Moral Principles and Medical Practice: The Basis of Medical JurisprudenceCoppens, Charles
Philosophy
Moral Principles and Medical Practice: The Basis of Medical Jurisprudence
Coppens, Charles
Medical ethics; Medical jurisprudence
The second kind of insanity is called _illusional_ or _delusional_. In
it the intellect is not impotent; on the contrary, it is often unusually
active; but its action is abnormal, its conclusions are false. Not that
it reasons illogically or draws conclusions which are not contained in
the premises. Very keen logicians may be demented. Their unsoundness
arises from the fact that they reason from false premises; and they get
their false premises from their diseased imaginations, whose vagaries
they take for realities.
2. Here a difficulty presents itself, which we must explain at once,
namely, how can there be unsoundness of mind at all? Is not the
intellect of man a simple power, and his soul a simple being? How can a
simple being become deranged? Can that which has no parts become
disarranged, disorganized? I answer, the soul is a simple being, its
intellect is a spiritual faculty; and therefore we never say that the
_soul_ is insane, nor should we say that the _intellect_ is insane or
diseased; but we say that the _mind_ is deranged or insane; the mind
comprises more than the intellect; it designates the intellect together
with those lower powers that supply the materials for our thought, the
chief of which is the imagination. Now the imagination is an organic
faculty: it works in and by a bodily organism, which is the brain.
Therefore, when the brain is not in a normal condition, the action of
the imagination may be disordered. And the intellect or understanding of
the spiritual soul is so closely united in its action and its very being
with the organic body that the two ever act conjointly, like the two
wheels of a vehicle. If one wheel breaks down, the other is thrown out
of gear. Thus it is readily understood that mental unsoundness is an
affection of the brain, a bodily disease, which may often be relieved
and even cured by bodily remedies, by the use of drugs or wholesome
food, healthy exercise, fresh air, and all that benefits the nervous
system.
Pathologically considered, the nerves may be too excited or too sluggish
and torpid; and we have as the result two subdivisions of mental
insanity--_mania_ and _melancholia_. The differences between these two
are very striking; as they proceed from opposite causes they produce
opposite effects, and, therefore, they betray themselves by very
different manifestations; but in one point the two agree, and with this
point precisely we are concerned, because in it lies the essence of
mental insanity, namely, that both produce a disordered action of the
imagination.
Public-domain text, read in full here on John Shaqi.
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