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
So far as I recollect, in all the cases of insanity that
have gone to Retreats from under my care, this mode of management has
been spoken of by some, and generally by many, as the only proper
mode. The public need to be instructed and reformed on this point.
It is a common observation that the insane are apt to look upon
their best and most intimate friends as their enemies. Why is this?
It is clear, that it is in part to be ascribed to the influence of
deception, waking up, as might be expected, feelings of resentment
and enmity in the bosom of the insane, which would not otherwise be
there. This point I have commented upon in the Chapter on Insanity,
and I need not dwell upon it here.
The extent to which deception is practised upon the insane cannot be
fully appreciated, except by those whose attention has been specially
called to this subject. As I have already remarked in regard to
children, so also it is with the insane—deception is so common, that
people often make use of it almost unconsciously. The whole course
of management on the part of their friends, is often characterized
throughout by an absence of candor and veracity.
The tendency of such a course is invariably to increase insanity,
making it more intense and obstinate. And not only so, but it
modifies to a greater or less degree its character. Deception prompts
the insane man to exercise his ingenuity in forming plans to foil and
circumvent his deceivers, whom he supposes very naturally to be his
enemies. Of course, new feelings and thoughts are thus excited in his
bosom, giving in some measure a new cast to his insanity.
I will here relate a case that illustrates these remarks.
The friends of an insane gentleman determined to send him to a
Retreat by stratagem. For this purpose, he was induced by one of
them to go a journey with him. On, their way, his friend proposed to
him to visit an Insane Retreat as a matter of curiosity. When they
arrived there, he was given to understand that he was to remain as
an inmate. Great was his rage at being so grossly deceived. After
the first burst of indignation was passed, he saw that it was of no
use to say anything or to make any resistance. He was a shrewd man,
and therefore, as a matter of policy, he submitted with apparent
cheerfulness to his new situation. He did not forget, as the insane
sometimes fortunately do, the wrong which his friends had done him,
and as he was decoyed there by stratagem, it is no wonder that he at
length made his escape by stratagem also. He came out, as might have
been expected, with his insanity more thoroughly fixed than it was
when he went in, and he added to it a deep hatred of Retreats, and of
course of the man who had betrayed him into one.
Public-domain text, read in full here on John Shaqi.
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