The insane man may have wrong ideas without logical reason for them.
Thus, an insane man may declare that a beautiful actress is in love
with him, when there is absolutely no foundation for such an idea. Or,
he may believe that he can lift 500 pounds and run faster than a
locomotive can go, while in reality he is so feeble as scarcely to be
able to walk, and unable to dress himself. Such ideas are delusions.
Sane people may be mistaken; they may have hallucinations, illusions
and delusions; but they abandon their mistaken notions and correct
their judgment at once, on being shown their errors. Sane people see
the force of logical argument, and act upon it, abandoning all
irrational ideas. The insane person, on the other hand, cannot see the
force of logical argument; cannot realize the absurdity or
impossibility of error. He clings to his own beliefs, for the evidence
of his perverted senses or the deductions from his disease-irritation
are very real to him. When we find this to be the fact we know he is
insane.
Yet we must not confound delirium of fever with insanity. A patient
suffering from typhoid fever may have a delusion that there is a pail
by his bed into which he persists in throwing articles. Or he may have
the hallucination that he is being called into the next room, and try
to obey the supposed voice.
Certain delusions are commonly found in certain types of insanity.
Depressed patients frequently manifest the delusion that they have
committed a great sin, and are unfit to associate with anyone.
Excited and maniacal patients often believe they are important
personages--kings or queens, old historical celebrities, etc.
Paranoiacs commonly have delusions of persecution and of a conspiracy
among their relatives or their associates or rivals. Victims of
alcoholic insanity have delusions regarding sexual matters, and
generally charge with infidelity those to whom they are married.
General paretics in most cases have delusions of grandeur; that is,
false ideas of great strength, wealth, political power, beauty, etc.
The emotion which accompanies mental activity is generally exaggerated
in all insane people except the demented. One sees extreme depression,
or undue elation and exaltation, or silly glee and absurd joy.
Intensity of emotion is frequent.
_Crimes Impulsively Committed by the Insane_
Public-domain text, read in full here on John Shaqi.
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