Physicians not practically acquainted with the treatment of insanity
are too much inclined to believe that it is fruitless to attempt to
reason a madman out of his morbid delusion, and that to have recourse
to a trick in order to dispel the mental illusion is a species of
practice unbecoming the dignity of a professional gentleman. Numerous
cases are recorded in which patients have been cured of monomania by a
well-contrived artifice; and in many cases of suicidal insanity, when
other treatment fails, the medical man may have recourse to this mode
of cure without any danger of sinking himself in public or professional
estimation. The following cases are illustrations of the foregoing
remark:—
A celebrated watchmaker, at Paris, was infatuated with the chimera of
perpetual motion, and to effect this discovery he set to work with
indefatigable ardour. From unremitting attention to the object of his
enthusiasm coinciding with the influence of revolutionary disturbances,
his imagination was greatly heated, his sleep was interrupted, and, at
length, a complete derangement of the understanding took place. His
case was marked by a most whimsical illusion of the imagination. He
fancied that he had lost his head on the scaffold; that it had been
thrown promiscuously among the heads of many other victims; that the
judges, having repented of their cruel sentence, had ordered them
to be restored to their owners, and placed upon their respective
shoulders; but that, in consequence of an unfortunate mistake, the
gentleman who had the management of the business had placed upon his
shoulders the head of one of his unhappy companions. The idea of this
whimsical exchange occupied his thoughts night and day, on account
of which his relations sent him to the Hôtel Dieu; and from thence
he was transferred to the Asylum de Bicêtre. Nothing could equal the
extravagant overflowings of his heated brain. He sung, cried, or danced
incessantly; and as there appeared no propensity in him to commit acts
of violence or disturbance, he was allowed to go about the hospital
without control, in order to expend, by evaporation, the effervescent
excess of his spirits. “Look at these teeth,” he constantly cried;
“mine were exceedingly handsome; these are rotten and decayed. My mouth
was sound and healthy; this is foul and diseased. What a difference
between this hair and that of my own head!” To this state of delirious
gaiety, however, succeeded that of furious madness. He broke to pieces,
or otherwise destroyed, whatever was within the reach or power of his
mischievous propensity. Close confinement became indispensable. Towards
the approach of winter, his violence abated; and, although he continued
to be extravagant in his ideas, he was never afterwards dangerous. He
was therefore permitted, whenever he felt disposed, to go to the inner
court. The idea of perpetual motion frequently recurred to him in the
midst of his wanderings; and he chalked on all the walls and doors as
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