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
As most men perceive the faults of others without being aware of their
own, so insane people easily detect the nonsense of other madmen, without
being able to discover, or even to be made sensible of the incorrect
associations of their own ideas. For this reason it is highly important,
that he who pretends to regulate the conduct of such patients, should
first have learned the management of himself. It should be the great
object of the superintendant to gain the confidence of the patient, and to
awaken in him respect and obedience; but it will readily be seen, that
such confidence, obedience, and respect, can only be procured by
superiority of talents, discipline of temper, and dignity of manners.
Imbecility, misconduct, and empty consequence, although enforced with the
most tyrannical severity, may excite fear, but this will always be mingled
with contempt. In speaking of the management of insane persons, it is to
be understood that the superintendant must first obtain an ascendency over
them. When this is once effected, he will be enabled, on future occasions,
to direct and regulate their conduct, according as his better judgment may
suggest. He should possess firmness, and, when occasion may require,
should exercise his authority in a peremptory manner. He should never
threaten but execute; and when the patient has misbehaved, should confine
him immediately. As example operates more forcibly than precept, I have
found it useful, to order the delinquent to be confined in the presence of
the other patients. It displays authority; and the person who has
misbehaved becomes awed by the spectators, and more readily submits. It
also prevents the wanton exercise of force, and those cruel and unmanly
advantages which might be taken when the patient and keeper are shut up in
a private room. When the patient is a powerful man, two or more should
assist in securing him: by these means it will be easily effected; for,
where the force of the contending persons is nearly equal, the mastery
cannot be obtained without difficulty and danger.
Public-domain text, read in full here on John Shaqi.
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