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
It is true that the plea of insanity, just like any other plea, is
often set up when there is very little ground for it. But there
is good reason to believe, that it is very seldom established and
made the basis of an acquittal, when it ought not to be. Dr. Bell
remarked upon this point in 1844, that “it may be a consolation and
an encouragement to juries, in faithfully following out their own
sincere convictions upon the law and evidence in such cases, to
know, that in a pretty diligent inquiry as to the event of every
case of homicide in New England, where the accused has had the
defence of insanity ‘set up’ for him, and been acquitted on that
ground, it has been found that _not a single instance has occurred,
where the progress of time has not abundantly verified the soundness
of the defence_.” And he has recently informed me that this assertion
holds true up to the present time.
While it is important that justice should be secured to the insane,
when placed under trial for acts which they have committed, it is
of still greater importance that such acts should, if possible, be
prevented. If, when a man in an irresponsible condition destroys the
life of a fellow-man, we prevent his innocent blood from being shed,
we do well: but if we recognise the existence of that condition, and
the danger to others which attends it, sufficiently early, to take
measures to prevent his destroying the life of his fellow-man, _we do
better_.
This point of prevention should be made an especial object of
legislation. But in this country the laws which aim at this object
are exceedingly defective. In Connecticut it is the duty of the civil
authority and select men to order “any lunatic, who is dangerous
and unfit to be without restraint to be confined in some suitable
place.” If they fail to attend to the complaint, in three days it
may be brought before any justice of the peace, and he can issue
such an order. In Massachusetts the judges of Probate may commit to
the hospital any lunatic “who in their opinion is so furiously mad,
as to render it manifestly dangerous to the peace and safety of the
community, that he should be at large.” The objectionable points in
these provisions are two. 1. Those are made the judges of the fact of
insanity, and of the danger to the peace and safety of the community
attendant upon it, who are not competent to pass such judgment. When
we say that judges of probate, selectmen, and justices of the peace
are not thus competent, we say nothing to their discredit. Insanity
is a subject which they have no opportunity of understanding with any
definiteness or to any extent. 2. The terms in which these provisions
are couched show, that only great and manifest danger is contemplated
by them. Some outrage or attempt at outrage is commonly therefore
to be proved, in order to authorize in the view of the law the
confinement of the person complained of.
Public-domain text, read in full here on John Shaqi.
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