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Updated: June 1, 2025
It is often difficult to distinguish this form of mania from the moral depravity which we associate with the criminal classes. =Partial Moral Mania Paranoia Delusional Insanity.= In this form one or two only of the moral powers are perverted. Delusions are always present, and very frequently are those of persecution.
Thus an insane man may be convinced, solely by his imagination, that he is poisoned or pursued or conspired against. This delusion constitutes the essence of mental insanity, which therefore is often called delusional insanity. It may be chronic, i.e., of long continuance, or it may be temporary, acute. For the time being, the effects are the same.
=Epilepsy in Relation to Insanity.= The subjects of this disease are often subject to sudden fits of uncontrollable passion; their conduct is sometimes brutal, ferocious, and often very immoral. As the fits increase in number, the intellect deteriorates and chronic dementia or delusional insanity may supervene.
When there is an abnormally low grade of the reasoning power, it is styled imbecility. The failure or decay of reason in old age is called dotage. The second kind of insanity is called illusional or delusional. In it the intellect is not impotent; on the contrary, it is often unusually active; but its action is abnormal, its conclusions are false.
The conclusion then from all this explanation is that an insane man should not be held responsible for a deed which he insanely thinks to be right; but he is responsible for all his other acts. In our next lecture we shall consider more fully the treatment of the insane by the civil and criminal tribunals. In our last lecture, gentlemen, we considered the nature and causes of delusional insanity.
She had some petty complaints of not being fed properly where she lived, of things not being clean there and of the women around her being queer. Then she launched spontaneously into her delusional story, needing very few questions to stimulate a fairly complete recital. Throughout an her talk she showed no abnormalities in her train of thought.
She had been too long in search of a personality not to grasp at the opening now afforded. Focused thus by suggestion, that subtle, all-pervasive influence which man is only now beginning to appreciate, the basic delusional idea promptly took root, blossomed, and burst into an amazing fruition. Banished were the spurious Katrinas and Willies.
Moral insanity thus understood, as a derangement of the passions lessening a man's full mastery of himself, but not destroying it altogether, assumes various forms. There are kleptomania, or an abnormal impulse to steal; pyromania, an impulse to set things on fire; dipsomania, or an abnormal fondness for intoxicants; nymphomania, or the tyranny of lustful passions; homicidal mania, or a craving to commit murder; etc. In all these the nature of the disease is the same, it would appear. The imagination seizes the pleasure vividly, yet, it is claimed, without delusion: and the passion, owing to organic disorder, is abnormally excitable. The organic derangement is supposed to be in the brain. For the human brain, a masterpiece of the Creator's wisdom, is now generally believed to consist of various portions which are the organs of the passions, of motive power and the phantasms, erroneously called ideation. Hence it is easy to understand how it may happen that one portion is diseased while the other parts are in a normal condition. And on the other hand it thus appears very probable also that a brain partially diseased is liable to be soon affected in the other parts as well. Hence we may suspect that moral insanity is likely to bring on delusional insanity, and vice versa. In fact, I find that a medical expert of note, who had for many years taught that moral insanity was quite a distinct disease and separate from mental insanity, has in his old age changed his mind to some extent on this subject. "Of late years," says Dr.
I suppose you'll think that's a delusional belief, too?" "Well...." Doctor Vehrner pursed his lips. "I reject the idea of survival after death, myself, but I think that people who believe in such a theory are merely misevaluating evidence. It is definitely not, in itself, a symptom of a psychotic condition." "Thank you, Doctor." The Colonel gestured with his cigar.
But in many cases of delusional insanity the cause is hidden; neither pulse nor other medical test betrays it. Whether the mind is sane or not is then to be found out from the man's words and actions; and these may be affected for a purpose: he may play the fool to escape punishment.
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