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
When medical men are called upon to attend a commission of lunacy, they
are always asked, whether the patient has had a _lucid interval_? A term
of such latitude as _interval_ requires to be explained in the most
perspicuous and accurate manner. In common language it is made to signify,
both a moment and a number of years, consequently it does not comprize
any stated time. The term _lucid interval_ is therefore relative. I should
define a _lucid interval_ to be _a complete recovery of the patient's
intellects, ascertained by repeated examinations of his conversation, and
by constant observation of his conduct, for a time sufficient to enable
the superintendant to form a correct judgment_. Unthinking people are
frequently led to conclude that, if during a conversation of a few
minutes, a person under confinement shall betray nothing absurd or
incorrect, he is well, and often remonstrate on the injustice of secluding
him from the world. Even in common society, there are many persons whom we
never suspect from a few trifling topics of discourse to be shallow
minded; but, if we start a subject, and wish to discuss it through all
it's ramifications and dependances we find them incapable of pursuing a
connected chain of reasoning. In the same manner, insane people will
often, for a short time, conduct themselves, both in conversation and
behaviour, with such propriety, that they appear to have the just exercise
and direction of their faculties; but let the examiner protract the
discourse, until the favourite subject shall have got afloat in the
madman's brain, and he will be convinced of the hastiness of his decision.
To those unaccustomed to insane people, a few coherent sentences, or
rational answers would indicate a lucid interval, because they discover no
madness; but he who is in possession of the peculiar turn of the patient's
thoughts, might lead him to disclose them, or by a continuance of the
conversation they would spontaneously break forth. A beautiful
illustration of this is contained in the Rasselas of Dr. Johnson: where
the astronomer is admired as a person of sound intellect and great
acquirements by Imlac, who is himself a philosopher, and a man of the
world. His intercourse with the astronomer is frequent; and he always
finds in his society information and delight. At length he receives Imlac
into the most unbounded confidence, and imparts to him the momentous
secret. "Hear Imlac what thou wilt not without difficulty credit. I have
possessed for five years the regulation of weather, and the distribution
of the seasons. The sun has listened to my dictates, and passed from
tropic to tropic by my direction. The clouds at my call have poured their
waters, and the Nile has overflowed at my command. I have restrained the
rage of the Dog-star, and mitigated the fervours of the Crab. The winds
alone of all the elemental powers have hitherto refused my authority, and
multitudes have perished by equinoctial tempests, which I found myself
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