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Lorsque le document est trop grand pour etre reproduit en un seul cliche, il est film6 d partir de Tangle sup6rieur gauche, de gauche d droite, et de haut en bas, en prenant le nombre d'images n^cessaire. Les diagrammes suivants illustrent la m6thode. 1 2 3 1 2 3 4 S 6 *l I I-Jc b 15 HEREDITY, WORRY & INTEMPERANCE, AS CAUSES or INSANITY ]3V 1)AXII:L CLARK, AI.D., Mr.DK.Ai. sri'KKix ii;niii:ni ui' asVmm iok nil-; insam:, thronio, i:\-rKi,siiii;N r oi i in; Mi'.nrcAi, curNcii., I„\AMIN1:R in CIIICMIMKV KiR IIIK ( OII.KCK 0|- lilVMCIANS ANll srKCKONS 01 (iNl'ARln, AND KXAMINKR IN OIIS ri-Vl'KICS ANll MKIIK'AI. JTR I^I'RT llKNi:!-; I'OR IIIK I-NIVKRSITY OK I'CIIOJNI'O. REI'iaXTED J'KOM OFFICIAL DOCUMENTS. TOROXTO: PRIXrKU BV C. lU.ACRliTl' ROlllXSOX, 5 JCJRDAX STRKK 1880. ill K-Jk. .-^.^-iji ' Cj:u^^..*iA,j ..ui*!^:. .■ j-.u m'-. i m ■^i f i f I'; h , y. f HEREDITY, WORRY AND INTEMPERANCE, '[{ AS CAUSES OF INSANITY. HkHEDITAUY TaIXT, WdltUY FROM OVKIi-WOHIv, Intkmpeuance. Theuk wi'iv a'lmittod into tlie Toronto Asylum iluring the otlicial yeiir 1S77, 232 parioiits; into London Asylum, 129, — total yUl. Returns shew that of that number there were twenty- seven cases said to have become insane " from domestic trouble, adverse circumstances ami mental anxiety." lntem[)erance in drink is said to have added twelve to the nuniljer. 'J'hose who had inherited temlencies with any otlicr ascertained cause in com- bination (including the coni^enital) were the large number of 122. Unknown causes make up a large proportion ot" the remainder in the returns of this and succeeding years. In 1877 out of ihe large number of 232 admissions into Toronto Asylum no causes were assigned in 128 cases, and in 1878, out of 18!) cases, no causes in Gl cases. In London Asylum out of 214 admitted in 1878, 1(32 were classed under the head of " unknown causes." In 11 i J|. iMBMMMaanB JEJ- // 4 HEREOITV, WdRHY yVND INTKMi'KUANCF., Kinirstiin Asylnin, out of 107 admissions 2!) were tlius cl.assifiod. IIiv Clii' otfii-ial year of IST'S tlic adinissioiiN into tlir tlircf aliovc iui»nti«(»i litary taint in a majority of cases. It is true the classitica- iliiiiv is fir fi'om liein^' a])pro.ximately true, on accouiu of the im- [Jttitfectj way returns of the auterioi' history of I'ach patient are ttiture out. A large perceutai^e of cases sent from the ijaols are .uicnmijanied with little or no intV)rmation aliout their antecedents. Blu^ hist;ories tilled up by friends or I'l'lativcs, under the ordinary jjiij: ii'.i»ss, are also too often very mean'ri' and unsatisfactory, especi- ;ul!iy in respect to the incpiiry about the mental conilition of rela- ttiiwiAs. This must remain to lie the case until a more approved W;iy of arriving at the truth is devised. We nnist, liowever, use ttftrt' Ki^iives at our disposal, ;uid classify tliem as being a represcn- ttuOii^tv of minimum cases in the proportion indicated. The large ftiBWnbev .(f those admitted under the heanio insane • I' in drink, Mfs, cxc-itcil -nu'iitiiiiii'il woriy," for ouIpIcs and tinll of till' II I PI issoss a I' rlassitica- iif tllr ilij- paticnt ail' le gaols are inteeodi'nts. :io ordinaiv ;ory, csiicci- ion of rela- te approved uwcvor, use a ivpri'SL'U- Tlie large wn causes" ear to year, startled at seeing .such an'Curd of large percentages of eases of insanity lieiug attributed to tliese tliree causes, \\/.. : I. Hereditary Taint. II. Worry from ( )vei-\\ork. Hi. inteni[ieijin('e. The hereditary ciiiise may at a low estimate h.. placed at 4.") /;(■/■ rciitii Hi of tile insane po|)ulation It is wmlli \vliile in a lu-- port of this kind to make impiiry into the radical causes of such a dire calamity as that of insanity. .Nothing new can lie written alioiit it to medical men, hut if the puluic can he made to pause and consider in the midst of the hot puisuits of e\eiy-ilay life, some good may result from a cursory glance at the suliji;ct. Wliat is tliis hideous ogri! wliicdi is wi iking such woe in our midst :" 'J"o say tliat a disease is hereditary means, in the eommunity, that it is incurable, althougli sucli is not absolutely the ease. The main natural prop towards curability si'ems to be taken away when an inriueiice of this sinister nature has been implanted in a (-on- stitution. The number of relations who ha\e suceiimlied to the same disease is summed up, and commiseration is iwpiessed for the latest victim, slowly capitulating to tlie malign agency, l^ike all causes of a morbilie nature with the condition of their e.\istencc unchanged, the circle of this abuoiiuid tendency e\er widens until it might be truly said that a large proportion of the [loimlation of the earth isaH'ected more or less by its permeating iiiHuence in one form or otiier. It is of national importance to endeavour to in- vestigate its sources, and to iiii|nire if it be possible to do any- thing to stay its progress in even a minor degree in that phase of it called insanity. We see consumjitive [lareiits per[)etuate in the lungs of some or all of their children or grand-children the teiidein'y to form tub- ercles in the Uing.s, which send a large majority of them and their descendants to a premature grave. The scrofulous transmit to the generations folhjwing them, in an ever-widening stream, a pi'edis- position to glandular disease, which lea\es the body liable to be stricken down, not only with tliis most persistent of diseases, but also witli ac-ite ilisea-ses which more readily prey upon a system i Iri --.J- ■^>< it •II 6 HERKDITY, WOHllY AND IXTEMPKUANi E, woakciicil liy reason of trinU'iicirs iiiliciitfil hou\ tln' paronts. A chain is onls- as .strong as tlw wialvL'st link. A fort is only as ini- jn'c^nalili' as its ■weakest part. So wlien any deliilitated orij;an e-ives way the enemy has possession of tlie luilwarivs, and tlie cita- del is in danger. Hven in those cases in whicli no apparent rea.son can be given tor a decided change of t-onstitntion, yet, this deviation lieconies a natural heritagi'. This is illustrated in Alliinnx. who are to hc' found among all the di\ers.> human raci'< on the I'ace of the glolie. This ahsence of colouring niattci- from the eyes, hair and skin ap- pears in children of normal parents, hut, when once in cvisteiice it is transmissihle as a patrimony. 'I'he same is true of the other ex- treme, calle(l .][<■/(! II iniii : of hairlip, of ahnormal spimd column, of supernumerary lingers and toes, of acuteness in the organs of sense, and of perversions of taste. ( )f course, many of these peculiarities h i\'e not the pi'rtinacity of reproduction seen in hlood diseases. / Moral, intellectual, emotional, att'ectional (pialities ami instincts : are inherited in the .same way, even to collateral lines of ancestry. It is true the cxct'i)tions arc many from causes heyond human ken, hut these legacies are in such a preponderating majority that they nuistlie admitteil as rules regulating ilcscciit. It is ea.sy to see then that in a few decades tlic individual comes i to atfect a family; the family, a race : and the race, a species. It \ is one of those intluences which iloes not startle l)y its malignity 'i as epidemics do. It slowly. ipiietly. Imt pertinaciously saps viudity, thwaits natures etlorts towards health, and in the end conijucrs the vital foices. (iood can l)e transmitted from race to race as •well as evil (pialities, hut unfortunately the latter pretlominate. It is not to lie wondereil at tli.at cerain Mooil diseases are thus ! transmitted from pai-eiits to children, when we notice how e\-eii ' healthy traits of char.icter are handed down to posterity; the j peculiar walk ; the movements of the haiuls and head; the facial I expression: the hot or cold tempeiiunent : tlu' transnussion of aptitudes originally aeipiired hy per->oual h.ii)it; the lie(pieathinu' of distinctive moral and nu'ntal capacities; and a thousand othei' likenesses and pi'culiarities can l>e traced in families for genera- tions. Each pel-son needs only study himself in these salient points to lie surprisingly cognizant of how much lie imitates |iiircnts. A s only as im- itatcil oi'giui mil till' citii- aii !)(.• given II liccouios a lio arc to 111' of tllf glolif. iml skin a]p- rxistclicf it, tlii'otlicr f.\- ll coilllllll, of fans of sense, peciiliaritii's I iliseasi's. 111(1 instincts of aiiL'estrv. luiiiiaii keii, ty tiiat thoy i,iiliial conies , species. It its malignity saps viti'.lity, nil coiKjUcrs :'i3 to race as L'lloininate. iscs arc thus L'c liDW cscn )stel-ity ; tlie 1 ; tile facial iisiiiissioii of lieipii'atliing 3u.san(l other 4 for gonei'a- tliose salient lie imitates AS CAfSKS Of INSANITV. 7 or follows one or liotli progenitors in iiio\eiiients, tV-eling, inoiles of tlumglit ainl teiiilencies. Proniiiient and characteristic outlines of nose, chin, mouth, ears ami v\i_'<: are, reprmliiceil in families, and remain tliu-» in the siie- ce'ssive progeny. Tile .lews ami Gyjisies are good illustrations of this law of like producing like. All the Dourhoiis had aipiiliiie noses ; th" nienihi'rs nf the IJoyal House of Austria have thick lips. ( )ther illustrious races are said to he tlat-footed, until it ha^ he- eoiue a coiiiiiion saying that this natural depressjuii of tli«' arch of the foot is a sign of royal descent. iJuitoii says, in liis ' Anatomy of Melancholy," "The famous family of ar\aiiaii chin, and gog^rle eyes among the dews, as liiistortiiis ohserves: their voice, paci-, ges- tures, looks, are likewise di-riwd n'if/i nil l/ir nsf nf f/icir coit'li- (tnlis llltll I nil I'll! ll K'K. Idiosyncrasies exist in families, such as inti.lerance of certain foods, as pork ; and medieiiies, as opium. I^ife .Vssuranci' CVmi- paiiies huild chances of life in those who have long-lived ancestors. 'Idii' prolific tendencies of some families, as well as I'aces. are often su'ijects of caustii- humour and jocular gossip. The io\ing and stoical Indian, the emotional negro, the phlegmatic CJeriiian. the volatile and gestlinilatiiig Frenchman, the sturdy, cooldieaded, slow and jiersevering Anglo-Saxon, and the imitative. ])lodding, ohservant ( 'hiiiaiiian, ar" only eNideiiees of the law of heredity apjilied to nations. 'I'lie American people, althougli in sonie of the States they are mainly descendants of Knglish immigrants of two centuries ago, still shew the suhstantial features of their sires. The same is true of the jieople ill those parts ot' the I'liiteil States settled hy the 'i'eiitonic aiid (iallie races many years ago. The purely American feature-, of character may croj) uii,yet, the traits of the nation from whence they originally sprang stand out pro- minently. Any one who olpser\'ed elnsely the ilistiiieti\.- ap|iear- ances, actions, liahits and tempi'rameiits of the various regiments drawn from ditt'en'iit parts of the ['iiion,on hotli sides, during the i-ecent ( 'ivil War, i-ould not liel]i luit he struck with this. We need old V look to the linliittiu of (Juehee, the children of Ctermans ,*— — ■ jA ' •mmmmmmmmmmfmm'm-^^ I ij 8 IlKliKDlTV, WolUtV AM) INTK.MI'KUAXCK, where tliey aro settled, and of tlie HiL,dilaiiders and Kn^lish in ditferi'iit conntiis ofCaniida, to lie convinced of this statement. We neeil only point to the history of illustriuMs families to shew that ^i^aiitie intelli'cts ai'e tiansmisKililf ; Napier, I'itt, Fox, Herschel, liache, and many sneh mii:ht heipiuted toestahlish this fact, it is true there are e.\ee[»tions to tliis rule, as seen in the descendants of ( 'comwell, ( loethe, .Milton, Burns, and Scott, Those dexiations fnim a L;eneral law may easily he explaiied. when it is eoiisidercil how nnich maternal inlliieiice allects ott'sprinu', especi- ally if mediocrity is joined to towei'inL,' i,'enius, and i-hildien par- take of the- similitude >>{' the former. The least chan^i' in the conditions of existence may overhalanee the eharaeteristics whi(tli <^o to form ifreatness. This is seen in the many examples history produces of ^reat Lz'eniuses lioverin^' all their li\-es on the Imrder- land of insanity. The least of foul water will pollute the contents of a lar,^e cistern of j)ure water, in an ana- logical way this tendency to er^Mt chan^fc from apparently minor causes is true of natiu'al herita^v. A man of impulses with dis- cretion and judeiuent may n'o throueh life without connuittiuL:; himself to rash acts for want oi' forethought, iiis son may have the passi(^uate nature, hut may he deficient in tln' ]iowers which I'cgulate couihu't. A parent of uood mind and morality may give to a child intellect, hut tin' morals may naturally lie of a low staiitlard, and from this want of halance he may Itecome an expert counterfeiter, luirglar or Kaid-; defaulter, ft. These whi'ii it is lll'^'. cslirci- ihircH |i;ii- lULTi' in till' >*ics whicli ijrs hist iry tile lionlcr- UllSfts tlic r cliaractcr, iiililiriuiii (>r the wluilc niav "listort I'liiciits dt' a a]i]M'aran('t' li water will In an ana- riitly minor ^('s with ilis- (•oiiiiiiittinL:^ m niay liavi- iiwcrs wliich ty may Lcivc 111' c)t" a low lie an ex|it'rfc hiM- hand iio lilt llis lllL'Il- crit spU'iiliil •ient in pru- ! in tlif im- 1. Till' riih,', will protluco A« CAU.SKS (IK INSAMTV. iil<(' rcsiiUs in cliiliiri'ii. Thf ])ro|iortions of cadi may lie sonii'- what clianLii'il, ami in tliis way a]itituih's, [ici'iiliaritii's, ami simi- larity may not lie ;is strikiiiLf as is a |ilioto_;r;i|iii, yrt, wlim all itame point Maiidesley says: "The causes of di'fective ci'relir'il developiiu'iit, which is the pliysical condition of idioi'v, are ofti'U trac.ahle to parents. Krequejit in- term:irriage in families may undoulitedly lead to a degeneration which manifests itself in individuals hy d(;af-inutisiii, alhinism and idiocy. Out of .■>(•() idiots in the Stati' of Massachusetts, wliosi' histories were carefully investigated, as many as I4.'i Avert' the oHspring oj' int 'uni'-rate parents. Here, as elsewhere in na- ture, like produt'es like, and the parent who makes himself a tem- porary lunatic or idiot hy his degrading vice, pr()[iagate^ his kind in [irocre'atioii, and entails on his children tic curse of a hopeless fate." iTlie Physiology and Pathology of Mind.") " A horse," says Darwin, " is trained to ci'rtaiu paces, and the colt inherits similar movements. Nothing in the whole circuit of physiologv is more wonderful. l[ow can the use or disuse of a |)artieular liiiih or of the iirain affect a small aggregate of re|iro- ductive cells in such a m inner that the heiug developed from them inherits the character of cither one or both parents '. Even I I I .SA. 10 HERl'DITV, WORRY AND INTEMl'KREN'CR, W an imi)crfoc'fc unswoi' to this quostion would li(> satisfaetory." Youatt, till! wi'U-known vctorinaiy surgeon, says: "The first axiom we wouM lay down is this, likr tv'dl pruifurc like ; the proufcny will inherit the ijualities, liowever n^in^dl■ll, of tlic parents. We wi^uld refer to the suhjeetof diseast's, and state o\n' perfect conviction that there is scarcely one of which citlier of the parents is artectcd that the foal will not inlu'iit. or, at lea-', the [)reilis|)ositiou to it ; ci'rn thi' (•<)nKi''/iu'ii('fK nf /mril n'oi'lc or ill-iisiijie will descend to tlie progeny. \Vr ha\'e had proof upuii proof that blindness, roarinif, tlnck wind, liroken wind, curli~, s[)a\in rine-ljones and founder have heeii lie([ueathed hoth liy the sire and tlx; dam to the oti'sprin It should lie likewise he Vfvn]- lected that, althou;^h these hlemishes may not a|)pear in the im- mediate pi'oeeny, they freipiently will in the ne.\t e^eneration." It is also interesting" to note how external marks, skin diseases, deformity, and even accidental deliciimcies have hi'cn transnntted. There are exceptions — which is a matter for congratulation — hut it shews how gi'cat the tendency to reproduce the like exists. The amount of suffering, di.sease, and death which could be pre- vented by juilicious living, can never be estimati'd. It becomes a serioirs estimate to know how much epidemics of crime, pers(jnal responsibility in \'iolatiou of law, unbiassed volition, ami moral turpitud(! depend on causes beyond the control of the individual. Free agency is given to all in a greater or less degree, liut, in no two of the .scjus or daughters of Adam is it alike [towe.i'ful and unshackled. It will bo seen tht'u that what is true in respect t(j physical an 1 intellectual reproduction is als(j none the less true of the moral natur.' as fai' as lendeucies, proiieusities and desires go, The \o- lition may be strong enough to counteract them, but they may, and do oftiMi clog the [)ro^'ri'ss towards morality in thought and good conduct. ij"ckv, in his " History of Iviropean Morals." truly says: "There are men whose whole li\es are spent in >i-ill- } iKj one thing and (li'sirimj the opposite.' The man whose progenitors were not hal>itual drunkards, an re- -■*|>on>ibility not an absolute but a lelalive idea." I>r. Oliver Wendell Holmes pithily and ironically piit^ tin- po- ?»ition of human judgment in this way: " It is singular that we n.'Cognize all the bodily defects that unlit a man for military ser- vice, and all tht; intellectual ones that limit his raniri- of tiimmlit ; . but always talk at him as though all his moral powers were per- I iil .^' ^rca g^x TV r- b. - ; ^ &0-. 12 HKIIKOITV, AVdUUV AND INTKMPKliANCK. feet. Some pi^rsons talk about the Innnan will as it" it stood oji a high look-out, with pli'iity of light ami clliow-rooiii, ri'achirig to tlie horizon. Doctors are constantly noticing how it is ti('(l up and darkened by inferior organization, by disease, anrlali soi-ts of crowding interferences, until they begin to look upon Hottentots and Indians — and a good many < ^. their own race, too — as a kind of self-conscious bloud-cl(ji'k<, witli very limited p(jwer of self-de- termination ; and they hud it as hard tnhoM a child accountable, in any moral point of view, for inhi'fited li;id tem|)er or tendency to drunkenness, as they would to bhime him for inherited gout oi' asthma. Kaeh of us is only the footing-iip of a double cobnnn of figures that goes back to the first pair. Kvery unit tells, iuel some of them ai'e /(/"s' and some iniiiii-<. If the eolumns don t adcllion in its domain, which causes the anarchy in this confederation of forces. 'J'he engine may Ik; well constructed, and alile to generate much steam, hut if the safety-valve is dangerously poised, the governoi' improperly hung, and the lialanee whecd out of [iro])ortioii, the sti'ength of the engine is greatly wasteil and impeded. So in man each one is controlled liy different forces expended in vaiied ways to the disadvantage of the motive ])ower. The inlluenee of tins law might he put ii! this way for dlustration. It may he sup]iosed that three cidprits were .selected at random for committing a like crime! under precisely siuiilar circumstances. Were it possi])l(! for us to gt't liehind the external acts anS2, 7 the (leterioiation of the whole man in himself and his succession. There is a lini'ap' of disease as truly as then' is a k\Ljacy of healtli, there is a lieipiest of moral or immoral (pialities as surely as a devise of mental excelleiu^y. Dr. Dii^'dale, of New York, traerd liy reliahle records the indi\idual histuiy of each of the descendants of one .\rarifaret .lukes, throUL,dH>ut six of iiiiiigiiia- iscasc iiiraii- s suci'cssinii. t-y of iicahli, s surely as n Yorl\, traeeij ileseelldailt s Lllll IVoiii tliis t'itlier iilidls lal statistics procreate its 111, especially soon liecoliie only cease ; vaiils liealtl). y hy "a siir- .'int'orcellielits lit into exist- ■j livillt,^ ainl ptic, the coli- iisane many uiii hospitals, , or beijueatli ioil for a crop )y victims of owur animals raise supm ior ■n to ele\ate, and moralU' ito this evil. this matter, hecau.se of the freeiiom c^' choice which must he allowiMl to the subject, but here is a plague spot to root out, against which moral .sua.si()ii might bi' used with good etl'ect. It would be startling to say how much indiscreet marriages lie at the root of our social vices and national sins, '{"he friends of humanity — morees[)ecially parents — might by judicious advice and discreet exposure of cou- sequenc<;s following rasli selection, do ni'ire for their cliildroii and gi'uerations yet unb>)rn, than were they to endow them with tin; richest legaci(\s. The heathen ('hiiuvse rewai'd the j)arentsof great men, thus liaving regard to this law— we shinver honours on, it may be, their worthless descendants. Burton \\\ his " Anatomy of Melancholy" says, " In giviiiir way for all to marry that will, to ) much liberty and indulgenc(Mii tolerating all sorts, there is a vast confusion of breeds and di.sea.ses, no family se(.'ure, no man almost free from griiv(jus intirmity or other wIk'Ii no c-hoice is had, imt still the eldest must marry ; or, if rich, be they fools or di/.zards. laiin! or maime'il, unable, intem- perate, dissolute, (>xliaust tliroiigh riot, as it is said, they must be wise ami able through inheritance ; it comes t<; pass that our genei-ation is corrupt, we have many weak persons, liotli in liody and mind, many fearful diseases raging among u~, crazeil families, our fathers bad, and we ai'e likely to l»e worse." Eyipiirol says that hereilitary in.sauity exists among the rich to the extent of one-lialf, and anujiig the poor one-third. One of the su[ierintendents of the Jjic.(;trt' has investigated this matter for a number of years, and he belii'Ves that in the aggregate at least sevent^'-live pir cent, of cases of insanity arise from this cau.se. Several eminent jurists go farther, and say that all cases must have a hereditary tendency. These are doubtless extreme views, but they shew liow strongly impres.sed acute observers are with the wide-spread inHiieiut! of parental transmission, too olten ari.sing from ill-judged alliances. Dr Winn, an iMiglish uhysician of note, who has given a great deal of attention to this subject, summarizes the great jeopardy those run who thoughtlessly form marital alliances, without having respect to these laws of descent : /'I. If there is a constitutional taint in cither father or mother, on both sides of the contracting parties, the riski-s so great, as to f .J 16 HEREDITV, WORRV AND INTKMPERANCE, I--1- ^at li V V aniount almost, to a certainty, that their offspring' woulil inlieiit some form of disease. II, It' tlie cunstit\itioiial taint is only on one side eitluM' direct or coUateial tlu'oUi;'li uncles or aunts, and the contracting' jmrties are hoth in tjood hodilv" hoaltli tlie risk is diminished unc-halt'and healtliy ollspriui;' mmj Ix; tin; issue of the niarriagc7 III. If there ha\e lieen no si^-ns oi' constitutional diseiise t'oi- n whole ^feneration, we can scarcely consider the risk miiterially lessened, as it so t're(iuently reajipears ai'tei' lieiuL^ in alieyance lor ,i whole !^-eni'ration. If two whole i^'enerutiony have escaped any symptoms of hereditary disease, we may fairly hope that the danger has passed, and that the inorliitic force has exjiended itself. ' It is a pity that the senseless modesty of this prudish a^-e for- hids the use of the plainest lang-ua'^e, and the most pointi'd e]>itliets ill dealing,' with this delicate suhject. The p\ililic attention is hot sufficiently directed to it. ^The physical, mental, and moral well- lieing of society, it seems, nuist become secondar}* to the uiuons which liriu'j,' wealth, social position, and worldly honour to an ill- matcheil paii'. This fondness of shoddy and show, of tinsel and tawdry, of ])elf and power, siidcs all other considerations : the eold- hlooded contracts, the wily conspiracies, the well-laid halts to enti"!]) heirsauil hi'iress('s iiecauseof, and solely for, thi' wi'll-tilleij pin'ses, would give abundant material tor tlu.' saddest chapter in the worid's history. Many of these per([uisites are not to be despi>eil, were our suliject-matter made the lirst article (jf matrimoiual law, next to ])ure alfection for a worthy object. \lt is not to be forgotten that im|)orlant as ])hysical health is, society needs other conditions than the ])urely bodily ami intel- lectual to ensure happiness. The emotions, desires and ali'ections, must be taken into consideratiivn. Their controlling ])ower is great, and, if well directiul, beneficial. Unfortunately this is not always the case. These, in active exercise, often H[)urn advice and brook no control. Affection will not wait to calndv consider con- .sequences. Emotion will excite the most wary at times to do ill- ridvised and hastv' things uiion which hinge untold results. Cupid is liliud, and reason is too often thrown away on his eijually sigfit- less follower.s. These impulses are often among the sweetest experiences of human life, if guided by discretion and judgment. ould iiiliciit I'itlicr (livfcf ('tiiii;' parties yjio-liair iiml (Usoasc f(ir a k iiiati'vially jeyaiK'c t'oi' a escapi'il any it till' ilaiim'T itsrll'. lisli a^ie t'lir- itiMl epithets i'litidii is nut I iiiovai WL'II- I) the iiiiidiis mr to an ill- )t' tinsel ami ns ; the cdld- laiil baits to lie well-tilleil •liapter in tlie ) be (lespiseil, I'inionial law, [jal health is, ly and intel- nd ali'eetions, nn' ]m\vei' is y this i.s not •n advice and consider con- nes to do ill- suits, (■lipid '(pially sij^nt- tlie sweetest id judgment. r AS CAUSES OF INSANITY. 17 If such were always the case, much misery could bo avoided and many sorrows unknown. The world is a vast hospital to-day, and will be to the third and fourth j,reneration, principally because of ill-adjudged marriages, with all their dread heritage of mi.sery. 'file redeeming feature is, that when such unions take place judi- cious living and intelligent obedience to nature's behest may do much to avert untoward results to thiMiisidves and their posterity, The vitiated .system always makes gallant efforts to recuperate from its fallen condition, if .seconded by intelligent conduct and habity If the combustibles which are consuming vitality can be ([uenched, the fire would .soon die out for want of fuel. The other alternative is extinction because of the hydra-headed diseases which follow in the train of marriages begun in folly, continued in vicious riot, ruinous indulgence, and ending in life-long mi.sery, an early grave or insanity. This is the rule ; let not the excep- tion lure to risk exemption from a general law. The results are too momentous to be ligiitly considered, and strong affection alone will not be an excuse for p, dangerous experiment. If such a choice and cimsummation will overcome all such formidable ob- _ stacles, then is it a Christian duty to so live that the avenging sword mav l)e turned aside by that temperance oi life, that mod- eration of desires, that reasonaVileness of conduct which may, to some extent, sheath its keen edge or blunt its incisive sharpness for all time to come. WitiiRY IN Life. Worry in Vmsiness or other anoyances, whcjse name is legion, catise loss of appetite, want of sleep, restlessness, nervousness, general physical prostration, low spirits, and all the brood of ills which flow from them. One member of a family being in this condition and who carries evidence of it in his face and conduct, will unsettle the comfort of all with whom he comes in contact. It need scarcely be said that the probability is, children of such a family being possessed of a like organization, which was possibly at one time evanescent, but now fixed, will by inheritance spread the evil influence. These de|)ressors of vital energy may drive the possessors of these active agents into insanity, even in the first in- stances, or what is more often the case the parents thus affected B \.:^ # « 1 IS HERKPITY, WORKV AND INTKMPEUANCE. . ■' 'ft lUiuy hejyfit chiMren with an insane tendency. The excitement of iJimCftihiesH, vicioUN habits, intemperance, or fast living; become then iiiD^nt'.h only the burning match cast into a magazine in wliidi tlie I'.-ipln'^iv'i' powilcf nei'cls only tliis cotnlitic^n of exritation to rouse litiit'nti power ami spread wreck anH'.jmni»d, the ans\V(3rs to the questions iis to insanity among rela- ttiwiAs- are often found t(j be evaded, uidess the cases had l>ccome so itil»ju'iy such, that concealment would be of no avail. They will iiwuliiy acknowledge that such and such relatives were " <'ccen- Oiiii'.;" or " (pieer" or "odil," or •' unusually susceptible of strange anuvoiiH turns, " or " violent in temper without cause," and a n«».h in collatiM-al branches have evidenced at sonu- time loss of lUe.nCiil etiuilibrium to a greater extent tlian the otKcial documents •M^\tv. It would be safe under the Asylum Returns on Hereditary Diiwmity to add at least (jnt>-fourth more tlian is usually ilone. Jt ii*rtfen not difficult in these inquiries to trace the first fruits of ttilji* cerril)le malady through the conditions brought about from iiiMv high pressure civilization. The race of life throughout the more advanced countries of Christendom in the periodic l)usiness it^Hitavals ; till' sacrifices of necessary comfort-i for show and pai'- i»fc ; the hot-house growth in forcing umluly young intellects; rtllrt exciting trade and professional rivalries; the periodic political i««itement; the domestic troul)les; the vitiating pubiic and priv- *Il»t-'')tfences against pliysical law, ami tlie countless artificial modefi (itf laf«^, drive myriads of the best and the worst citizens into in- «ri\jiiiy. Many miglit have avoided tliis unt(jward result by the I'judmary exercise of prudence, but others have a life-long struggle ■tkjpunnt the budding of that fatal seed of constitutional tendency, wiueh only needs sucli favourable conditions to fiuctify in tlie lUl'»i)d, liriu'dnLT disaster to themseh es and entiiilinu; the like ijrone- mwH- i;o tile innocents wlio may come after them, even to the third amii tfourtli generation. THe causes of worry are irany in a civilized community, with its I' W AS CAX'SES or INTEMPERANCE. 1!) itemont of 'coiiic then 1 wliicli the m to rouse if iiisiinity liistDiy of fricihls is IMOIlJf I'l'lil- M'COlllC HO I'lioy will re " occen- of straiigf iinl a dozen still lent of tliat many inic loss of •lncunicnts llin'(litary y (lone. It st fruits of a! tout from nii,fhoiit the Jic bnsiue.ss w and pai'- ; intellects ; ilic political ic and priv- Hcial modefi ■ns into in- sult by the ner struifjile il tendency, ■tify in the like prone- to the third ity, with its conventional usa<^es, and which are not known in savn<;o or scmi- liarliaroiis life. A man is wealthy and his family is surrounded hy all tlu! (lis])lay and comforts which money can ;;i\e. V>y busi- ness reverses his riches are «wi pL away in a day. The shock to wouniled vp.iiity from tlu' di'i)iivation of luxuries and tlu; loss of social caste to])ple tin? reason o\er in some mentally weak nuun- liers of the family. The e.\(|uisites of the Lord Dumlreary style, or the belles of fashionable circles tind tlieii' source of revenue for frivolities suddenly c\it oil", and thus une.xpecteiUy become ileprived of their oidy heaven upon earth. The li!j;ht hea of sttidies is laid down for all. One maj' have a facility in and a liking for mathe- matics, another for classics, a third for natural philosophy, and a fourth for mechanics only, yet no provision is made for these differences of mental constitution. A partial .solution is attempted in our colleges by a system of option, but this plan to meet this difficulty does not exist in the lower grades of learning. It needs no prophet to see that this hot-house growth, in a foul ^ wins? brain nil ])fnimi»- MIl illi- ]illt till' cunutry, III tliis foul L,fs no n-lax- uciy must lie lis llCl'OlllOS to chiiiic." llninst every Ireii. Tliey stren;,'tli, to I, liy a con- iiilt is, many of a leii,L;tliy Voiii the a^^e ble and teii- e wlieii only ^ Tlie laain er tone, til ire luii^ are not tenderness of most imjioi- io the utmost e weary head ler times was lill of seience scholars must t only so, hut iduals are not ndies is laid ii', 23 drawn. Some Asyhnns were only for cities, ami exclusively for paupers, in these localities the rich ami well-to-do are sent to pri\ate or pulilic ]iayini,f .Vsyiiiins either at home or in other dis- tricts, These const'(|Uently emild not 1m' considered in the esti- mate aceording to [lopulation. Othe-.' .\syluiiis draw tiieir popu- lation partly from the city and partly from tiie country, often larift'ly fiom the one or other, in the retiniis made of the resi- dency of such they Were ofti'U found to lie fallacious hecause of i;^noranc(>, ncirliercuce or intei'est. I'Imii wlun tlie whole returns of all the Asylums are taken, they are unsatisfactory, ijecause the pui'ely aijricultural class is the only one nii which could lie hased iiny relialile ilala. The countr\ merchants, mechanics, profes- sional men, and sneh like in small towns and villaLics cannot be properly classitied as luv '.and even if this were done, on account of the miLcratory natiu'e of nianyof these inhaliitants liein^at one time of the city and at another of the country, no correct estimate could lie made. The Competition amonL,' them is equally sharp, and causes as many an.xieties as of larger communities, hence no fair comparison with purely city poiiulatioii can lie calculated with an ap[iro.\imate deifree of certainty. For example, 'i'oronto cannot he fairly char^ealile w ith all the insane wlio are found within its liorders, for, if .so, ahout one-thiid of all the insane put in this .\sylinu since itsopenini,' wouM have lieloiiLJtMl to this city. While this is true, an approximation can he made, and as far as cjin be juilLjed by averages, it .seems evident that the cities take the lead in this respect, and wherever found, those who are exposed to i^'reat mental activity arisiuL,^ from any form of trouble, .social, do- mestic or financial, aie very liable to insanity, other conditions being favourable for the invasicin. ileasoiuible e.xercise of body and mind is healthy, but it is the over strain which brings jire- mature physical deterioration and mental decay. IXTE.MI'KUANCE. In my Report of last year it was found necessary to take a stanil against the extreme and weakly supported views cf amateur ^r medical converts, who condemned in tuto the use of alcohol o.s a medicine, and at the same time were loud in their praises of far more dangerous drugs. My opinions wei"e asked for and freely ! 24 HEUEDITy, WOURY AND INTEJrPERANCK. V given, because exj^erience had tant^lit me in the pivicl-ico of l)C)tli metlidds during twontj' years lujw lieneticial spii'its were in the treatment of .some dineases, and liow pi'efcM'ahle they were in many cases to opium or hydrate cld(n'al as as('(hitivc in such forms of insanity as melancholia and acute mania with rxhaustinn. It Wcas shown how illogical and, in medical experience, fallacious to extract proofs of the cluunico-pliysiological effects of alcohol from ita {ici'um on hcdlfhi/ pcr.'oiiis. Of course those medical iiicn wlio use it in any case, in any furm, or in any degn'c, camiot conilcmii it as a meilicini!, and must allow each physician to use his dis- cretion as to the ivlie,i, tr/nj and hoii'. The statistical and (itlirr proofs adduced were shewn to lie overwhelmingly in favour nf spirit treatnu'ut. At the same time no one can ignore the evidences seen on every hand of the terrilile effects of drunkenness, and the had results which How from tlie drinking usages of society. Like any otlu'r drug it is not only not necessary in health, Imt injurinus. No wfU per- son is in need of any such lie\'erage its lavages are si'en in every comnumity, and the victims who are tied to the chariot wheel of this dominant appetite, like willing captives lieiiig led to des- truction, can he counted hy the millions aiunially. The miseiy, degradation ami erinu' of which it is the direct cause is appalling. One I'csult of its deleterious effects is insanity : not iperha[)s to the extent we are led to helie\e, lint it is a sutKciently potent fact.or to alarm any who ha\e the well-lieing of society at lii-art. From childhood upwards we have all heai'(l platfoi'ni oi'atoi's give sta- tistics of such fearful significance on this point as would make the youtliful mind shuiUer with horror. It needed the observation of after years to modify these views to some extei\t • f r u^' \^ -..ttS^ ""cr \y 2fi HEREDITY, WORRY AND INTEMPERANCE. the only radical cure, if properly enforced. Unfortunately, Can- ada is, geographically, badly sitnatwl to earry into effect a pro- hibition law. From ocean to ocean our .settled portions are vir- tually a thin line on the marifin of tlie lTnite fascinating cu]). Tiiis upas tree grows luxuri- antly in our soil : this syren sits at the street corners and lures to destroy. Ten /«-/■ iviif. of the inmates of our a.sylums are the victims of this subtle agency of incarnate deviltry. Are there nr\'er to lie any nn'rcy-dro))s from this lowering cloud ? Is there nevei' to be cast a pencil of light across this shadow h'om the dark mountains ^'f y M I I f. '.i ■• » ■ 1 ^.^^i