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
Whenever the suspicions of a medical person are excited with respect to
the sincerity of a patient’s account, he should always endeavour to
conceal them; he should become himself a dissembler, “_superare malitiam
malitia_,” for while the impostor is persuaded that the medical
attendant is his dupe, he will be less on his guard; he should then be
desired to describe with minuteness every symptom and circumstance of
his malady; he should be questioned as to its origin, progress, and
duration, its seat, and intensity, and the effects produced upon it by
remedies; few impostors will be able to withstand such interrogatories
without tripping; they will soon betray some incongruity in their
statements, and enable the pathologist to elicit the truth. A girl of
seventeen counterfeited epilepsy so well in the general hospital of
Montpellier, as to elude all suspicion, until _M. de Sauvages_ who being
less credulous asked her whether she had not felt an air pass from the
hand to the shoulder, and from the shoulder to the thigh, when, upon her
replying in the affirmative, he ordered her to be whipped, after which
she had never any return of the disease. If a patient complains of a
long protracted disease, which has rendered his life uncomfortable, and
we at the same time perceive that his body has not undergone emaciation,
we are naturally led to suspect the truth of his statement; and we shall
find little difficulty in verifying, or dispelling our suspicions; nor
ought we to forget, in an inquiry of this nature, to learn whether the
patient has in truth ever flown to any remedy for relief; for if he be
an impostor, however cheerfully he may have appeared to submit to
medical discipline, we shall find upon minute examination that he has
uniformly neglected every plan proposed for his cure. _Galen_ was, from
a circumstance of this kind, led to the detection of a person who
feigned a fit of cholic, in order to avoid attending a public assembly,
but he was observed to neglect the remedy (_Philonium_) which had
uniformly relieved him, when labouring under the actual attack of the
disease to which he was in reality subject. We should, moreover, be
informed respecting the previous character, habits, constitution, and
former complaints of the suspected invalid; and we should learn the
ostensible reasons which the individual in question may have for
feigning ill health, whether for temporary or permanent purposes. The
inspections should be conducted in private, for it has been remarked by
those most experienced in these subjects, that the number of spectators
always increases the obstinacy of the impostor.
Public-domain text, read in full here on John Shaqi.
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