Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
2. All are more or less familiar with that condition which is usually
termed the _writer's cramp_. Sometimes persons of a peculiar nervous
organization, who have been accustomed to spend many hours a day in the
mechanical process of writing, experience such a loss of nervous energy
that the arm fails to respond to the will power. There results spasmodic
and irregular movements in the arm, and more especially in the fingers,
indicating that some morbid condition of the median nerve has been
produced. If the case is neglected, and the exciting causes continue in
operation, after awhile the nerve will become less and less responsive to
the call of the will, and the arm may become seriously affected, after a
longer or shorter period of more or less pain. In this case, as in the
former one, there may exist all degrees of impairment of nerve function,
from that of slight unsteadiness or instability, up to entire failure.
3. The condition of the nervous system in chorea presents another
illustration. Between the ages of ten and fifteen years, in some children,
there may occur such changes in the condition of the nervous element,
from the altered character of the blood, as to render it more or less
unstable in some portion. One arm or one leg, or a hand, or some of the
muscles of the face or neck, cannot be kept long at rest by any effort
which can be exerted by the individual, and this may be so slight as
scarcely to attract attention, or it may be so great as to cause extreme
suffering for a long time, and ultimately destroy life.
Now the primary condition in the above cases is one of _instability of
nerve function_. Such a change has occurred in the elemental tissue of the
nerve, as to injure its power of activity so far as it is under the
control of the will. The nerve has been stimulated to over-activity, or
its energy impaired by other causes arising within the system itself.
These illustrations have related to those portions of the nervous system
which are more immediately connected with motion, and which, consequently,
are located in the muscular system. If, now, we pass from these portions
of the nervous system up to its grand centre, or that part of it whose
function is connected with mental operations, we shall find similar
effects resulting from like causes.
Public-domain text, read in full here on John Shaqi.
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