Charcot[21] had already remarked the presence of certain signs or
psychical stigmata indicative of degeneration, or of instability, as he
preferred to say, inasmuch as the mental anomalies of these so-called
degenerates were not only frequently unobtrusive, but in a great many
cases associated with intellectual faculties of the first order. His
contention has been amplified by Ballet:[22]
The striking feature of these "superior degenerates" or "unstables"
it not the insufficiency, but the inequality, of their mental
development. Their aptitude for art, literature, poetry, less often
for science, is sometimes remarkable; they may fill a prominent
place in society; many are men of talent, some even of genius; yet
what surprises is the embryonic condition of one or other of their
faculties. Brilliance of memory or of conversational gifts may be
counteracted by absolute lack of judgment; solidity of intellect
may be neutralised by more or less complete absence of moral sense.
In the category of "superior degenerates"--to use Ballet's
terminology--will be found the vast majority of sufferers from tic, of
whom O. may serve for the model. A no less instructive example is that
of J.:
Of superior intelligence, lively disposition, and ingenious turn of
mind, J. is dowered with unusual capabilities for assimilation.
Everything comes easy to him. At school he was one of the foremost
pupils, and his work elicited only expressions of praise. He is
both musical and poetical; his quickness and neatness of hand find
outlet in his passion for electricity and photography; for
mathematics alone he has little inclination.
In a word, as with physical imperfection, so with mental--it may consist
either in absence, arrest, or delay, or in overgrowth, increase,
exaggeration, and these contrary processes may co-exist in the same
individual. Sufficient stress, however, has not been laid on a
practically constant feature in the character of the _tiqueur_--viz. his
_mental infantilism_, evidenced, as was noted by Itard in 1825, by
inconsequence of ideas and fickleness of mind, reminiscent of early
youth and unaltered with the attainment of years of discretion. We must
remember that imperfection of mental equilibrium is normal in the child,
and that perfection comes with adolescence. In the infant
cortico-spinal anastomoses are awanting, and volitional power is
dependent on their establishment and development. At first, cortical
intervention is inharmonious and unequal: the child is vacillating and
volatile; he is a creature of sudden desire and transient caprice; he
turns lightly from one interest to another, and is incapable of
sustained effort; at once timid and rash, artless and obstinate, he
laughs or cries on the least provocation; his loves and his hates are
alike unbounded.
Public-domain text, read in full here on John Shaqi.
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