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where no danger is close at hand; but surely it is wise to be on our guard against the approach of disease, to observe its first warnings, and thus, by the use of appropriate remedies, prevent the enemy from obtaining a permanent lodgment in one of the vital tissues.

The daily records of passing events are full of sad data, painfully illustrating the folly of neglecting disease of the brain and mind in its incipient stage.

Fatal attacks of apoplexy, serious cases of alarming paralysis, incurable conditions of softening of the brain, lamentable instances of insanity, suicide, homicide, and murder, are matters of daily occurrence, springing out of unobserved and neglected affections of the brain and mind.

It is with the view of exciting a deeper interest in, and of awakening a profounder and more philosophical attention to this important subject, that these pages have been penned.

That this work (of which two large editions have been sold within three years) has been productive of much practical good admits of easy and satisfactory demonstration. Cerebral symptoms that were too commonly overlooked, or, if noticed, viewed as insignificant, are now properly considered as symptomatic of threatening brain and mental disease. Thus mischievous maladies have been detected in the incipient stage and placed under arrest, whilst appropriate medical measures have been adopted for their mitigation and cure. For these known results I have every reason to be grateful.

OCTOBER, 1863.

F. W.

TABLE OF CONTENTS.

INTRODUCTION.

Impossibility of defining insanity-Singular case of insanity-Insanity among children-

Symptoms of insanity-Undetected mental disease-Remarks by Dr. Brierre de Bois-

mont and others on the insanity of early life-Insanity in the United States of Ame-

rica-Statistics of insanity among children-Hereditary predisposition to insanity-

Incipient symptoms of insanity-Transformations of character in the early stage of

insanity-Exaggerations of natural states of mind often indicative of insanity-

Delusions-Diagnosis of insanity-Obscure disease of the brain-Latent and unrecog-

nized insanity-Serious results following a non-recognition of insanity-Pseudo forms

of mental disorder-Insidious approach of insanity-Symptoms of latent insanity-

Alterations of character and disposition preceding attacks of insanity--Cases of

morbid paroxysms of passion-Temper disease-Curious case of disordered mind—

Insanity shown in acts of brutality-Concealed monomania-Moral character changed

by physical injury-Paralysis of the moral sense-Illustrations of moral idiocy-

Shakspeare's description of this affection-Latent case of monomania-Transforma-

tion of character caused by physical disease-Effects of diseased brain on the cha-

racter-Historical illustrations of diseased brain on the character-Caligula, Tibe-

rius, Catherine de Medici, Frederick William of Prussia, Robespierre, Judge Jeffreys

-Meteorological influence on the mind-Effect of chloroform on the mind-Resem-

blance of mental phenomena caused by the use of chloroform to insanity-Curious

mental phenomena caused by the absorption of poison in the blood-Singular case of

hydrophobia affecting the mind-Influence of physical irritation on the mind-Morbid

views of religion-Extraordinary organic change discovered after death in the mem-

branes of the brain-Brutality and immorality-Cases of erotic monomania-Speedy

cure of a case of insanity-Singular case of concealed insanity-Recklessness in

monetary transactions exhibited in the incipient phase of mental disorder-Case of

undetected insanity-Motiveless acts of brutality connected with latent insanity-

Homicidal insanity-The medico-legal witness-Duties of the psychological expert-

Importance of the testimony of experts in subtle cases of insanity-Popular ignorance

of insanity-Evidence in cases of alleged lunacy-Case of Atkinson, the homicidal

idiot-Danger of lunatics being at large-Decisions of juries in cases of insanity-

Serious consequences of a wrong verdict in commissions de lunatico-Anomalous de-

fective state of the law of lunacy-Justice to be tempered with mercy, 96-145

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