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
It must be acknowledged, that in the soundest state of our faculties we
sometimes perceive things which do not exist. If the middle finger be
crossed over the forefinger, and a single pea be rolled under their
extremities, we have the perception of _two_. By immersing one hand into
warm, the other into cold water, and afterwards suddenly plunging them
both into the same fluid, of a medium temperature, we shall derive the
sensations of heat, and cold from the same water, at the same time.
The power, by which the mind perceives its own creations and combinations
is perhaps the same, as that by which it perceives the impressions on the
senses from external objects. We possess the faculty of raising up of
objects in the mind which we had seen before, and of prospects, on which
we had formerly dwelt, with admiration and delight; and in the coolest
state of our understanding we can even conceive that they lie before us.
If the power which awakens these remembrances in a healthy state of
intellect, should stir up distorted combinations in disease, they must
necessarily be perceived; but their apprehension, by no means appears to
imply a vitiated state of the faculty by which they are perceived. In
fact, that which is represented to the mind, either by a defect or
deception of the senses, or by the imagination, if it be sufficiently
forcible and enduring, must necessarily be perceived.
That "confusion of ideas" should be the necessary consequence of false
perception, is very difficult to admit. Perhaps much may depend, in the
discussion of this point, on the various acceptations in which confusion
of ideas may be understood.
It has often been observed that madmen, will frequently reason correctly
from false premises, and the observation is certainly true: we have indeed
occasion to notice the same thing in those of the soundest minds. It is
very possible for the perception to be deceived in the occurrence of a
thing, which, although it did not actually happen, yet was likely to take
place; and which had frequently occurred before. The reception of this as
a truth in the mind, if the power of deducing from it the proper
inferences existed, could neither create confusion, nor irregularity of
ideas.
Melancholy, the other form in which this disease is supposed to exist, is
made by Dr. Ferriar to consist in "intensity of idea." I shall shortly
have an opportunity, in the definition I propose to give, of attempting to
prove, that this division of Insanity, is neither natural nor just, upon
the ground that the derangement is equally complete in both forms of the
disease. We ought to attend more to the state of the intellect, than to
the passions which accompany the disorder.
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