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 is impossible to effect this suddenly, or by reasoning, for madmen can
never be convinced of the folly of their opinions. Their belief in them is
firmly fixed, and cannot be shaken. The more frequently these opinions are
recurred to under a conviction of their truth, the deeper they subside in
the mind and become more obstinately entangled: the object should
therefore be to prevent such recurrence by occupying the mind on different
subjects, and thus diverting it from the favorite and accustomed train of
ideas. As I have been induced to suppose, from the appearances on
dissection, that the immediate cause of this disease probably consists in
a morbid affection of the brain, all modes of cure by reasoning, or
conducting the current of thought into different channels, must be
ineffectual, so long as such local disease shall continue. It is,
however, likely that insanity is often continued by habit; that incoherent
associations, frequently recurred to, become received as truths, in the
same manner as a tale, which, although untrue, by being repeatedly told,
shall be credited at last by the narrator, as if it had certainly
happened. It should likewise be observed, that these incorrect
associations of ideas are acquired in the same way as just ones are
formed, and that such are as likely to remain, as the most accurate
opinions. The generality of minds are very little capable of tracing the
origin of their ideas; there are many opinions we are in possession of,
with the history and acquisition of which, we are totally unacquainted. We
see this in a remarkable manner in patients who are recovering: they will
often say such appearances have been presented to my mind with all the
force and reality of truth: I saw them as plainly as I now behold any
other object, and can hardly be persuaded that they did not occur. It
also does not unfrequently happen, that patients will declare, that
certain notions are forced into their minds, of which they see the folly
and incongruity, and complain that they cannot prevent their intrusion.
It is of great service to establish a system of regularity in the actions
of insane people. They should be made to rise, take exercise, and food, at
stated times. Independently of such regularity contributing to health, it
also renders them much more easily manageable.
As the patient should be taught to view the superintendant as a superior
person, the latter should be particularly cautious never to deceive him.
Madmen are generally more hurt at deception than punishment; and whenever
they detect the imposition, never fail to lose that confidence and
respect, which they ought to entertain for the person who governs them.
Public-domain text, read in full here on John Shaqi.
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