Insanity results from a disease of the brain. Although after death,
in many cases, no appreciable structural lesion can be detected in
the cerebral mass, it would be illogical for us to conclude that the
sentient organ has not been physically affected. Derangement of mind
is but the effect of physical disease, and, like all other diseases,
it has an early as well as an advanced stage. Medical men have not
paid sufficient attention to the premonitory indications of mental
alienation. Having erected an arbitrary standard of derangement in
their own minds, they have been disposed to consider no deviation from
mental soundness as insanity, unless it exhibited the symptoms which
their preconceived ideas had led them to suppose necessary, in order
to constitute that disease. They have argued as if insanity were a
specific disease invariably manifesting the same phenomena, and in
this way definitions have been framed, by which the soundness of the
intellect has been tested. It is hardly necessary to say how fallacious
all such tests must be. The brain, like every other organ, is liable
to a variety of diseases, in all of which the mental faculties are
more or less affected. The danger of attempting to erect an arbitrary
standard of insanity is this: it induces us to overlook the incipient
symptoms of mental derangement, and to consider no deviation from
soundness of intellect as insanity which does not come within the
scope of our definition. The early symptoms of mental aberration are
as much an evidence of the presence of insanity, as when the disease
is more advanced, and the indications become so apparent that no one
hesitates in pronouncing the individual mad. Medical men who have
maintained that the act of suicide is not invariably the result of
insanity have argued as if the mental ailment was always self-evident
and easily detected; whereas, those who have had any experience in the
matter know full well, that occasionally there are no diseases more
difficult of detection than those which relate to a morbid condition of
the mind. If an act of suicide has been committed, and the individual
at the moment of perpetrating it did not manifest evident symptoms of
insanity, the conclusion drawn is, that he was perfectly sane at the
time. That the facts of the case do not warrant this inference must
be apparent to those who consider the subject in an enlarged point of
view. If we examine attentively the majority of cases of suicide, we
shall find that the unfortunate persons have laboured, either for some
time previously or at the very moment, under depression of spirits,
anxiety of mind, and other symptoms of cerebral derangement. Very few
cases of suicide take place in which you cannot trace the existence
of previous mental depression, produced either by physical or moral
agents. It may be said that lowness of spirits is not insanity;
certainly not, according to the _legal_ definition of the term; but
Public-domain text, read in full here on John Shaqi.
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