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
"Whatever solution may be given to these questions, yet, after fifteen
years diligent enquiry, in order to ascertain some of the leading features
of this method, from the reports of travellers; the accounts published of
such establishments; the notices concerning their public and private
receptacles, which are to be found in the different journals, or in the
works of their medical writers, I can affirm, that I have never been able
to discover any development of this English secret for the treatment of
insanity, though all concur in the ability of their management. Speaking
of Dr. Willis,[25] it is said, that sweetness and affability seem to
dwell upon his countenance; but its character changes the moment he looks
on a patient: the whole of his features suddenly assume a different
aspect, which enforces respect and attention from the insane. His
penetrating eye appears to search into their hearts, and arrest their
thoughts as they arise. Thus he establishes a dominion, which is
afterwards employed as a principal agent of cure. But, where is the
elucidation of these general principles to be sought; and, in what manner
are they to be applied according to the character, varieties, and
intensity of madness? Is the work of Dr. Arnold otherwise remarkable than
as a burdensome compilation, or a multiplication of scholastic divisions,
more calculated to retard than advance the progress of Science? Does Dr.
Harpur, who announces in his preface, that he has quitted the beaten
track, fulfil his promise in the course of his work? and is his section on
mental indications any thing but a prolix commentary on the doctrines of
the ancients? The adventurous spirit of Dr. Crichton, may justly excite
admiration, who has published two volumes on maniacal and melancholic
affections, merely on the authority of some observations drained from a
German Journal; together with ingenious dissertations on the doctrines of
modern physiologists, and a view of the moral and physical effects of the
human passions. Finally, can a mere advertisement of Dr. Fowler's
establishment for the insane in Scotland, throw any light on the
particular management of such persons, although it profess the purest and
most dignified humanity, successfully operating on the moral treatment of
madness?"
Dr. Pinel is deserving of considerable credit for directing the attention
of medical men to this very important point of the moral management of the
insane. I have also heard much of this fascinating power which the mad
doctor is said to possess over the wayward lunatic; but, from all I have
observed amongst the eminent practitioners of the present day, who
exercise this department of the profession, I am led to suspect, that,
although this influence may have been formerly possessed, and even to the
extent attributed to the late reverend doctor, it ought now to be lamented
among the _artes deperditae_. Could the attention of lunatics be fixed, and
could they be reduced to obedience, by
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