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 legal relations of insanity are very imperfectly understood, even
by those who are concerned in the administration of justice. The
lawyer at the bar, and the judge on the bench, often exhibit great
ignorance on this subject. The history of the legal definitions of
insanity, given by learned judges, is almost from beginning to end
a history of profound blunders. And yet these definitions have been
the guide in trials in which insanity has been alleged, except when
they have been set aside by the plain common sense of the jury, as
has sometimes very fortunately been the case. In speaking of the
inconsistencies and absurdities of the English law in relation to
insanity, Dr. Bell, in his valuable report to which I have before
had occasion to refer, remarks, that “from the test of Judge Tracey,
that to exempt from criminal responsibility, the patient should
know absolutely nothing, to that of a later tribunal, where ability
to repeat the multiplication table was gravely considered as the
exact point in a civil case, the doctrines and decisions have
been amusingly strange and inconsistent. Even cunning, foresight,
calculation, all possessed occasionally in a wonderful degree by the
most insane patients of every hospital, have been regularly decided
by the highest English tribunals, to contraindicate the existence of
that degree of alienation which implies criminal irresponsibility!”
The course which is adopted by our courts, to decide whether a man
accused of any crime is insane and therefore irresponsible, is a very
objectionable one. In France they are far in advance of us on this
subject. The course there is to place the accused, if suspected of
insanity, under the examination of a commission composed of men who
are practically qualified to decide such a question. “Upon them,”
says Dr. Bell, “rests the awful responsibility of determining the
state of the mind of the accused, as to the one fact of insanity;
they approach him at all times, they watch his actions in his
presence and without his knowledge; his habits, his sleeping and
waking hours, his physical condition, everything in fact which
can throw light upon the momentous question, passes under slow,
persevering, scientific investigation. Under the responsibility
of reputations as precious to them as those of the highest court,
and under the sanction of an oath, they arrive at conclusions, and
present their reasons for such conclusions, which form one, not the
exclusive, element for a court and jury to arrive at a just judgment.
Public-domain text, read in full here on John Shaqi.
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