To the medical philosopher, nothing can be more deeply interesting than
to trace the reciprocity of action existing between different mental
conditions, and affections of particular organs. Thus the passion of
fear, when excited, has a sensible influence on the action of the
heart; and when the disease of this organ takes place independently of
any mental agitation, the passion of fear is powerfully roused. Anger
affects the liver and confines the bowels, and frequently gives rise
to an attack of jaundice; and in hepatic and intestinal disease, how
irritable the temper is!
Hope, or the anticipation of pleasure, affects the respiration; and
how often do we see patients, in the last stage of pulmonary disease,
entertaining sanguine expectations of recovery to the very last!
As the passions exercise so despotic a tyranny over the physical
economy, it is natural to expect that the crime of suicide should
often be traced to the influence of mental causes. In many cases,
it is difficult to discover whether the brain, the seat of the
passions, be primarily or secondarily affected. Often the cause of
irritation is situated at some distance from the cerebral organ; but
when the fountain-head of the nervous system becomes deranged, it
will react on the bodily functions, and produce serious disease long
after the original cause of excitement is removed. It is not our
intention to attempt to explain the _modus operandi_ of mental causes
in the production of the suicidal disposition. That such effects
result from an undue excitement of the mind cannot for one moment
be questioned. Independently of mental perturbation giving rise to
maniacal suicide, there are certain conditions of mind, dependent
upon acquired or hereditary disposition, or arising from a defective
expansion of the intellectual faculties, which originate the desire for
self-destruction. These states will all be alluded to in the course of
the present inquiry.
Some idea of the influence of certain mental states on the body will
be obtained by an examination of the various tables which have been
published, in this and other countries, respecting the causes of
suicide, as far as they could be ascertained.
The following suicides were committed in London, between the years 1770
and 1830:[19]—
_Indication of Causes._ _Men._ _Women._
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