Contrast between Apathy and Impulsiveness. This apathy alternates with strange impulses, which, although strongly at variance with the patient's former habits, he is unable to control, even when he is aware that they are criminal.
Crimes peculiar to Inebriates. Since modification of the reproductive organs is a common cause of hallucinations, inebriate criminals frequently suffer from a species of erotic delirium, during which they murder those whom they believe guilty of offences against themselves—generally their wives or mistresses. This is partly owing to the sexual nature of their hallucinations and partly to the wretchedness of their homes, which are in such striking contrast to the rosy dreams inspired by alcohol and which tend to increase the melancholy natural to drunkards. They imagine they are being deceived and their impotence derided, the most innocent gestures being interpreted as deadly insults.
In the prison at Turin, my father had under observation two of these unfortunate beings, one a man of sixty and the other quite young. Both had murdered their wives with the most revolting cruelty, because they believed them to be unfaithful, although in reality both the women led blameless lives.
Course of the Disease. The continued abuse of alcohol ends at last in complete dementia or general pseudo-paralysis. The body is at first obese, but rapidly loses flesh, the skin becomes greasy and damp, owing to hypersecretion of the sebaceous and sudoriparous glands, and soils the garments. Memory becomes enfeebled, speech uncertain and defective (dysarthria), the association of ideas sluggish, sensibility blunted, perception confused, judgment erroneous, and every species of regular and continued application impossible. The earlier hallucinations reappear, but in a less vivid form and only at long intervals; then paralysis more or less rapidly becomes general and ends in death.
EPILEPSY
We have spoken of this disease in another chapter and have shown that the born criminal is in reality an epileptic, in whom the malady, instead of manifesting itself suddenly in strange muscular contortions or terrible spasms, develops slowly in continual brain irritation, which causes the individual thus affected to reproduce the ferocious egotism natural to primitive savages, irresistibly bent on harming others.
But besides these epileptics, who are morally insane from their birth and pass their lives in prisons and lunatic asylums, without any one being able to mark the exact boundary between their perversity and their irresponsibility; besides these individuals, whom society has a right, nay a moral obligation, to remove from its midst because they are ever a source of danger there are those who are afflicted with other forms of epilepsy;—forms in which irritation is manifested in seizures exactly similar to the typical convulsive fit, which they resemble also with regard to variation in intensity and duration. Generally speaking, they are likewise accompanied by complete loss of memory and consciousness, but in some cases there may be partial or complete consciousness, and yet the sufferer is not responsible for his actions. This variety of epilepsy, termed by Samt psychic epilepsy (epilepsy with psychic seizures), manifests itself at long intervals, sometimes only once, but more frequently twice or thrice in the course of a lifetime, and during the attack the personality of the individual undergoes a complete change.
The attack is described by Samt as follows: During the seizure, the individual behaves like a somnambulist. Sometimes he is dazed, mute, and immovable; at others, he talks incessantly; at still others, he goes on with his ordinary occupations, travelling, reading, and writing: but in every case his personality suffers a complete metamorphosis, his habits, actions, and even handwriting assume a different character. Sometimes he is seized by a mania for walking and tramps for miles; at others, he undertakes interminable railway journeys. Tissié (Les aliénés voyageurs, 1887) cites cases of epileptics who travelled from Paris to Bombay, who covered 71 kilometres on foot, and who wandered unconscious for 31 months.
Sometimes epilepsy is manifested only by the tendency to undertake purposeless journeys, as in the case of Ferretti and a certain M... who visited the Mahdi in Africa and from thence travelled aimlessly to Australia.
This ambulatory form of epilepsy is very common amongst lads of fourteen or fifteen. Scarcely a week passes without the police receiving information from parents that their son has disappeared from home with only a few pence in his pocket. The wanderer is discovered later, frequently in some small provincial town, which he has reached after tramping aimlessly for days, sleeping in barns, and living on charity. When questioned, the boy usually displays total ignorance regarding all that has happened to him during the interval.