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
Insane people who have been good scholars, after a long confinement lose,
in a wonderful degree, the correctness of orthography; when they write,
above half the words are generally mis-spelt--they are written according
to the pronunciation. It shews how treacherous the memory is without
reinforcement. The same necessity of a constant recruit and frequent
review of our ideas, satisfactorily explains, why a number of patients
lapse nearly into a state of ideotism. These have, for some years, been
the silent and gloomy inhabitants of the Hospital, who have avoided
conversation, and sought solitude; consequently have acquired no new
ideas, and time has effaced the impression of those formerly stamped upon
the mind. Mr. Locke well observes, "that there seems to be a constant
decay of all our ideas, even of those which are struck deepest, and in
minds the most retentive; so that if they be not sometimes renewed, by
repeated exercise of the senses, or reflection on those kind of objects,
which at first occasioned them; the print wears out, and at last there
remains nothing to be seen."
As it has been attempted to explain, how an imbecility or loss of memory
will obstruct the operation of the other powers of the mind: the next
object is to shew, how necessarily our ideas must be disarranged where the
determination on their comparison is wrong, or where the mind determines,
or judges, with little previous examination or comparison. An example or
two will illustrate this more satisfactorily than any length of
reasoning. I remember a patient who conceived, that, although dead men
told no tales, yet their feeling was very acute. This assumed principle he
extended to inferior animals, and refused to eat meat, because he could
not endure to be nourished at the expence of the cruel sufferings, which
beef steaks necessarily underwent in their cookery. Another madman, who
pretended to extraordinary skill in surgery, contrived to steal the wooden
leg of an insane patient, and laid upon it for a considerable time, with a
firm belief of hatching it into a limb of flesh and blood.
If a man shall form such ideas, and conceive them to be true, either from
a defect in the power of his judgment, or without any comparison or
examination shall infer them to be so, such defect will afford a
sufficient source of derangement.
Some who have perfectly recovered from this disease, and who are persons
of good understanding and liberal education, describe the state they were
in as resembling a dream; and, when they have been told how long they were
disordered, have been astonished that the time passed so rapidly away.
Others speak of their disorder as accompanied with great hurry and
confusion of mind, where the succession of ideas is so rapid and
evanescent, that when they have endeavoured to arrest or contemplate any
particular thoughts, they have been carried away by the tide, which was
rolling after them.
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