Many cases of suicidal insanity have been cured by removing the persons
so unhappily afflicted from their own homes, friends, and relations.
In these cases the physician has no little difficulty in persuading
the friends of the invalid that a separation from old associations is
absolutely indispensable; that without it, a return to sanity cannot be
reasonably expected. When Dr. Willis undertook the cure of George III.,
he insisted, in the first instance, in dismissing all the old servants,
changing the furniture, and removing everything from the king’s sight
that might tend to awaken in his mind ideas of the past. The success
that attended his treatment is said mainly to have depended on this
circumstance.
Mr. ——, forty-seven years old, of a neuro-sanguineous temperament,
was happy in his domestic circle, and his business had prospered
until the year, 1830, from which period he was much harassed in the
management of his affairs. In December, 1831, after a very trifling
loss, he grew sorrowful and melancholy; his face was flushed, his eyes
became blood-shot, his breathing was difficult, and he shed tears,
incessantly repeating that he was lost. On the next and following days,
he made several attempts to commit suicide, so that they were obliged
to cover his apartment with wadding. He wished to strangle himself,
tried to swallow his tongue, filled his mouth with his fist in hopes
of suffocating himself, and then refused all nourishment. At the
expiration of six days, the patient was brought to Paris, and entrusted
to Esquirol’s care. From the moment of his arrival all desire to commit
suicide vanished, and the patient appeared restored to reason. “The
impression that I received,” said he, “on finding myself transported to
a strange house cured me.” In fact, sleep, appetite, and a return of
connected, and sometimes lively conversation, induced the belief that
a cure was effected. Three weeks seemed enough for convalescence, when
his wife and son came to fetch him. They passed two days at Paris to
finish some business there, and then returned to the country. Scarcely
had he arrived at his home when he felt himself impelled by the same
desires, in consequence of which, he returned to Paris, transacted some
business whilst he remained there, and appeared perfectly well. On
returning to his home again, he made fresh attempts to commit suicide,
struck his son, and those who waited upon him, and endangered the life
of his wife. Neither the grief of his family, the watch placed over
him, nor the pretended authority of those about him, could overcome
these feelings. The patient passed several days without food; he tore
up his linen to make a cord to hang himself, tied it round his neck,
and got upon his bed in order to throw himself upon the floor; and at
last, deceiving the watchfulness of his relations, escaped to throw
himself into the river. He was immediately put into a carriage, and
Public-domain text, read in full here on John Shaqi.
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