Trousseau has a very remarkable case (in the chapter on Asthma) in his important work Clinique M. édicale. (In the edition of 1873 it is in vol. ii. p. 473.) It was quoted at length in the original French, in Mr. Darwin's Variation under Domestication, vol. ii. p. 252. The following is a translation:--
"I attended twin brothers so extraordinarily alike, that it was impossible for me to tell which was which, without seeing them side by side. But their physical likeness extended still deeper, for they had, so to speak, a yet more remarkable pathological resemblance. Thus, one of them, whom I saw at the Néothermes at Paris, suffering from rheumatic ophthalmia, said to me, 'At this instant my brother must be having an ophthalmia like mine;' and, as I had exclaimed against such an assertion, he showed me a few days afterwards a letter just received by him from his brother, who was at that time at Vienna, and who expressed himself in these words--'I have my ophthalmia; you must be having yours.' However singular this story may appear, the fact is none the less exact; it has not been told to me by others, but I have seen it myself; and I have seen other analogous cases in my practice. These twins were also asthmatic, and asthmatic to a frightful degree. Though born in Marseilles, they were never able to stay in that town, where their business affairs required them to go, without having an attack. Still more strange, it was sufficient for them to get away only as far as Toulon in order to be cured of the attack caught at Marseilles. They travelled continually, and in all countries, on business affairs, and they remarked that certain localities were extremely hurtful to them, and that in others they were free from all asthmatic symptoms."
I do not like to pass over here a most dramatic tale in the Psychologie Morbide of Dr. J. Moreau (de Tours), M. édecin de l'Hospice de Bicêtre. Paris, 1859, p. 172. He speaks "of two twin brothers who had been confined, on account of monomania, at Bicêtre":--
"Physically the two young men are so nearly alike that the one is easily mistaken for the other. Morally, their resemblance is no less complete, and is most remarkable in its details. Thus, their dominant ideas are absolutely the same. They both consider themselves subject to imaginary persecutions; the same enemies have sworn their destruction, and employ the same means to effect it. Both have hallucinations of hearing. They are both of them melancholy and morose; they never address a word to anybody, and will hardly answer the questions that others address to them. They always keep apart, and never communicate with one another. An extremely curious fact which has been frequently noted by the superintendents of their section of the hospital, and by myself, is this: From time to time, at very irregular intervals of two, three, and many months, without appreciable cause, and by the purely spontaneous effect of their illness, a very marked change takes place in the condition of the two brothers. Both of them, at the same time, and often on the same day, rouse themselves from their habitual stupor and prostration; they make the same complaints, and they come of their own accord to the physician, with an urgent request to be liberated. I have seen this strange thing occur, even when they were some miles apart, the one being at Bicêtre, and the other living at Saint-Anne."
I sent a copy of this passage to the principal authorities among the physicians to the insane in England, asking if they had ever witnessed any similar case. In reply, I have received three noteworthy instances, but none to be compared in their exact parallelism with that just given. The details of these three cases are painful, and it is not necessary to my general purpose that I should further allude to them.
There is another curious French case of insanity in twins, which was pointed out to me by Sir James Paget, described by Dr. Baume in the Annales M. édico-Psychologiques, 4 série, vol. i., 1863, p. 312, of which the following is an abstract. The original contains a few more details, but is too long to quote: Francois and Martin, fifty years of age, worked as railroad contractors between Quimper and Châteaulin. Martin had twice slight attacks of insanity. On January 15 a box was robbed in which the twins had deposited their savings. On the night of January 23-24 both François (who lodged at Quimper) and Martin (who lived with his wife and children at St. Lorette, two leagues from Quimper) had the same dream at the same hour, three a.m., and both awoke with a violent start, calling out, "I have caught the thief! I have caught the thief! they are doing mischief to my brother!" They were both of them extremely agitated, and gave way to similar extravagances, dancing and leaping.
Martin sprang on his grandchild, declaring that he was the thief, and would have strangled him if he had not been prevented; he then became steadily worse, complained of violent pains in his head, went out of doors on some excuse, and tried to drown himself in the river Steir, but was forcibly stopped by his son, who had watched and followed him. He was then taken to an asylum by gendarmes, where he died in three hours. Francois, on his part, calmed down on the morning of the 24th, and employed the day in inquiring about the robbery. By a strange chance, he crossed his brother's path at the moment when the latter was struggling with the gendarmes; then he himself became maddened, giving way to extravagant gestures and using incoherent language (similar to that of his brother). He then asked to be bled, which was done, and afterwards, declaring himself to be better, went out on the pretext of executing some commission, but really to drown himself in the River Steir, which he actually did, at the very spot where Martin had attempted to do the same thing a few hours previously.
The next point which I shall mention in illustration of the extremely close resemblance between certain twins is the similarity in the association of their ideas. No less than eleven out of the thirty-five cases testify to this. They make the same remarks on the same occasion, begin singing the same song at the same moment, and so on; or one would commence a sentence, and the other would finish it. An observant friend graphically described to me the effect produced on her by two such twins whom she had met casually. She said: "Their teeth grew alike, they spoke alike and together, and said the same things, and seemed just like one person." One of the most curious anecdotes that I have received concerning this similarity of ideas was that one twin, A, who happened to be at a town in Scotland, bought a set of champagne glasses which caught his attention, as a surprise for his brother B; while, at the same time, B, being in England, bought a similar set of precisely the same pattern as a surprise for A. Other anecdotes of a like kind have reached me about these twins.
The last point to which I shall allude regards the tastes and dispositions of the thirty-five pairs of twins. In sixteen cases--that is, in nearly one-half of them--these were described as closely similar; in the remaining nineteen they were much alike, but subject to certain named differences. These differences belonged almost wholly to such groups of qualities as these: The one was the more vigorous, fearless, energetic; the other was gentle, clinging, and timid; or the one was more ardent, the other more calm and placid; or again, the one was the more independent, original, and self-contained; the other the more generous, hasty, and vivacious. In short, the difference was that of intensity or energy in one or other of its protean forms; it did not extend more deeply into the structure of the characters. The more vivacious might be subdued by ill health, until he assumed the character of the other; or the latter might be raised by excellent health to that of the former. The difference was in the key-note, not in the melody.
It follows from what has been said concerning the similar dispositions of the twins, the similarity in the associations of their ideas, of their special ailments, and of their illnesses generally, that the resemblances are not superficial, but extremely intimate. I have only two cases of a strong bodily resemblance being accompanied by mental diversity, and one case only of the converse kind. It must be remembered that the conditions which govern extreme likeness between twins are not the same as those between ordinary brothers and sisters, and that it would be incorrect to conclude from what has just been said about the twins that mental and bodily likeness are invariably co-ordinate, such being by no means the case.