September 14th:--Patient was today discharged by a jury, as not
insane. He presented a normal appearance upon leaving the Hospital.
Insight was good, and there existed a total amnesia for the period
between August 19th, when he was arrested, and September 3d, when he
recovered from his stupor.
This case illustrates in an excellent manner the development of a mental
disorder as an immediate consequence of a situation strongly affective
in nature,--in this instance, threatened imprisonment for a grave
offense.
The emotional shock of the arrest called forth in this, to all
appearance, previously normal individual, a marked excitement
accompanied by hallucinations and fleeting delusional formations. This
excitement, which required the application of constant restraint, was
followed by a stuporous state and total clouding of consciousness. Upon
being removed to a hospital, and surrounded by a new environment,
patient gave evidence, after a sojourn of only a few days, of the
salutary effect of such procedure. On September 3d, ten days after
admission, the stupor disappears, and the only residue of the one-time
psychosis is a complete amnesia for the entire period. The amnesia and
the hypalgesia, which the patient manifested on admission, are the two
symptoms which may perhaps be considered as more or less hysterical in
nature. Aside from this, it is difficult to see wherein the psychosis
resembles an hysterical disorder. Another point which should be
mentioned here in passing, and which will be dilated upon later, is the
medico-legal importance of this class of cases. This patient was wanted
for assault and robbery in an adjoining State. Upon his admission to
this institution an inquiry was received from the U. S. Attorney for the
District of Columbia as to the probable duration and course of this
man's disorder, as they had in possession extradition papers from the
authorities of the State in which the crime was committed. It was only
by recognizing the nature of this disorder that we were able to furnish
the authorities with intelligent information concerning the prognosis of
the case, and which the course of the disease corroborated in every
detail. By recognizing the fact that these disorders are consequences of
the criminal act, the possibility of considering the man insane at the
time of the commission of the act is obviated in a large measure.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account