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
By misfortunes the habit of intoxication is readily formed. Those who in
their youth have shaken off calamity as a slight incumbrance, at the
middle age feel it corrode and penetrate; and when fermented liquors have
once dispelled the gloom of despondency, and taught the mind to provoke a
temporary assemblage of cheerful scenes, or to despise the terror of
impending misery, it is natural to recur to the same, though destructive
cause, to re-produce the effect.
Patients, who are in a furious state, recover in a larger proportion than
those who are depressed and melancholic. An hundred violent, and the same
number of melancholic cases were selected: of the former, sixty-two were
discharged well; of the latter, only twenty-seven: subsequent experience
has confirmed this fact. The same investigation, on the same number of
persons has been twice instituted, and with results little varying from
the originally stated proportions. When the furious state is succeeded by
melancholy, and after this shall have continued a short time, the violent
paroxysm returns, the chance of recovery is very slight. Indeed, whenever
these states of the disease frequently change, such alteration may be
considered as very unfavourable.
After a raving paroxysm of considerable duration, it is a hopeful symptom,
if the patient become dull, and in a stupid state; inclined to sleep much,
and feeling a desire of quietude. This appears to be the natural effect of
that exhaustion, and, if the language be allowable, of that expenditure of
the sensorial energy, which the continued blaze of furious madness would
necessarily consume. When they gradually recover from this state there is
a prospect that the cure will be permanent.
In forming a prognosis of this disease, it is highly important to
establish a distinction between derangement and decline of intellect: the
former may frequently be remedied; the latter admits of no assistance from
our art. Where insanity commences with a loss of mental faculty, and
gradually proceeds with increasing imbecility, the case may be considered
hopeless.
When the disorder has been induced from remote physical causes, the
proportion of those who recover is considerably greater, than where it has
arisen from causes of a moral nature. In those instances where insanity
has been produced by a train of unavoidable misfortunes, as where the
father of a large family, with the most laborious exertions, ineffectually
struggles to maintain it, the number who recover is very small indeed.
Public-domain text, read in full here on John Shaqi.
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