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Updated: July 18, 2025


The question of how to differentiate the diagnosis of insanity from that of the other mental abnormities is not our question at this moment. I select the few illustrations which seem to me desirable for the purpose of making more concrete our abstract discussion of methods, essentially from the class of neurasthenics, psychasthenics, hysterics, and so on.

He feels that wherever he touches the patient's body, examines his lungs or his heart or his reflexes, that a large background of anatomical knowledge and of general pathology gives meaning to every single observation. But in the field of mental abnormities, in the whole world of ideas and emotions and volitions, he simply lacks that background.

Of course, they abound with eccentric abnormities and startling phenomena.

He himself, however, was a most unfortunate specimen of Danish diplomacy, a man disintegrated by hideous debauchery, of coarse conversation, and disposition so brutal that he kicked little children aside with his foot when they got in front of him in the street. Abnormities of too great irregularity brought about, not long afterwards, his dismissal and his banishment to a little Danish island.

Hypnotism then quickly removes that part of the disturbance which had been superadded by the mental emotion but it cannot remove that primary factor, the objective inability, and every cure thus finds its limit there. Near the field of emotions stand also the many varieties of sexual abnormities and perversities.

Above all, the milder forms of abnormities were not looked on as pathological disturbances.

We now come to those other relative considerations which depend on each individual trying to eradicate, through the medium of another, his weaknesses, deficiencies, and deviations from the type, in order that they may not be perpetuated in the child that is to be born or develop into absolute abnormities.

These considerations may be classed in the following way: Those that immediately concern the type of the species, id est, beauty; those that concern other physical qualities; and finally, those that are merely relative and spring from the necessary correction or neutralisation of the one-sided qualities and abnormities of the two individuals by each other.

The chief use of the method up to the present time, besides determining the diseases, injuries, and abnormities of bone, has been in determining with absolute accuracy the presence of foreign bodies, especially of needles, bullets, or shot and glass. It is often extremely difficult to decide whether a needle is actually present or not.

No doubt in the life of the adult as well, often almost insignificant and from a strictly physical point of view unimportant abnormities in the bodily system, especially in the digestive and sexual spheres, are sources of irritation which slowly influence the whole personality.

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