Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
The subject of insanity, in its relation to both individuals and society,
is becoming of greater importance every year. A larger measure of interest
in relation to it has been manifest, not only in the writings of
specialists, who have made it a study, and the care of its subjects a
profession, but also in those of general practitioners of medicine and
philanthropists, who are ever seeking to improve the conditions of
society.
This results from two causes: 1, the change which has taken place in the
public mind in relation to the nature of the disease, it no longer being
regarded as something for which an individual is responsible in a larger
measure than for other diseases, or as entailing a stigma upon those who
are so unfortunate as to have experienced it, but rather a disease which
invades the brain in the same way that diseases of another character
affect other portions of the system, bearing with it neither more nor less
of responsibility or disgrace; 2, and, as a result in part from this
change, a more clear realization on the part of the public, that there
exists an obligation to make provision for care and treatment of those who
are deprived of reason, and consequently unable to care for themselves, to
a larger extent than for any other unfortunate class in the community.
The obligation resting upon the strong to provide for those who become
helpless from the effects of other forms of disease has long been
acknowledged, but it is only within recent times that this obligation
concerning those who become helpless from the effects of insanity has come
into general recognition. Now, however, it is readily conceded that this
unfortunate class appeals even more strongly for sympathy and aid than any
other, more especially by reason of the consequences which result to the
individual himself, as well as to his family, and the community in which
he resides.
The lower we descend in the scale of existence, the less importance does
the nervous system sustain in its relation to other systems of the entire
body; and conversely, the higher we rise in the scale, the larger
importance does it hold, until, in man, it reaches its highest relation,
crowning all the others, and making its possessor supreme in the world of
animal-life. When, however, disease invades the brain, and the individual
no longer holds sway over the purposes evolved from his mental
operations, he becomes the most helpless of creatures. Thought no longer
follows the dictation of the will; designs or plans, for the present and
future, are no longer possible. That intellectual power on which he so
much prided himself, and on which his highest happiness and usefulness
depended, has passed into darkness and confusion. Henceforth, if he is to
be cared for at all, or treated for the amelioration of disease, or for
recovery, it must be by friends on the ground of obligation, or by the
public, in virtue of that charity which is the growth of civilization and
religion.
Public-domain text, read in full here on John Shaqi.
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