Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
This picture, however, must be only regarded as displaying the ordinary
occurrences which precede the attack; its approaches are sometimes
distinguished by a very different train of symptoms; the late _Dr. John
Monro_[525] has remarked that “high spirits, as they are generally
termed, are the first symptoms of this kind of disorder; these excite a
man to take a larger quantity of wine than usual; and the person thus
affected, from being abstemious, reserved, and modest, shall become
quite the contrary; drink freely, talk boldly, obscenely, swear, sit up
till midnight, sleep little, rise suddenly from bed, go out a hunting,
return again immediately, set all his servants to work, and employ five
times the number that is necessary; in short, every thing he says or
does betrays the most violent agitation of mind, which it is not in his
power to correct; and yet, in the midst of all this hurry, he will not
misplace one word, or give the least reason for any one to think he
_imagines_ things to exist that really do not, or that they appear to
him different from what they do to other people. They who see him but
seldom, admire his vivacity, are pleased with his sallies of wit, and
the sagacity of his remarks; nay, his own family are with difficulty
persuaded to take proper care of him, until it becomes absolutely
necessary, from the apparent ruin of his health and fortune.”
The patient under the influence of the depressing passions will exhibit
a train of symptoms altogether different; the countenance wears an
anxious and gloomy aspect, he is little disposed to speak, he retires
from the company of those with whom he formerly associated, secludes
himself in obscure places, or lies in bed the greater part of his time;
frequently he will keep his eyes fixed on some object for hours
together, or continue them an equal time ‘bent on vacuity;’ he next
becomes fearful, and conceives a thousand fancies, often recurs to some
immoral act which he has committed, or imagines himself guilty of crimes
which he never perpetrated; believes that God has abandoned him, and
with trembling awaits his punishment;[526] frequently he becomes
desperate and endeavours by his own hands to terminate an existence
which appears to be an afflicting and hateful incumbrance.[527]
The approaches of Insanity, are, however, not always slow and
progressive: the unhappy victim is sometimes seized without any warning,
and where crimes have been perpetrated under such circumstances, it
becomes extremely embarrassing both to the judgment of the physician and
to the decision of the court; each case, however, must rest upon its own
particular merits duly to be weighed and considered both by the judge
and jury, lest, to use the expressions of _Sir Matthew Hale_, “there be
on the one side a kind of inhumanity towards the defects of human
nature, or, on the other side too great an indulgence given to great
crimes.”
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