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ing the pistol from his brother's hand, and, on examination, found it to be double charged with bullets. This transaction, as might be expected in the case of a person of just and generous sentiments, filled him with such horror, and with such disgust for the character of man, that he secluded himself ever after from human society. He never allowed the visits even of his own children. It is certainly easy to see, that, under such circumstances, the sensibilities may receive such a shock as to leave the subject of it in a state of permanent dissatisfaction and gloom. In other words, he may in this way and for such reasons become a confirmed hypochondriac.

§ 444. Of intermissions of hypochondriasis, and of its remedies. The mental disease of hypochondriasis is always understood to imply the existence of a feeling of gloom and depression; but this depressed feeling does not exist in all cases in the same degree. In all instances it is a source of no small unhappiness; but in some the wretchedness is extreme. The greatest bodily pains are light in the comparison. It is worthy of remark, however, that the mental distress of hypochondriasis is, in some persons, characterized by occasional intermissions. An accidental remark, some sudden combination of ideas, a pleasant day, and various other causes, are found to dissipate the gloom of the mind. At such times there is not unfrequently a high flow of the spirits, corresponding to the previous extreme depression.-As this disease, even when mitigated by occasional intermissions, is prodigal in evil results, it becomes proper to allude to certain remedies which have sometimes been resorted to.

(1.) The first step towards remedying the evil is to infuse health and vigour into the bodily action, especially that of the nervous system. The nerves, it will be recollected, are the great medium of sensation, inasmuch as they constitute, under different modifications, the external

senses.

Now the senses are prominent sources of belief and knowledge. Consequently, when the nervous system (including, of course, the senses) is in a disordered state, it is not surprising that persons should have wrong sensations and external perceptions, and, therefore, a wrong

belief. If a man's nerves are in such a state that he feels precisely as he supposes a man made of glass would feel, it is no great wonder, when we consider the constitution of the mind, that he should actually believe himself to be composed of that substance. But one of the forms of the disease in question is essentially founded on an erroneous but fixed belief of this kind. Hence, in restoring the bodily system to a right action, we shall correct the wrong belief if it be founded in the senses; and, in removing this, we may anticipate the removal of that deep-seated gloom which is characteristic of hypochondriasis. (2.) As all the old associations of the hypochondriac have been more or less visited and tinctured by his peculiar malady, efforts should be made to break them up and remove them from the mind by changes in the objects with which he is most conversant, by introducing him into new society, or by travelling. By these means his thoughts are likely to be diverted, not only from the particular subject which has chiefly interested him, but a new impulse is given to the whole mind, which promises to interrupt and banish that fatal fixedness and inertness which had previously encumbered and prostrated it.—(3.) Whenever the malady appears to be founded on considerations of a moral nature, the hypochondriasis may sometimes be removed, or at least alleviated, by the suggestions of counteracting moral motives. If, for instance, the despondency of mind has arisen from some supposed injury, it is desirable to suggest all well-founded considerations which may tend to lessen the sufferer's estimate of the amount of the injury received. When the injury is very great and apparent, suggestions on the nature and duty of forgiveness may not be without effect.-But, whatever course may be taken, it is desirable that the attention of the sufferer should be directed as little as possible to his disease, by any direct remarks upon it. It was a remark of Dr. Johnson, whose sad experience enabled him to judge, that conversation upon melancholy feeds it. Accordingly, he advised Boswell, who, as well as himself, was subject to melancholy of mind, never to speak of it to his friends nor in company."

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§ 445. Disordered action of the passion of fear. The passion of FEAR, inasmuch as there are various objects around us which are or may be dangerous, is obviously implanted in us for wise purposes. But it not unfrequently exhibits an irregular or disordered action. This disordered state of the affection may discover itself, when considered either in reference to the occasion on which it exists, or in reference to the degree in which it exists. In some cases, for instance, it is connected with objects which, in the view of reason and common sense, ought not to excite it. Some persons are afraid to be alone in the dark; it is exceedingly distressing to them. Others are afraid (so much so, perhaps, as to be thrown into convulsions by their presence) of a mouse, or a squirrel, or an insect.

Again, fear may exist with such an intensity as essentially to affect the mind, and even cause insanity. Probably the power of this passion is not well understood. Certain it is, that terrible results have often followed from the attempts of persons, particularly of children, to excite it in others, even in sport. Many instances are on record of individuals who have been permanently and most seriously injured, either in mind or body, or both, by a sudden fright.

Sometimes, especially when connected with permanent causes, it gradually expands and strengthens itself, till it is changed into DESPAIR. The distinctive trait of Despair, in distinction from all other modifications of fear, is, that it excludes entirely the feeling of hope, which exists in connexion with fear in other cases. Despair may exist, therefore, in a greater or less degree, and with a greater or less amount of mental anguish, in accordance with the nature of the thing, whatever it is, which occasions it. When great present or future interests are at stake, and the mind, in relation to those interests, is in a state of despair, the wretchedness which is experienced is necessarily extreme.

§ 446. Perversions of the benevolent affections.

There are some singular perversions of the benevolent affections which are worthy of notice here. It is not un

frequently the case, that persons in a state of mental alienation are entirely indifferent to, and sometimes they even hate, those whom at other times they love most sincerely and deeply. It is, perhaps, difficult to explain this, although it is practically important to know the fact.Dr. Rush, in speaking of a singular apathy or torpor of the passions, which is sometimes found to exist, says: "I was once consulted by a citizen of Philadelphia, who was remarkable for his strong affection for his wife and children when his mind was in a sound state, who was occasionally afflicted with this apathy, and, when under its influence, lost his affection for them all so entirely, that he said he could see them butchered before his eyes without feeling any distress, or even inclination to rise from his chair to protect them."-(2.) There are other cases, where there seems to be not merely an extinction of the benevolent affection, but its positive conversion into hatred. The same philosophic physician mentions the case of a young lady who was confined as a lunatic in the Pennsylvania Hospital in the year 1802. One of the characteristics of her insanity was hatred for her father. She was gradually restored; and, for several weeks before she was discharged from the Hospital, discovered all the marks of a sound mind, excepting the continuance of this unnatural feeling of hatred. On a certain day she acknowledged with pleasure a return of her filial attachment and affection, and soon after was discharged as cured.* (3.) There are other cases where insanity is the indirect result of the mere intensity of the benevolent affections. In cases of this kind the affections are so strong, so intense, that they are unable to withstand the shock of sudden and great opposition and disappointments.—“ A peasant woman," says Dr. Gall, "became insane three times; the first at the death of her brother, the second at the death of her father, and the third at that of her mother. After she had recovered the third time she came to consult me. As she was very religious, she complained to me of her unfortunate disposition to be afflicted, at the loss of persons who were dear to her, more than religion permits; an evident proof that she had yielded to * Rush on the Diseases of the Mind, p. 255, 345.

grief, although she had combated it by motives which were within her reach." Pinel also mentions the case of a young man who became a violent maniac a short time after losing a father and mother whom he tenderly loved. It is true that in these cases the proximate cause of the insanity is sorrow or grief; but the remote cause, and that without which the unfortunate result would not have existed, is an unrestrained and excessive position of the benevolent affections.-It may be proper to add here, that sudden and strong feelings of joy have, in repeated instances, caused a permanent mental disorganization, and even death itself. "The son of the famous Leibnitz died from this cause, upon his opening an old chest and unexpectedly finding in it a large quantity of gold. Joy, from the successful issue of political schemes or wishes, has often produced the same effect. Pope Leo X. died of joy, in consequence of hearing of a great calamity that had befallen the French nation. Several persons died from the same cause, Mr. Hume tells us, upon witnessing the restoration of Charles II. to the British throne; and it is well known the doorkeeper of Congress died of an apoplexy, from joy, upon hearing the news of the capture of Lord Cornwallis and his army during the American revolutionary war."*

CHAPTER IV.

DISORDERED ACTION OF THE MORAL SENSIBILITIES.

§ 447. Nature of voluntary moral derangement.

THE moral, as well as the natural or pathematic Sensibilities, the Conscience as well as the Heart, may be the subject of a greater or less degree of disorder and alienation. There are probably two leading forms, at least, of moral derangement, viz., VOLUNTARY, and NATURAL or CONGENITAL. In regard to voluntary moral derangement, we remark, as an interesting and practically important fact,

*Rush on the Diseases of the Mind, p. 339.

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