Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
Persons affected with other forms of disease may be cared for, in the most
part, at their own homes and by members of their own family better than
elsewhere, while the indirect influence of such care and surroundings is
often of much service in promoting both the happiness and the recovery of
the patient. But in the case of the insane the opposite is true: the
atmosphere of home and the care of friends are unfavorable conditions.
More often than otherwise, the disordered mind regards the oldest and
dearest friends as the worst enemies, while the circumstances of home and
scenes long familiar, are those which are the least calculated to improve
the mind.
In most other forms of disease, individuals may exercise their own
judgment or preferences in the selection of medical attendants, nurses,
and such appliances as may be thought necessary to comfort and recovery;
they more or less fully realize their own condition and requirements, are
capable, in some measure at least, of controlling their desires and
feelings, and of explaining their experiences, and are generally
influenced by such favorable indications as may arise in the progress of
their diseases.
But in the case of the insane all this is generally reversed. Individuals
have little or no judgment by which to be guided, as to those appliances
necessary for their care and treatment; they rarely recognize their
conditions fully enough to feel the necessity for doing any thing, beyond
yielding to those impulses which may be uppermost for the time being; they
are not generally capable of controlling their own feelings, restraining
their desires, or of intelligently realizing and describing their
condition, or of caring for themselves.
These conditions, so peculiar and opposite to those existing in many other
forms of disease, and the fact that even under favorable circumstances,
the vast majority of insane persons cannot be cared for in private homes,
except at greatest disadvantage to other members of the family as well as
themselves, renders it imperative for the highest interests of society,
that governments interpose and make provision for their care as wards of
the State, in a greater or less degree.
Public-domain text, read in full here on John Shaqi.
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