A CASE OF INSANITY FROM SELF-ABUSE.—(Fig. 4.)
The following case, taken verbatim from the Care Book of the Insane Asylum at Blackwell’s Island, will serve as a type of the many to be found in every hospital for the insane in this country. (And a terrible and noteworthy fact is, that according to the recent annual reports of these institutions, both in this country and Europe, insanity, idiocy and dementia from Seminal Losses and Sexual Abuses, are increasing from year to year.)
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Fig. 4. Appearance of James McC——, a few weeks before he died. (See below.) |
"Upon examination he is found to be suffering from acute mania, alternating with periods of intense melancholia in which he invariably attempts to take his own life. His language when excited exceeds in obscenity anything ever heard. During the intervals of quiet he is constantly practicing the vile habit which has undoubtedly been the cause of his insanity. He has lost all sense of shame and continues to practice before visitors, attendants and physicians. He makes no effort to go to the water-closet, and his clothes and cell are in a filthy and disgusting state. Ever since admission he has refused all food, and it has been necessary to feed him with a stomach pump. He is losing flesh and strength every day, and is fast wasting away.
"From his relatives who have twice called to see him it was learned that his mental trouble came on very suddenly, although his memory and faculties have been failing for some time past. They say that he complained of sleeplessness, numbness and tingling sensations in the arms and legs, headache, and a peculiar itching of the skin, for months before any distinct symptoms of insanity appeared. They attribute it all to self-abuse, which he has admitted practicing from an early age.
“August 28th.—Is now paralyzed in both lower limbs. Still violent.
“Sept. 3d.—Died this morning about 1 A.M. Is so emaciated that he is little more than skin and bones. Rigor mortis entirely absent. Shortly after death the skin of the whole body changed to a dark chocolate hue.”
Truth is often stranger than fiction. What end more terrible than this!