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
C. M. a man forty years of age, was admitted into the hospital Dec. 26,
1795. It was stated, that he had been disordered two months previous to
his having been received as a patient. His friends were unacquainted with
any cause, which was likely to have induced the complaint. During the time
he was in the house he seemed sulky, or rather stupid. He never asked any
questions, and if spoken to, either replied shortly, or turned away
without giving any answer. He appeared to take little notice of any thing
which was going forward, and if told to do any little office, generally
forgot what he was going about, before he had advanced half a dozen steps.
He remained in this state until the beginning of May, 1796, when his legs
became oedematous, and his abdomen swollen. He grew very feeble and
helpless, and died rather suddenly May 19th. He was opened about
forty-eight hours after death. The pericranium and dura mater adhered
firmly to the scull; in many places there was an opake whiteness of the
tunica arachnoides. About four ounces of water were found in the
ventricles. The plexus choroides were uncommonly pale. The medullary
substance, afforded hardly any bloody points when cut into. The
consistence of the brain I cannot describe better than by saying, it was
doughy.
CASE XI.
S. M. a man thirty-six years of age, was admitted as an incurable patient
in the year 1790. Of the former history of his complaint I have no
information. As his habits, which frequently came under my observation,
were of a singular nature, it may not here be improper to relate them.
Having at some period of his confinement been mischievously disposed, and,
in consequence, put under coercion, he never afterwards found himself
comfortable when at liberty. When he rose in the morning he went
immediately to the room where he was usually confined, and placed himself
in a particular corner, until the keeper came to secure him. If he found
any other patient had pre-occupied his situation, he became very
outrageous, and generally forced them to leave it. When he had been
confined, for which he appeared anxious, as he bore any delay with little
temper, he employed himself throughout the remainder of the day, by
tramping or shuffling his feet. He was constantly muttering to himself, of
which scarcely one word in a sentence was intelligible. When an audible
expression escaped him it was commonly an imprecation. If a stranger
visited him, he always asked for tobacco, but seldom repeated his
solicitation. He devoured his food with avidity, and always muttered as he
ate.
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