small-pox versus insanity

1
579 SMALL-POX VERSUS INSANITY. To the Editor of THE LANCET. SIR,—The letter of Mr. Broom in your issue of the 6th inst., headed " Small-pox w/’SMS Insanity," has not yet been satisfactorily replied to; that is to say, Mr. Broom has, to this time, had good reason to believe himself "the first to describe" the temporary cure of insanity by small-pox. As this gentleman is, evidently, anxious to know the truth, will you permit me to make the necessary use of your columns to in- form him that in the late Dr. Prichard’s work, entitled "On the Different Forms of Insanity in Relation to Jurisprudence," published in 1842, and at pp. 122 and 209 (section 10) he will find detailed a very instructive case of " homicidal mania " which occurred in the practice of Dr. Hawkins at the Hitchin Dispensary, in which, as Prichard tells us, ’’ the symptoms continued without alteration until March, when the patient took the small-pox. During the eruption the mind became serene and happy, and she was free from the dreadful temptation by which she had been previously harassed, but upon the sub- sidence of the snaall-pox the disease returned with its former horrors." The woman referred to ultimately recovered. I have made use of this very case to illustrate the cure of a severe and internal disorder " by the occurrence of one in another part-viz., the skin." " (See my " Medico-legal Reflec- tions," &c., pamphlet, p. 54. 1843.) I am, Sir, vour obedient servant, JAS. G. DAVEY, M.D., M.R.C.P. Edin., &c, Northwoods, Bristol, May, 1865. THE ROAD MURDER. To the Editor of THE LANCET. SiR,-With some surprise I observe that you have, in your last number, admitted a letter from my friend, Mr. J. W. Stapleton, commenting strongly upon my evidence in the above case, at a time when, as a principal witness against the prisoner, it would be improper for me to defend myself by public discussion. I must, therefore, beg your readers to sus- pend their judgment on the various questions raised till a more fitting opportunity. In the meantime I may, perhaps, state that I have never said or implied that the death of the murdered child was produced by suffocation, or that any Qvilful attempt at suffocation had ever been made. I am, Sir, your obedient servant, Frome, May, 1865. JOSHUA PARSONS, M.R.C.S. NEWCASTLE-ON-TYNE. (FROM OUR OWN CORRESPONDENT.) MR. CARR has retired as a candidate for the vacant coronership of South Northumberland, and the two legal candidates have now been left to fight it out between themselves. That lawyers can fight hard amongst themselves no one can doubt, but it is equally certain that when attacked from without they exhibit rare powers of combination, and, forgetting their own differences, present a bold front to the common enemy. To the possession of these qualities on the legal side, and to the lamentable deficiency of such on ours, must be attributed the present failure. The press was on our side, and public opinion supported the claims of medicine in a manner that could hardly have been expected considering the long tenure the law has had of the office in the North. If it had been a question of law against medicine in anything like a fair field, medicine would have won; but the conditions were most unequal. Mr. Carr was late in the field, and although his Newcastle committee worked hard, it worked late, and, as nautical men say, " a stern chase is a long chase. " The committee here could not directly influence the voters, the great bulk of whom resided at long dis- tances from town : while, on the other hand, the vacancy had only existed a few hours before the lawyers were hard at work with their ready organization ; and to show you how well they managed, they very soon succeeded in getting some influ- ential country surgeons to give them their support, while, on the contrary, Mr. Carr could not obtain the professional services of a single lawyer fo2- value offered. The strangc anomaly was thus presented of medical men actively canvass- ing for the legal candidate. I believe that the gentlemen who made this great mistake, particularly in the eastern district of the division, have regretted the unnatural position they occupied in regard to their brethren; but their promise having been given, they felt bound in honour to keep it, and they have kept it well. It is very much to be regretted, indeed, that they made these rash promises to plausible lawyers, forgetting the claims of their own profession. Mr. Carr’s committee found very great difficulty in getting a list of voters, and all the annoying obstacles his opponents could contrive were thrown in the way of his success. As for Mr. Carr, it is felt here that he has retired with honour and unsullied from the con- test. He showed laudable courage in coming forward, and no less commendable prudence in retiring when his perseverance would only have involved expense and defeat. Thedisappoint- ment carries its lesson with it, showing us the effects of want of union, want of organization and business tact. Deficient in these qualities, we cannot expect to win when great questions nvolving the interests of our profession are at stake. Newcastle-on-Tyne, May 22nd, 1865. Parliamentary Intelligence. HOUSE OF LORDS. MAY 22. THE NOXIOUS VAPOURS ACT. LORD DERBY called the attention of the House to the report of Dr. Angus Smith on the results of the Noxious Vapours Act. The facts stated in the report were, he said, very re- markable. They proved that though the Bill had been in operation less than a year, it had been very successful. He read several of the scientific details of the report, showing the quantities of deleterious gases that, by the provisions of the Act, had been prevented from passing into the atmosphere, into which they were before allowed to escape. These results, he argued, were very encouraging, as proving what could be done by applying the discoveries of modern science to the processes of manufacture. No subject better deserved the consideration of a Government, or the efforts of statesmen, than how to effect these changes by means of legislation, as it was possible, without injury to manufactures, to improve agriculture and benefit the health of the people. Lord STANLEY of ALDERLEY admitted the good results of £ the measure, but feared there were difficulties in the way of £ extending similar legislation to other kinds of manufactures. HOUSE OF COMMONS. MAY 22. THE UNION CHARGEABILITY BILL. On the order for considering the report of this Bill, as amended, Mr. KNIGHT moved resolutions affirming the expediency that certain expenses now charged upon the union and parochial poor rates, or which will become chargeable upon the rates of unions and single parishes, should be repaid to the unions or parishes by which they have been so expended out of moneys provided by Parliament for that purpose. His object was, he said, to transfer these burdens, amounting to £1,700,000, from the ratepayers to the general taxation of the country. The motion was seconded by Mr. PACKE, who disputed the correctness of the statistical evidence appealed to in support of the Bill. Alderman SIDNEY thought the motion deserved considera- tion. Mr. A. BRUCE justified the statistical facts referred to, and replied to the objections which had been urged by Mr.’Henley to the report of Dr. Hunter on the subject of the demolition of cottages, the correctness of which he defended, though not all the expressions in the report. Mr. HEXLEV explained the remarks he had made upon the reports of Mr. Simon and Dr. Hunter. The latter, he said, had brought a broad charge against the rural landlords of driving out people by the demolition of cottages. That was the charge he (Mr. Henley) had endeavoured to meet, and he did not think that Mr. Bruce’s explanation had altered the case. He referred to other matters in the report of Dr. Hunter, which he thought evidence of unfairness. The view

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Page 1: SMALL-POX VERSUS INSANITY

579

SMALL-POX VERSUS INSANITY.To the Editor of THE LANCET.

SIR,—The letter of Mr. Broom in your issue of the 6thinst., headed " Small-pox w/’SMS Insanity," has not yet beensatisfactorily replied to; that is to say, Mr. Broom has, to

this time, had good reason to believe himself "the first todescribe" the temporary cure of insanity by small-pox. As this

gentleman is, evidently, anxious to know the truth, will youpermit me to make the necessary use of your columns to in-form him that in the late Dr. Prichard’s work, entitled "Onthe Different Forms of Insanity in Relation to Jurisprudence,"published in 1842, and at pp. 122 and 209 (section 10) he willfind detailed a very instructive case of " homicidal mania

"

which occurred in the practice of Dr. Hawkins at the HitchinDispensary, in which, as Prichard tells us, ’’ the symptomscontinued without alteration until March, when the patient tookthe small-pox. During the eruption the mind became sereneand happy, and she was free from the dreadful temptation bywhich she had been previously harassed, but upon the sub-sidence of the snaall-pox the disease returned with its formerhorrors." The woman referred to ultimately recovered.

I have made use of this very case to illustrate the cure ofa severe and internal disorder " by the occurrence of one inanother part-viz., the skin." " (See my " Medico-legal Reflec-tions," &c., pamphlet, p. 54. 1843.)

I am, Sir, vour obedient servant,JAS. G. DAVEY, M.D., M.R.C.P. Edin., &c,

Northwoods, Bristol, May, 1865.

THE ROAD MURDER.To the Editor of THE LANCET.

SiR,-With some surprise I observe that you have, in yourlast number, admitted a letter from my friend, Mr. J. W.Stapleton, commenting strongly upon my evidence in theabove case, at a time when, as a principal witness against theprisoner, it would be improper for me to defend myself bypublic discussion. I must, therefore, beg your readers to sus-pend their judgment on the various questions raised till amore fitting opportunity. In the meantime I may, perhaps,state that I have never said or implied that the death of themurdered child was produced by suffocation, or that anyQvilful attempt at suffocation had ever been made.

I am, Sir, your obedient servant,Frome, May, 1865. JOSHUA PARSONS, M.R.C.S.

NEWCASTLE-ON-TYNE.

(FROM OUR OWN CORRESPONDENT.)

MR. CARR has retired as a candidate for the vacant coronershipof South Northumberland, and the two legal candidates have nowbeen left to fight it out between themselves. That lawyers canfight hard amongst themselves no one can doubt, but it is equallycertain that when attacked from without they exhibit rarepowers of combination, and, forgetting their own differences,present a bold front to the common enemy. To the possessionof these qualities on the legal side, and to the lamentabledeficiency of such on ours, must be attributed the presentfailure. The press was on our side, and public opinion supportedthe claims of medicine in a manner that could hardly have beenexpected considering the long tenure the law has had of theoffice in the North. If it had been a question of law againstmedicine in anything like a fair field, medicine would havewon; but the conditions were most unequal. Mr. Carr waslate in the field, and although his Newcastle committee workedhard, it worked late, and, as nautical men say, " a stern chaseis a long chase.

" The committee here could not directlyinfluence the voters, the great bulk of whom resided at long dis-tances from town : while, on the other hand, the vacancy hadonly existed a few hours before the lawyers were hard at workwith their ready organization ; and to show you how wellthey managed, they very soon succeeded in getting some influ-ential country surgeons to give them their support, while,on the contrary, Mr. Carr could not obtain the professionalservices of a single lawyer fo2- value offered. The strangcanomaly was thus presented of medical men actively canvass-

ing for the legal candidate. I believe that the gentlemen whomade this great mistake, particularly in the eastern districtof the division, have regretted the unnatural position theyoccupied in regard to their brethren; but their promise havingbeen given, they felt bound in honour to keep it, and they havekept it well. It is very much to be regretted, indeed, that theymade these rash promises to plausible lawyers, forgetting theclaims of their own profession. Mr. Carr’s committee found

very great difficulty in getting a list of voters, and all the

annoying obstacles his opponents could contrive were thrownin the way of his success. As for Mr. Carr, it is felt herethat he has retired with honour and unsullied from the con-

test. He showed laudable courage in coming forward, and noless commendable prudence in retiring when his perseverancewould only have involved expense and defeat. Thedisappoint-ment carries its lesson with it, showing us the effects of wantof union, want of organization and business tact. Deficient inthese qualities, we cannot expect to win when great questionsnvolving the interests of our profession are at stake.Newcastle-on-Tyne, May 22nd, 1865.

Parliamentary Intelligence.HOUSE OF LORDS.

MAY 22.

THE NOXIOUS VAPOURS ACT.

LORD DERBY called the attention of the House to the reportof Dr. Angus Smith on the results of the Noxious VapoursAct. The facts stated in the report were, he said, very re-markable. They proved that though the Bill had been inoperation less than a year, it had been very successful. Heread several of the scientific details of the report, showing thequantities of deleterious gases that, by the provisions of theAct, had been prevented from passing into the atmosphere,into which they were before allowed to escape. These results,he argued, were very encouraging, as proving what could bedone by applying the discoveries of modern science to the

processes of manufacture. No subject better deserved theconsideration of a Government, or the efforts of statesmen,than how to effect these changes by means of legislation, as itwas possible, without injury to manufactures, to improveagriculture and benefit the health of the people.Lord STANLEY of ALDERLEY admitted the good results of £

the measure, but feared there were difficulties in the way of £

extending similar legislation to other kinds of manufactures.

HOUSE OF COMMONS.MAY 22.

THE UNION CHARGEABILITY BILL.

On the order for considering the report of this Bill, as

amended,Mr. KNIGHT moved resolutions affirming the expediency

that certain expenses now charged upon the union andparochial poor rates, or which will become chargeable uponthe rates of unions and single parishes, should be repaid to theunions or parishes by which they have been so expended outof moneys provided by Parliament for that purpose. Hisobject was, he said, to transfer these burdens, amounting to£1,700,000, from the ratepayers to the general taxation of thecountry.The motion was seconded by Mr. PACKE, who disputed the

correctness of the statistical evidence appealed to in support ofthe Bill.Alderman SIDNEY thought the motion deserved considera-

tion.Mr. A. BRUCE justified the statistical facts referred to, and

replied to the objections which had been urged by Mr.’Henleyto the report of Dr. Hunter on the subject of the demolitionof cottages, the correctness of which he defended, though notall the expressions in the report.Mr. HEXLEV explained the remarks he had made upon the

reports of Mr. Simon and Dr. Hunter. The latter, he said,had brought a broad charge against the rural landlords ofdriving out people by the demolition of cottages. That wasthe charge he (Mr. Henley) had endeavoured to meet, and hedid not think that Mr. Bruce’s explanation had altered thecase. He referred to other matters in the report of Dr.Hunter, which he thought evidence of unfairness. The view