Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
Pinel first drew attention to this form of madness. Pritchard defines
it as “consisting in a morbid perversion of the natural feelings,
affections, inclinations, temper, habits, and moral dispositions,
without any notable lesion of the intellect or knowing and reasoning
faculties, and particularly without any maniacal hallucinations.”
It is divided into--_General_ Moral Mania. _Partial_ Moral Mania.
=General Moral Mania.=--“There are many individuals,” says Pritchard,
“living at large, and not entirely separated from society, who are
affected in a certain degree with this modification of insanity. They
are reputed persons of a singular, wayward, and eccentric character. An
attentive observer will often recognise something remarkable in their
manners and habits, which may lead him to entertain doubts as to their
entire sanity; while circumstances are sometimes discovered on inquiry
which add strength to this suspicion. In many instances it has been
found that a hereditary tendency to madness has existed in the family,
or that several relatives of the person affected have laboured under
other diseases of the brain. The individual himself has been discovered
to have suffered, in a former period of life, an attack of madness
of a decided character. His temper and disposition are found to have
undergone a change, or to be not what they were previously to a certain
time; he has become an altered man, and the difference has perhaps
been noted from the period when he sustained some reverse of fortune
which deeply affected him, or the loss of some beloved relative. In
other instances, an alteration in the character of the individual has
ensued immediately on some severe shock which his bodily constitution
has undergone. This has been either a disorder affecting the head, a
slight attack of paralysis, or some febrile or inflammatory complaint,
which has produced a perceptible change in the habitual state of his
constitution. In some cases, the alteration in temper and habits has
been gradual and imperceptible; and it seems only to have consisted in
an exaltation and increase of peculiarities which were always more or
less natural and habitual. Persons labouring under this disorder are
capable of reasoning, or supporting an argument upon any subject within
their sphere of knowledge that may be presented to them; and they often
display great ingenuity in giving reasons for the eccentricities of
their conduct, and in accounting for, and justifying, the state of
moral feeling under which they appear to exist. In one sense, indeed,
their intellectual faculties may be termed unsound--they think and act
under the influence of strongly excited feelings; and persons accounted
sane are, under such circumstances, proverbially liable to error,
both in judgment and conduct.” (For interesting cases of this form of
madness, see Ray‘s _Jurisprudence of Insanity_.)
Public-domain text, read in full here on John Shaqi.
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