individuality_ in giving
instruction. The teacher will have a fewer number of pupils, and find it
necessary to study the peculiarities and tendencies, both physical and
mental, of each one. Instead of having all together pass through a regular
routine of education, with little or no reference to mental constitution,
the system will be, in some measure, adapted to the present, and what may
appear to be the future, requirements of each scholar.
2. There will be less importance given to education of the brain by means
of books only, for all children, and a larger importance to _industrial
education_. Inasmuch as the large majority of the members of society must
obtain the requirements of living by industrial operations, society will
appreciate more fully the importance, not only to itself, but especially
to the individual, of so educating each person, that he may be
self-supporting, and consequently less liable to become a diseased and
dependent member of it.
Public-domain text, read in full here on John Shaqi.
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