CASE XXXV.

T. C. This person had remained many years in the hospital on the incurable

establishment. He had been a schoolmaster at Warrington in Lancashire, and

was a man of acuteness and extensive mathematical learning. As he became

very furious on the attack of his maniacal disorder, he was placed in the

Lunatic Asylum at Manchester, where he killed the person who had the care

of him, by stabbing him in the back with a knife.

The following is the account he gave me of that transaction, and which I

immediately committed to paper; as it conveys a serious and important

lesson to those who are about the persons of the insane.

"He that would govern others, first should be

The master of himself, richly indu'd

With depth of understanding, height of courage."

_Massinger's Bondman, Act I. Scene 3._

It ought to be more generally understood that a madman seldom forgets the

coercion he has undergone, and that he never forgives an indignity.

"The man whom I stabbed richly deserved it. He behaved to me with great

violence and cruelty, he degraded my nature as a human being; he tied me

down, handcuffed me, and confined my hands much higher than my head, with

a leathern thong: he stretched me on a bed of torture. After some days he

released me. I gave him warning, for I told his wife I would have justice

of him. On her communicating this to him, he came to me in a furious

passion, threw me down, dragg'd me through the court-yard, thumped on my

breast, and confined me in a dark and damp cell. Not liking this

situation, I was induced to play the hypocrite. I pretended extreme sorrow

for having threatened him, and by an affectation of repentance, prevailed

on him to release me. For several days I paid him great attention, and

lent him every assistance. He seemed much pleased with the flattery, and

became very friendly in his behaviour towards me.--Going one day into the

kitchen, where his wife was busied, I saw a knife; (this was too great a

temptation to be resisted;) I concealed it, and carried it about me. For

some time afterwards the same friendly intercourse was maintained between

us; but, as he was one day unlocking his garden door, I seized the

opportunity, and plunged the knife up to the hilt in his back."--He

always mentioned this circumstance with peculiar triumph, and his

countenance (the most cunning and malignant I ever beheld) became highly

animated at the conclusion of the story.

During the time he was in Bethlem Hospital he most ingeniously formed a

stiletto out of a mop-nail; it was an elaborate contrivance, and had

probably been the work of several months. It was rendered extremely sharp

and polished, by whetting on a small pebble; it was fixed into a handle,

and had a wooden sheath made from the mop-stick. This instrument he

carried in his left breeches pocket, his right hand grasping the hilt. As

I always found him in that posture when I visited him, I suspected he had

some concealed implement of mischief, and therefore employed a

convalescent patient to watch him through the key-hole of his door. This

person saw him with the weapon, and also ascertaining the distance at

which he could use it.

The instrument was taken from him by surprise. When he found he was

prevented from executing his purpose, he roared out the most horrid

imprecations; he cursed the Almighty for creating him, and more especially

for having given him the form of a human being, and he wished to go to

Hell that he might not be disgraced by an association with the Deity.

He had an uniform and implacable aversion to the officers and servants of

the hospital; he said he courted their hatred for their curse was a

blessing. He seldom answered a question but some impiety was contained in

the reply. An indifferent person remarking that it was a bad day, he

immediately retorted, "Sir, did you ever know God make a good one?"

Although the whole of the day, and the greatest part of the night, were

consumed in pouring forth abuse and coining new blasphemies; yet there

were some few patients for whom he professed a friendship, and with whom

he conversed in a mild and civil way: this confidence had been obtained by

the compliments they had addressed to him on the score of his

understanding, of which he entertained a very high opinion. At one time he

conceived himself to be the Messiah, at another, that he was Mr. Adam, the

architect; and that he was shortly to go to America in order to build the

new Jerusalem in Philadelphia.

About six months before his death he complained of pain in his stomach,

and said he felt as if he had no intestines. His appetite diminished, and

he became melancholic.

The scene now began to alter; he had a presentiment that his time in this

world would be short, and he dreaded the change: no hope arose, no

consolation could cheer him; he became daily more emaciated and despairing

until he died, which took place August 27, 1801; he appeared to be about

seventy years of age.

On opening the head, the pericranium was scarcely adherent. This membrane

being removed, blood oozed freely from the parietal bones. There was a

large accumulation of water between the dura mater and tunica arachnoidea;

when this was let out the dura mater became flaccid, and seemed to hang

loose on the brain. On the left posterior lobe of the cerebrum there was a

large quantity of a milky fluid, between the tunica arachnoidea and pia

mater, giving the appearance of a vesication; and in that place there was

a depression or cavity formed in the convolutions of the brain. The

convolutions were so strongly and distinctly marked, that they resembled

the intestines of a child. The lateral ventricles were but little

distended, and did not contain much water. The head was not particularly

loaded with blood, nor were the bloody points, in the medullary substance,

very abundant. The brain was of a natural consistence. There was no

disease in the stomach, intestines, or liver. The body was opened about

six hours after his death.

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