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
He had an uniform and implacable aversion to the officers and servants of
the hospital; he said he courted their hatred for their curse was a
blessing. He seldom answered a question but some impiety was contained in
the reply. An indifferent person remarking that it was a bad day, he
immediately retorted, "Sir, did you ever know God make a good one?"
Although the whole of the day, and the greatest part of the night, were
consumed in pouring forth abuse and coining new blasphemies; yet there
were some few patients for whom he professed a friendship, and with whom
he conversed in a mild and civil way: this confidence had been obtained by
the compliments they had addressed to him on the score of his
understanding, of which he entertained a very high opinion. At one time he
conceived himself to be the Messiah, at another, that he was Mr. Adam, the
architect; and that he was shortly to go to America in order to build the
new Jerusalem in Philadelphia.
About six months before his death he complained of pain in his stomach,
and said he felt as if he had no intestines. His appetite diminished, and
he became melancholic.
The scene now began to alter; he had a presentiment that his time in this
world would be short, and he dreaded the change: no hope arose, no
consolation could cheer him; he became daily more emaciated and despairing
until he died, which took place August 27, 1801; he appeared to be about
seventy years of age.
On opening the head, the pericranium was scarcely adherent. This membrane
being removed, blood oozed freely from the parietal bones. There was a
large accumulation of water between the dura mater and tunica arachnoidea;
when this was let out the dura mater became flaccid, and seemed to hang
loose on the brain. On the left posterior lobe of the cerebrum there was a
large quantity of a milky fluid, between the tunica arachnoidea and pia
mater, giving the appearance of a vesication; and in that place there was
a depression or cavity formed in the convolutions of the brain. The
convolutions were so strongly and distinctly marked, that they resembled
the intestines of a child. The lateral ventricles were but little
distended, and did not contain much water. The head was not particularly
loaded with blood, nor were the bloody points, in the medullary substance,
very abundant. The brain was of a natural consistence. There was no
disease in the stomach, intestines, or liver. The body was opened about
six hours after his death.
CASE XXXVI.
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