Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
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Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
I have met with two instances of imaginary poisoning, the nature of
which was thus at once made obvious by a host of impossibilities in the
narrative of the patient. One of these may be here given as an example.
An elderly lady, who had certain expectancies of the death of a
relation, conceived that the family of her relative had resolved to
defraud her of her supposed rights. She afterwards imagined that an
attempt was made to poison her, and camphor was the poison she fixed on
as the article which had been administered. In its general or moral
particulars the narrative was all plausible and suspicious enough; but
unluckily for its consistency, she stated that the poison could only
have been given in wine,—that she did not remark any particular taste in
the wine,—that her illness did not begin till the day after she took it;
and although she alleged, without any leading question on my part, that
camphorous perspiration was exhaled on the subsequent day, the whole
train of symptoms differed entirely in every other respect from a case
of poisoning, and resembled closely in their origin and progress a case
of slight general fever. The incompatibility of her story with the idea
of poisoning with camphor will be readily understood by referring to
what is afterwards said of the effects of that substance.
_Feigned_ or _pretended poisoning_ is more apt to escape suspicion, and
when suspected is commonly more difficult to develope satisfactorily;
for the actor has it in his power to lay his plans with care, and even
to become acquainted with the properties of the poisons whose effects he
intends to feign. Still he can rarely enact his part so well as to
deceive a skilful physician both by existing symptoms and by his history
of their origin and progress; much less can he contrive his scheme so
adroitly that it shall not be unfolded by the refinements of chemical
analysis.
The investigation of such a case will be directed of course in the first
instance to the state and progress of the symptoms. Here, as in
imaginary poisoning, it is of moment to conceal from the individual the
suspicion entertained of his falsehood. For even if a person who has
actually taken poison knows he is unjustly suspected of feigning, it is
not improbable that he might try to mend his story with impossibilities,
and so lead the physician into error. In a case of feigned poisoning an
excellent mode of investigation is, after hearing out the individual’s
own story, to put a number of questions involving an alternative answer,
one alternative being compatible and the other incompatible with the
alleged nature of his illness. No unprofessional person can stand such a
system of interrogation, if skilfully pursued. Not only will his answers
be often wrong; but likewise his manifest perplexity how to answer will
of itself supply evidence of falsehood.
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