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
Concerning their diet, it is merely necessary to observe, that it should
be light, and easy of digestion. The proper quantity must be directed by
the good sense of the superintendant, according to the age and vigour of
the patient, and proportioned to the degree of bodily exercise he may be
in the habit of using; "but they should never be suffered to live too low,
especially while they are under a course of physic."[33] To my knowledge,
no experiments have yet been instituted respecting the diet of insane
persons: they have never been compelled to live entirely on farinaceous
substances. The diet of Bethlem Hospital allows animal food three times a
week, and on the other days bread with cheese, or occasionally butter,
together with milk pottage, rice milk, &c. Those who are regarded as
incurable patients ought certainly to be indulged in a greater latitude
of diet, but this should never be permitted to border on intemperance. To
those who are in circumstances to afford such comforts, wine may be
allowed in moderation, and the criterion of the proper quantity, will be
that which does not affect the temper of the lunatic, that which does not
exasperate his aversions, or render his philosophy obtrusive. Although it
seems rational in all states of madness, that temperance should be
strictly enjoined, yet an author of the present day[34] steps out of the
trodden path, and seriously advises us, in difficult cases, to drown
lunacy in intoxication; and, strange as it may appear, has taught us to
await the feast of Reason from the orgies of Bacchus. "The conversion of
religious melancholy into furious madness is a frequent occurrence, and is
generally followed by recovery. This has suggested the _propriety_, in
some cases that have resisted more common means, of producing a degree of
excitement by means of stimuli, in fact, _keeping the patient for days in
succession in a state of intoxication_, which has often occasioned an
alleviation of symptoms, and sometimes _restored the sufferers to
reason_."
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