Observations on Insanity: With Practical Remarks on the Disease and an Account of the Morbid Appearances on Dissection — John Shaqi
Observations on Insanity: With Practical Remarks on the Disease and an Account of the Morbid Appearances on DissectionHaslam, John
Science
Observations on Insanity: With Practical Remarks on the Disease and an Account of the Morbid Appearances on Dissection
Haslam, John
Mental illness
All patients have not the same degree of memory of what has passed during
the time they were disordered: but for the most part they recollect those
ideas which were transmitted through the medium of the senses, better than
the combinations of their own minds. I have frequently remarked that,
when they were unable to give any account of the peculiar opinions which
they had indulged during a raving paroxysm of long continuance, they well
remembered any coercion which had been used, or any kindness which had
been shewn them.
Insane people are said to be generally worse in the morning; in some cases
they certainly are so, but perhaps not so frequently as has been supposed.
In many instances (and, as far as I have observed) in the beginning of the
disease they are more violent in the evening, and continue so the greatest
part of the night. It is however a certain fact, that the majority of
patients of this description have their symptoms aggravated, by being
placed in a recumbent posture.
They seem themselves to avoid the horizontal position as much as possible
when they are in a raving state: and when so confined that they cannot be
erect, they will keep themselves seated upon the breech.
Many of those who are violently disordered will continue particular
actions for a considerable time: some are heard to gingle the chain, with
which they are confined, for hours without intermission; others, who are
secured in an erect posture, will beat the ground with their feet the
greatest part of the day. Upon enquiry of such patients, after they have
recovered, they have assured me, that these actions afforded them
considerable relief. We often surprize persons who are free from
intellectual disease in many strange and ridiculous movements,
particularly if their minds be intently occupied:--this does not appear to
be the effect of habit, but of a particular state of mind.
Madmen do not always continue in the same furious or depressed states: the
maniacal paroxysm abates of its violence, and some beams of hope
occasionally cheer the despondency of the melancholick patients. We have
some unfortunate persons who are obliged to be secured the greatest part
of their time, but who now and then become calm, and to a certain degree
rational: upon such occasions, they are allowed a greater range, and are
permitted to associate with the others. In some instances, the degree of
rationality is more considerable; they conduct themselves with propriety,
and in a short conversation will appear sensible and coherent. Such
remission, has been generally termed a _lucid interval_.
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