Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
with fads and meticulous attention to details of personal health and
to experiments in diet and patent medicines. Loss of control, due to
failure of the higher centres, engenders restlessness, garrulity,
emotional weakness, and peevishness. There may be considerable
variation in the moods, so that the deep depression of one day may
vanish the next, and irritability and apathy may alternate.
Regression, which closely corresponds to the “devolution” of Hughlings
Jackson, who argued that in disease the organism tends to retrace the
steps of its development, accounts for the phenomena of “the second
childhood.” Thus the old are prone to nervous apprehension, and liable
to suggestion and to hysteria which Rivers[184] defined as a protective
mechanism representing a recrudescence of the reaction to danger in an
early stage of animal development. Will power, like their gait, becomes
hesitant and uncertain. This devolutionary change progresses partially
and not universally; memory for personal names, as mentioned above, is
often the first to fail, because, like the mathematical faculty, it
has from the attendant difficulty a high place in the order of mental
processes; hence forgetfulness of personal names is a criterion of
psychical fatigue and neurasthenia (Dupuis[185]).
In old animals it is natural for the instinct of self-preservation to
fade, as is exemplified in the day-flies which in their larval stage
are well endowed with this property, and as their end draws near
animals seem to acquire an instinct for death comparable to that for
sleep. But in human beings, although they usually dislike old age,
there is generally what Matthew Arnold[186] called “a passionate,
absorbing, almost bloodthirsty clinging to life.” Metchnikoff specially
investigated this point and found hardly any instances in which death
was anticipated with the same feelings of pleasure as is sleep by the
weary. Considering the discomforts of many old people it is rather
remarkable how very seldom they endorse the words of the burial
service: “We give thee hearty thanks for that it hath pleased thee to
deliver this our brother out of the miseries of this sinful world.”
Various explanations have been offered for this want of harmony between
the mental and physical states of the old; it has been ascribed to
the idea of eternal punishment, and to the presence of pathological
conditions which bring on senility and death prematurely and thus
alter what should be the normal mental attitude of healthy old age.
In speaking of the usual fear of death in old people it should be
mentioned that shortly before death this commonly disappears and, as
G. E. Day,[187] R. W. Mackenna,[188] and Thompson and Todd point
out, the aged when seriously ill commonly regard death as a welcome
release; the famous William Hunter’s last words in his sixty-fifth year
expressed his sense of resignation: “If I had strength enough to hold a
pen, I would write how easy and pleasant a thing it is to die.”
Public-domain text, read in full here on John Shaqi.
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