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
It would, in this part of the work, be particularly gratifying to my
feelings if I could develope this _English secret_ for the moral
management of the insane, which has been so ardently, yet unsuccessfully
sought after by Dr. Pinel. For fourteen years I have been daily in the
habit of visiting a very considerable number of madmen, and of mixing
indiscriminately among them, without ever having received a blow or
personal insult. During this time I have always gone alone, and have never
found the necessity for the assistance or protection of a keeper. The
superintendant of the Bicetre, according to Dr. Pinel's account, is
usually attended by his keepers, [gens de service] though he is said to
possess[29] "une fermete inebranlable, un courage raisonne et soutenu par
des qualites physiques les plus propres a imposer, une stature de corps
bien proportionnee, des membres pleins de force et de vigeur, et dans des
momens orageux le ton de voix le plus foudroyant, la contenance la plus
fiere et la plus intrepide." Not being myself endowed with any of these
rare qualities; carrying no thunder in my voice, nor lightning in my eye,
it has been requisite for me to have recourse to other expedients. In the
first place, it has been thought proper to devote some time and attention
to discover the character of the patient, and to ascertain wherein, and on
what points, his insanity consists: it is also important to learn the
history of his disorder, from his relatives and friends, and to enquire
particularly respecting any violence he may have attempted towards himself
or others.
In holding conferences with patients in order to discover their insanity,
no advantage has ever been derived from assuming a magisterial importance,
or by endeavouring to stare them out of countenance: a mildness of manner
and expression, an attention to their narrative, and seeming acquiescence
in its truth, succeed much better. By such conduct they acquire confidence
in the practitioner; and if he will have patience, and not too frequently
interrupt them, they will soon satisfy his mind as to the derangement of
their intellects.
Public-domain text, read in full here on John Shaqi.
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