Observations on Madness and Melancholy: Including Practical Remarks on those Diseases together with Cases and an Account of the Morbid Appearances on DissectionHaslam, John
Science
Observations on Madness and Melancholy: Including Practical Remarks on those Diseases together with Cases and an Account of the Morbid Appearances on Dissection
Haslam, John
Depression, Mental; Melancholy; Psychiatry -- Early works to 1900; Psychology, Pathological
To constitute madness, the minds of ignorant people expect a display of
continued violence, and they are not satisfied that the person can be
pronounced in that state, without they see him exhibit the pranks of a
baboon, or hear him roar and bellow like a beast. By these people the
patient is stated only to be intemperate; they confess that he does very
foolish things when intoxicated; but that he is not mad, and only requires
to be restrained from drinking. Thus, a man is permitted slowly to poison
and destroy himself; to produce a state of irritation, which disqualifies
him for any of the useful purposes of life; to squander his property
amongst the most worthless and abandoned; to communicate a loathsome and
disgraceful disease to a virtuous wife, and leave an innocent and helpless
family to the meager protection of the parish. If it be possible, the law
ought to define the circumstances, under which it becomes justifiable, to
restrain a human being from effecting his own destruction, and involving
his family in misery and ruin. When a man suddenly bursts through the
barriers of established opinions; if he attempt to strangle himself with a
cord, to divide his larger blood-vessels with a knife, or swallow a vial
full of laudanum, no one entertains any doubt of his being a proper
subject for the superintendance of keepers, but he is allowed, without
control, by a gradual process, to undermine the fabric of his own health,
and destroy the prosperity of his family.
All patients have not the same degree of memory of what has passed during
the time they were disordered: and I have frequently remarked, when they
were unable to give any account of the peculiar opinions which they had
indulged, during a raving paroxysm of long continuance, that they well
remembered any coercion which had been used, or any kindness which had
been shewn them.
Insane people, are said to be generally worse in the morning; in some
cases they certainly are so, but perhaps not so frequently as has been
supposed. In many instances (and, as far as I have observed) in the
beginning of the disease, they are more violent in the evening, and
continue so the greatest part of the night. It is, however, a certain
fact, that the majority of patients of this description, have their
symptoms aggravated by being placed in a recumbent posture. They seem,
themselves, to avoid the horizontal position as much as possible, when
they are in a raving state: and when so confined that they cannot be
erect, will keep themselves seated upon the breech.
Public-domain text, read in full here on John Shaqi.
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