General paralysis : a critical review of the literature of the subject, to which is appended an analysis of the case of John S. Blackburn, in which insanity was alleged as a means of defense / by D.A. Morse.
- Morse, D. A. (David Appleton), 1840-1891
- Date:
- [1874]
Licence: Public Domain Mark
Credit: General paralysis : a critical review of the literature of the subject, to which is appended an analysis of the case of John S. Blackburn, in which insanity was alleged as a means of defense / by D.A. Morse. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![at Paris. Esquirol replied to a similar statement made by Dr. Burrow's as follows: Dr. Burrows declares there are not as many paralytic insane in England as in France. Burrows attributes the increased number in France to bad management, had atmosphere, &c * * * I know all the importance we ought to attach to hygienic causes in the production of dis- ease * * but I make the remark that in treating of the paralysis of the insane I speak of the paralysis which manifesto itself before the admission of the insane into the establishments,* * * they have not fallen into this state during their sojourn in these establishments, but they were paralyti&s before entering there. I am convinced that when they kn('W how better to dis- tinguish the symptoms of paralysis which complicate' insanity, tlieywill find in England, and particularly at London, as many paralytic insane as at Paris. Marc, T. i, 272, says: There is an accident which in the Northern more often than in the Southern climates, more com- mon witli men than women, complicates demency. I wish to speak of paralysis, the development of which is gi-adual. The articulation of sounds, locomotion, movement of superior ex- tremities, are executed only with more or less difficulty; evac- uations become more or less involuntary. These symptoms, which we call general paralysis, the paralysis of the insane, ought not to be considered inherent to demency, not only be- cause that it is not found with the demented always, but because the paralysis is not always in jM-oportion to the intensity of this form of alienation. This epiphenomenon merits always great attention ; for it can be overlooked at the onset, yet it plays an important part in the diagnosis of-a mental disease. We have quoted this at length for reason that it is all that Marc says of general paralysis; it contains his views so far as ^-ipressed, upon all ]K)ints.](https://iiif.wellcomecollection.org/image/b22279167_0025.jp2/full/800%2C/0/default.jpg)
