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 is a question which a medical witness is always called upon to
answer. By the term _lucid interval_, we are not to understand a
_remission_ of the malady, but a total suspension of it—a complete,
although only a temporary, restoration of reason. The question is
generally beset with difficulties, and requires all the penetration and
experience of the physician to arrive at a safe conclusion; for in many
cases the patient is enabled for a limited period to converse
rationally, and where he is desirous of carrying any particular plan
into execution, to dissemble so completely as to impose with success
upon his attendants; of which the following case, related by Dr.
_Haslam_,[534] may serve as an excellent illustration. “A lunatic having
received, or fancied he had received, an injury from his keeper, at the
lunatic asylum at Manchester, threatened to be revenged, for which he
was punished by confinement; he was afterwards a patient in Bethlem
hospital, and gave _Dr. Haslam_ an account of the transaction, of which
the following is an abbreviation. ‘Not liking this situation, I was
induced to play the hypocrite; I pretended extreme sorrow for having
threatened him, and, by an affectation of repentance, induced him to
release me; for several days I paid him great attention, and lent him
every assistance; he seemed much pleased with the flattery, and became
very friendly in his behaviour towards me; going one day into the
kitchen, where his wife was busied, I saw a knife; this was too great a
temptation to be resisted; I concealed it, and carried it about with me;
for some time afterwards the same friendly intercourse was maintained
between us, but as he was one day unlocking his garden door, I seized
the opportunity and plunged this knife, up to the hilt, in his back.’”
There is a species of insanity which has been called _intermittent_, in
which the patient is perfectly rational for a considerable interval; the
malady often recurs two or three times in a year, and lasts several
weeks, the subject of the hallucination being always the same.[535]
Q. 4. _Whether there is a probable chance of recovery; and in case of
convalescence, whether the cure is likely to be permanent?_
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