How often do we see in society, and during the intercourse of private
friendship, individuals complaining of the severest mental sufferings,
the effect of morbid alterations of feeling almost in every respect
similar to insanity, dependent upon the same causes, manifesting the
same symptoms, and removed by the same remedial agents. How are these
mental ailments treated? The poor sufferer is perhaps smiled at; he
is considered to be fanciful, and no regard is paid to the cerebral
affection. The disease is allowed to advance until other faculties of
the mind are implicated, and then the mental alienation exhibits itself
so unequivocally that no one doubts its existence.
The success of the mental treatment of suicide will be mainly
dependent on our paying strict attention to those apparently trifling
alterations of temper and disposition, those deviations from the usual
mode of thinking and acting, which so often predicate the presence
of the incipient stage of insanity. An invincible love of solitude
exhibited in a patient considered as labouring under an hypochondriacal
affection, and who, when induced to converse, complains of being
constantly pestered with one or two trains of ideas from which he
cannot for a moment escape, although his efforts are great and
unremitting, let his friends beware. These changes are, however, but
rarely noticed, until some alarming event causes every friend to lament
the want of timely attention.
Occupation is an infallible specific for many of the imaginary and real
ills of life. In cases where the mind is sinking under the influence
of its own weight, and the fancy is allowed to dwell uninterruptedly
on the ideas of its own creation, until the individual believes
himself to stand apart from all the world, the very personification
of human misery and wretchedness, the physician can recommend no
better remedy than constant and steady occupation for the mind and
body. Burton concludes his able work on Melancholy with this valuable
piece of advice:—“Be not solitary; be not idle.” Dr. Reid recommended
a patient, labouring under great mental depression, to engage in the
composition of a novel, which, during the time he was occupied in the
task, effected much good. By interesting himself in the distresses of
fictitious beings, he diverted his attention from sufferings which were
no less the offspring of the imagination.
Public-domain text, read in full here on John Shaqi.
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