Body and mind : an inquiry into their connection and mutual influence, specially in reference to mental disorders being the Gulstonian lectures for 1870, delivered before the Royal College of Physicians with appendix / by Henry Maudsley.
- Henry Maudsley
- Date:
- 1870
Licence: Public Domain Mark
Credit: Body and mind : an inquiry into their connection and mutual influence, specially in reference to mental disorders being the Gulstonian lectures for 1870, delivered before the Royal College of Physicians with appendix / by Henry Maudsley. Source: Wellcome Collection.
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![only a little more than half of the cases in which there was tubercle in the body. The symptoms of phthisis are so much masked in the insane, there being usually no cough and no expectoration, that its diagnosis is difficult, and it is not always detected during life. The relation between it and insanity has been noticed by several writers : Schroder van der Kolk was distinctly of opi- nion that a hereditary predisposition to phthisis might predispose to, or develop into, insanity, and, on the other hand, that insanity predisposed to phthisis ; and Dr. Clouston found that hereditary predisposition to insanity existed in 7 per cent, more of the insane who were tubercular than of the insane generally. When family degeneration is far gone, the two diseases appear to occur frequently, and the last member is likely to die insane or phthisical, or both; whether, therefore, they mutually predispose to one another or not, they are often concomi- tant effects in the course of degeneration. However, in weighing the specific value of these observations, we must not forget that, independently of any special rela- tion, the enfeebled nutrition of tuberculosis will tend to stimulate into activity the latent predisposition to in- sanity] and that, in like manner, insanity, especially in its melancholic forms, will favour the actual develop- ment of a predisposition to phthisis. In the cases in which the development of phthisis and insanity has been nearly contemporaneous, which are about one-fourth of the cases in which they coexist, the mental symptoms are of so peculiar and uniform a cha- racter as to have led to the inclusion of the cases in a](https://iiif.wellcomecollection.org/image/b20407750_0116.jp2/full/800%2C/0/default.jpg)
