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.
77/124 page 75
![until one becomes weary in tracing out all the details upon which the divisions are based. Briande and Chaude, in the new edition of their classical work upon Legal Medicine, make four varieties. Marce divides general paralysis into four varieties; two are based upon the inteUechtal phenomena; two upon the physical. They are: 1. Expansive; 2. Melancholic; 3. Paralytic; 4. Congestive. We will consider the melancholic form, in connection with that of exaltation, as the relative number of each, the fi-equency, wiir be better determined, as well as other facts. Marce describes the expansive variety as follows: After a pro- dromic period, of which the duration is variable, .the patients, now violent and irritable, become little by little, more active than is consistent with a normal state. They write, Compose, speak, move without cessation, form, without cessation, new projects, and think nothing impossible; at the same time their memory weakens; they forget that which they have done a few hours before. Without having yet the seal of ambitious delir- ium, their conceptions are difficult to realize, based upon foun- dations unsound, and present a striking contrast with all the habits of their life. On the side of tlie organic functions the excitation betrays itself by symptoms not less decided; these ])atients cannot remain an instant in a place; they feel the need <if walking, of running, and are indefatigable; I have seen a landlord, at this period of the disease, strike with force, want- ing power to repeat it, the furniture and staircase of the house where he lived. It is with these we observe a gencsiqiie excita- tion that is insatiable and which respects nothing that will sat- isfy it, and which forces, even in public, to most deplora- ble acts; with others it causes an unquenchable thirst for alco- holic drinks which aggravates the disease. There results fronx](https://iiif.wellcomecollection.org/image/b22279167_0077.jp2/full/800%2C/0/default.jpg)
