Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the communityHooker, Worthington
Science
Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community
Hooker, Worthington
Medical ethics; Physician and patient; Physicians; Quacks and quackery
The course which was pursued in another case, was quite a different
one. The patient was a clergyman, who had the impression strongly
fastened upon his mind that he should certainly die, and could not
be made to admit by the force of any reasoning, the possibility even
of his recovery. It was not an opinion founded upon evidence, but it
was a fixed state of mind, which was the product of the disease. It
was important to remove, if possible, this all-absorbing thought,
for it was reacting unfavorably upon the disease itself. It could
not be done by argument, nor by speaking to him the words of hope;
for it was not a conviction of truth arrived at by any reasoning,
but an impression unaccountable, but strong and vivid. He did not
_think_ that he should die, but he _felt_ that he _knew_ it. Some
remedy, then, different from either of these, was necessary. As he
was a man of stern, decided religious principle, I determined to make
a bold onset in that quarter. I told him that God alone knew whether
he would die or recover, and that he was doing wrong—absolutely
committing high-handed sin, in setting himself up as knowing what
God only knows. This was the substance of what I said to him, and it
produced the desired effect. The impression was dislodged from his
mind, and though he occasionally talked discouragingly of the result
of his sickness, he never said after that, that he _knew_ that he
should die.
One other case I will relate, in which the course taken to destroy
the diseased mental impression was of still a different character.
A patient, a gentleman of superior mental and moral qualities, sent
for me to inform me that he had received a revelation, in which God
had forbidden him to eat or drink or sleep. The confidence which he
manifested in me by sending for me determined in my mind at once the
course to be pursued. I told him that I had also had a revelation,
which was quite as good as his, perhaps better. ‘And,’ said I,
assuming the air of calm authority that expects submission as a
matter of course, ‘you must obey it.’ ‘What is your revelation,’ he
inquired. ‘My revelation,’ said I, ‘embraces all that is necessary
in your case. And in obedience to it you must continue to follow
my directions, and you must eat and drink and sleep as you have
done.’ I left him with my revelation fastened in his mind, it having
supplanted his altogether, and he immediately ate and drank, and that
night slept as well as he usually did.
In chronic cases especially, the sick are often prevented from
recovering by the influence of unpleasant circumstances in their
situation, or in their relation to others around them. The friends
of the sick often get out of patience with them in the tediousness
of a long confinement. Sometimes there is unkindness, and this to
the weakened mind and depressed spirits of the invalid, is often a
burden that cannot be borne. Some secret grief often neutralizes the
influence of medicine.
Public-domain text, read in full here on John Shaqi.
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