Curious ideas regarding insanity are common, and are apparently
fostered by the reportorial writers of the daily papers. We read of
people who are "insane on a subject." This is an impossibility. Many
people can be drawn out and led into a betrayal of their mental
condition only when a certain topic or idea is discussed. But although
exhibiting their insane condition only when this topic is broached,
they are in no respect sane. Not every act of an insane man is an
insane act, we must remember. Forgetfulness of this fact leads to
errors in the superficial. You will hear people say that a certain
person must be sane, because during a half day's companionship nothing
astray was noticed. True, there may be a long period of self-control,
or of absence of test; but occasional conduct will establish the fact
of constant insanity. Again, we hear the expression: "He cannot be
insane; there is too much method in such madness." The answer to this
silly remark is that there is method in all madness except some
epileptic insanity and terminal dementia. Insane people prepare
careful plans, with all the details thoroughly considered, and perfect
methods to escape from hospitals with the greatest cunning. One must
never take it for granted that the insane person is so demented
mentally as to be unable to appreciate what is said and done. One
should never talk about the insane man in his presence, but should
include him in the conversation as if sane, as a general rule,
allaying his suspicions and avoiding antagonism. Do not agree with the
delusions of an insane person, except so far as may be necessary to
draw them out. Yet avoid argument over them. Simply do not agree, and
do not strengthen them by appearing to share them. His food should be
prepared for him, and his medicines administered to him as to any
other sick person. His baths should be regularly taken.
A depressed patient should be very carefully watched. If the slightest
suspicion of a suicidal impulse be present, the patient should never
be left alone. Many a valuable life has been saved through the moral
support of constant companionship; while we read very frequently of
the death of an insane patient who sprang from a window during a brief
period of relaxation of watchful care. Some people think it a
protection to one insane to elicit from him a promise not to be
depressed, and not to do anything wrong. One might as well secure a
promise not to have a rise of temperature. The gloom of despondency
and the suicidal impulse are as powerful as they are unwelcome and
unsought; and the wretchedly unhappy patient cannot alone meet the
issue and resist.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account