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
Dr. Ferriar, whom, to mention otherwise than as a man of genius, of
learning, and of taste, would be unjust; has adopted the generally
accepted division of Insanity, into Mania and Melancholy. In Mania, he
conceives "false perception, and consequently confusion of ideas, to be a
leading circumstance." The latter, he supposes to consist "in intensity of
idea, which is a contrary state to false perception." From the
observations I have been able to make respecting Mania, I have by no means
been led to conclude, that false perception, is a leading circumstance in
this disorder, and still less, that confusion of ideas must be the
necessary consequence of false perception.
By perception, I understand, with Mr. Locke, the apprehension of
sensations; and after a very diligent enquiry of patients who have
recovered from the disease, and from an attentive observation of those
labouring under it, I have not frequently found, that insane people
perceive falsely, the objects which have been presented to them. It is
true, that they all have false ideas, but this by no means infers, a
defect of the power by which sensations are apprehended in the mind.
We find madmen equally deranged upon those ideas, which they have been
long in the possession of, and on which the perception has not been
recently exercised, as respecting those, which they have lately received:
and we frequently find those who become suddenly mad, talk incoherently
upon every subject, and consequently, upon many, on which the perception
has not been exercised for a considerable time.
It is well known, that maniacs often suppose they have seen, and heard
those things, which really did not exist at the time; but even this I
should not explain by any disability, or error of the perception, since it
is by no means the province of the perception to represent unreal
existences to the mind. It must therefore be sought elsewhere, probably in
the senses, or in the imagination.
I have known eight cases of patients, who insisted that they had seen the
devil. It might be urged, that in these instances, the perception was
vitiated; but it must be observed, that there could be no perception of
that, which was not present and existing at the time. Upon desiring these
patients to describe what they had seen, they all represented him as a
big, black man, with a long tail, cloven feet, and sharp talons, such as
is seen pictured in books. A proof that the idea was revived in the mind
from some former impressions. One of these patients however carried the
matter a little further, as she solemnly declared, she heard him break the
iron chain with which God had confined him, and saw him pass fleetly by
her window, with a truss of straw upon his shoulder.
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