Falret, whose researches have thrown much light on this affection,
believes that it is more disposed to be hereditary than any other kind
of insanity. He saw a mother and her daughter attacked with suicidal
melancholy, and the grandmother of the latter was at Charenton for
the same cause. An individual, he says, committed suicide in Paris.
His brother, who came to attend the funeral, cried out on seeing the
body—“What fatality! My father and uncle both destroyed themselves; my
brother has imitated their example; and twenty times during my journey
hither I thought of throwing myself into the Seine!”
Gall also relates the case of a dyer, of a very taciturn humour, who
had five sons and a daughter. The eldest son, after being settled in
a prosperous business with a family around him, succeeded, after many
attempts, in killing himself by jumping from the third story of his
house. The second son, who was rather taciturn, had some domestic
troubles, lost part of his fortune at play, and strangled himself at
the age of thirty-five. The third threw himself from the window into
his garden, but did not hurt himself; he pretended he was trying to
fly. The fourth tried one day to fire a pistol down his throat, but was
prevented. The fifth was of a bilious, melancholic temperament, quiet,
and devoted to business; he and his sister shewed no signs of being
affected with their brothers’ malady. One of their cousins committed
suicide.
Among the physical causes of self-destruction, insidious affections
of the brain must stand prominently forward. It is not often that the
physician is permitted to examine after death the state of this organ;
but there can be no doubt that, in the great majority of instances, the
brain will be found to have undergone a serious structural alteration.
“During the last twenty-five years,” says Dr. G. Mantell, “many cases
of suicide have come under my notice in which the mental hallucination
which led to self-destruction has depended on lesions of the brain,
occasioned by slight or neglected injuries of the head, to which
neither the patient nor his friends attached any importance. In several
instances of self-destruction, without any assignable moral cause, and
in which no previous signs of fatuity or insanity were manifested,
I have found, upon a post mortem examination, either circumscribed
induration or softening of the brain, or thickening and adhesions of
some portions of its membranes. The conviction was forced upon my
mind that very many of the _so called_ nervous or hypochondriacal
affections, which are generally considered as imaginary and dependent
on mental emotions, are ascribable to physical causes, and frequently
originate from slight lesions of the brain.”
The learned doctor relates the following cases in illustration of his
views:—
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