A TREATISE ON MENTAL UNSOWNDNESS, EMBRACING A GENERAL YIEW OF PSYCHOLOGICAL LAW. BY FRANCIS WHARTON, LL.D., AUTHOR OF TREATISES ON CRIMINAL LAW, AND ON THE CONFLICT OF LAWS. PHILADELPHIA: KAY & BROTHER, 17 AND 19 SOUTH SIXTH STREET. 1873. Entered according to Act of Congress, in the year 1855, by KAY & BROTHER, in the Office of the Clerk of the District Court of the United States in and for the Eastern District of Pennsylvania. Entered according to the Act of Congress, in the year 1860, by KAY & BROTHER, in the Clerk’s Office of the District Court of the United States in and for the Eastern District of Pennsylvania. Entered according to Act of Congress, in the year 1872, by KAY & BROTHER, in the Office of the Librarian of Congress, at Washington. PREFACE. Since the publication, in 1860, of the second edition of this work, the specialty of psychological law has taken a shape which has made necessary the preparation of a treatise which is substantially new. The circumstances which have led to this change may be thus stated. Until the close of the last century, insanity received but little attention from physicians, and still less from psycholo- gists. “ Lunatics,” to follow the barbarous old English desig- nation, were regarded as outcasts mostly incurable; as devoid of those sensibilities which call for tender care; as present- ing little more claim to philanthropic consideration than do brutes. Unless birth or wealth gave special opportunities for their custody at home, they were huddled, in England and France, in pens, or chained in cells, where they were generally subjected to treatment the most brutal. In Hew England they were often let out by the town to the lowest bidder, who undertook to support them for a pittance scarcely sufficient to buy offals for their food, and who permitted them, when they were gentle, to roam at large, or chained them, when violent, in stables. Asylums, as reformatory and hygienic establish- ments, were unknown. Hence arose the tendency both of psychologists and courts to narrow the definition of insanity so as to reduce as far as possible the numbers of the class who were to be subjected to so wretched a doom. But on the insanity of George III. a new era came in. In- sanity could not be so vulgar a thing when it attacked the V PREFACE. king. It could scarcely be regarded by loyal Englishmen as a merited curse, when it visited a prince of whose virtues they were justly proud, and of whose obstinate self-will they were blindly ignorant. Philanthropists as well as philosophers poured in with abundant advice as to the tenderest treatment to be applied to the royal sufferer; and committees of the House of Commons vied with medical commissions in specu- lating on the characteristics of a malady which had become exalted in the exaltation of the victim on whom it had pounced. Fortunately for the interests of humanity, almost simultaneously took place in Paris the investigations of Pinel. This remarkable man, who united in rare excellence great administrative power, untiring patience of research, and sin- gular attractiveness of style, found the Bicetre, when he took medical charge of it in 1791, in a condition at which humanity shuddered. It combined, under one general superintendence, the functions of almshouse, prison, nursery, foundling’s home, and lunatic asylum, with no distinction made in the treatment of crime and of disease. Such patients as could do so without disturbance mingled with the other inmates of this vast abode of wretchedness and of guilt; but those who were in any way troublesome were chained in damp and putrid cells, under the charge of convicts whose desperateness seemed to constitute their title to this distinction. Against this inhumanity Pinel protested with such untiring and dauntless eloquence that he succeeded in effecting a thorough reformation. A separate asylum, based on wise sanitary regulations, was opened for the insane, and subsequently the a distinct establish- ment for deranged women, was organized under his particular care. lie was succeeded at the Salpetri&re by Esquirol, who had been his assistant, and by whom his wise hygienic reforms were further elaborated and extended. Nor did the efforts of these eminent physicians stop at the VI PREFACE. amelioration of the physical and mental condition of the in- sane. Madness having been shown to be capable of cure, and to be a condition in itself implying no moral stigma, and in- sane asylums having been proved to be the places where the insane can most readily be restored to health, many persons came to be regarded by their friends and by a rightful public feeling as insane, who previously would have been treated as sane. The definition of insanity, in the philanthropic mind at least, was so enlarged as to include all persons who, while not being clearly maniacs, were yet subject to mental or moral anomalies which a wise medical treatment could remove. But this was not the only circumstance that tended to an expansion of the definition. Another influence, still more marked, had already prepared the public mind to treat as in- sanity much that was really only folly or guilty impulse. Between 1760 and 1764, Rousseau published his Contrat Social and Emile, works which, in the sentimental humanitarianism they inculcated, were the natural extreme reaction from the inhumanity of the prior absolutist regime. Rousseau flamed with a romantic admiration not merely for the liberty to do right, but for the liberty to do wrong. Even the grossest natural instincts were of divine origin, and should be nursed with delicate respect. Crime was something to which a man was impelled by his nature; else why should he indulge in crime? Heretofore all insanity was crime. Row all crime was to be insanity. Sin was not to be viewed as horrible and odious, but as something abnormal, indeed, but provocative of curious regard and sympathy. And criminals were an in- teresting class of lunatics, who were especially consecrated to the restorative care of the State. Pinel, like most other French philosophers of his day, was not slow, when responding to this reaction, to welcome a plan which proposed to extirpate crime and inaugurate liberty, by VII PREFACE. placing crime distinctively under humane medical care. Un- doubtedly there was much in his special experience to strengthen him in this view. He had seen many insane per- sons treated as criminals. It was natural to him to assume the converse, and to hold that there are many criminals who are to be treated as insane. In sustaining this view he cautiously though distinctly set forth the proposition, to be hereafter fully discussed,(a) that there is a distinct form of madness in which the reason remains unimpaired. It is true, when he came to illustrate this by examples, it was found that the “reasoning maniacs,” whom he described, were more or less maniacs even in their reason. But nevertheless the pro- position fitted symmetrically into the philosophy of the French revolution, and was accepted by the apostles of that revolution wherever they taught. Fifty years afterwards, in times greatly changed, another influence arose to give fresh impetus to the same peculiar theory. The French revolution was over, and with it had vanished those ideas of sentimental humanitarianism which had lent it so much fascination. It is true that the evapo- rating process was not without a sensible deposit of good. Insanity, for instance, was no longer associated with crime; and the speculations of Pinel, reproduced in a modified shape by his scholar, Esquirol, were, when accepted by French legis- lation, interpreted to mean nothing more than that crime is often a consequence of insanity, and, when so, is irresponsible. In 1798, however, Gall startled the scientific world by his alleged discovery of phrenology. His genius, eminently enter- prising and constructive, but shut out by the then state of Europe from political adventure, betook itself to adventure in science. Arrested, as he tells us, by the fact that those of his (a) Infra, § 531. VIII PREFACE. school companions who had good verbal memories had bulging eyes, he gradually developed the theory that each function and propensity had a separate local habitation in the brain; and that the power of the function or propensity varied with the size of its cerebral apartment, as measured on the outside. As, however, each function and each propensity dwelt alone in its particular cell, each was capable of independent action, and of course, as each could be independently strong or weak, each could be privately insane. This severance of functions and propensities was the distinguishing feature of Gall’s system; and to establish it psychologically, he devoted the energies of a mind which, while disdaining logical restraint, and rash in leaping at results, was peculiarly quick, curious, and specious. A peripatetic from necessity, for the German reactionary governments, doubtful of the uses to which his philosophy might be put, forced him into a series of exiles, he collected, wherever he went, from newspapers, from sympathetic disci- ples, from every quarter, in fact, except the official reports of experts and of courts, every anecdote by which his theory could be helped. Such was the piquant plausibility of his publications that they not only attracted interest, but en- listed enthusiasm. Nothing, indeed, could be more racy than his details. A distinguished prince, remarkable for his sagacity and cool sense, was possessed, it was declared, by an irresistible propensity to steal. A young girl, of singular amiability and excellent reasoning powers, was in the habit of setting fire to houses. A philanthropist, blandly sane in all other respects, met with some injury to the cell that restrained the function of destructiveness, and forthwith betook him to killing his neighbors. FTo doubt there was a basis of reality in most of Gall’s cases. The difficulty was, that he did not sufficiently investigate the facts. For all he knew, and for all he inquired, the prince, and the girl, and the philanthropist IX PREFACE. might have been the descendants of insane parents; might have been epileptics; might have betrayed in their families unmistakable symptoms of mental derangement; might sub- sequently have died in a madhouse. ETor were his cases cited in such a way as to enable subsequent investigators to inquire into their accuracy. ETo one could tell whence most of them came. Yet so engaging was the style in which they were narrated, and so great was the confidence felt in Gfall as a narrator, that they were readily accepted by those whose theories they subserved. The psychological conclusion was inevitable. If criminal instincts have separate apartments in the brain, then those criminal instincts can be separately insane. Hence, the doctrine of monomania, sustained at once by Gall’s facts and by his hypothesis, began, under the impulse thus imparted, once more to challenge judicial assent. On Anglo-American jurisprudence, the causes just mentioned would have had little influence had it not been for the indirect bearings of another condition. Hothing; could have been more barbarous than the old English adjustment of penalty to crime. A man who stole a fowl was capitally punished; and, even after a century of legal reform, the law in England still is that a man who kills another when designing to hurt, but not to kill, is amenable to as high a sentence as he who deliberately assassinates. But humane observers revolted from this sub- jecting crimes so entirely distinct to the same penalty, and they cast about for some method of relief. In the United States a remedy was seized which was in a large measure effi- cacious. Murder was divided into two degrees, and capital punishment was reserved exclusively for cases in which there was proved a premeditated intention to take life. On this has been not uufrequently grafted the humane construction that where from mental or nervous excitement the defendant X PREFACE. is incapable of forming a specific intent, then the capital offence is not proven.(b) But in England, these mitigating qualifications were not accepted; and though in the United States the division of murder into two degrees was at an early period established almost universally, the courts were at first slow to recognize the fact that a mind disturbed by nervous excitement and blurred by insane predispositions may be incapable of intellectual premeditation, while at the same time capable and responsible for passionate crime. Hence, it has been that the jury has been too often narrowed to a choice between conviction of a capital offence and acquittal; and hence, to justify an acquittal, insanity has sometimes been used as a pretext, when insanity in the correct sense of the term did not exist. This unscientific extension of insanity received a quasi scientific sanction under the following circumstances. By the Anglo-American practice, a party is entitled to call on trial any expert he may select; and he is not likely to select any whose views will not promote his cause. It so happens that among the present large body of experts, there is little trouble in discovering one or more by whom is maintained the particular psychological theory of which the party on trial stands in need. It is an old truth that there is nothing so absurd but that some philosopher may be found by whom it is affirmed. “Uihil tarn absurde clici potest quod non dicatur ab aliquo philosophorum.”(c) To sustain a particular defence, for instance, it is necessary to prove that the “ morals’’ may be insane while the mind is sane. The defendant’s coun- sel forthwith proceed to search among the multitudes who have written on insanity, or have been in any way conversant with the insane, for a philosopher by whom this unique hypo- thesis is held. When the case is tried, this philosopher is pro- (5) See supra, § 200. (c) Cicero, de Divinatione, II. 58. XI PREFACE. chiced and swears promptly and positively to his belief. On the strict principles of law, he cannot he cross-examined as to the opinions of others, for this would be hearsay. So far, there- fore, as the particular case is concerned, he stands before the jury as if he was the collected sense of the psychological experts of the whole world. It may be that the prosecution may be able to cancel his testimony by the production of a preponderating weight of on the other side. But to do so requires energy, skill, and means; and too often has the duty been neglected, and the case left to rest, in criminal trials, on the testimony of the exceptional experts selected by the defence. Hence it is that juries, if not courts, have occa- sionally succumbed to such testimony in respectful amazement, feeling, indeed, that it is wrong, but not seeing how it could be disregarded. As influences disturbing the juridical conception of insanity —to recapitulate those which we have just been enumerating in detail—we may, therefore, mention, (1) the romanticism of the French psychological followers of Rousseau, afterwards aided by phrenology, which refined crime into insanity; (2) reaction from the old English barbarism which punished in- sanity as if it were crime; and (3) the hesitation felt by the courts in grappling with the philosophy of a question which had been claimed to be purely medical. Under these circum- stances arose that confusion of law which was noticed in the prior editions of this treatise. Since 1860, when the second edition was issued, a great change has taken place. Before that period, we may say generally, there had been no positive and final repudiation by psycho- logical science of the theory of criminal monomanias. Since then, medical as well as psychological science has rallied, and from all quarters there has risen, as will be hereafter shown more fully, almost an unbroken denunciation of a scheme of XII PREFACE. psychological romanticism which sober-minded men have learned to feel is as repugnant to science as it is hostile to society.(eT) And this advance of science, towards a common reconciliatory stand-point, is now met by a corresponding advance of law. It has been just stated that one of the causes of early juridical confusion on this topic, was the revulsion from the excessive punishments assigned by the old law to offences of even lighter grade. Civilization was shocked at seeing a man who from nervous or mental or physical disorder, was incapable of cool premeditation or exact intent, hurried to the gallows for what might be a comparatively venial crime; and it was to the desire to save such that the toleration of the idea of irresponsibility in such cases is in a large measure traceable. But it was soon found that this enlargement of irresponsibility worked badly. It exposed many persons, virtually sane, to the pains and penalties of insanity. It enfranchised a dangerous class of outlaws, too insane to be punished for crime, and yet too sane to be restrained. It involved, on the part of the State, the abdication of one of its chiefest functions—the building up of a right moral sense in those of its subjects in whom such moral sense is deficient. But is so violent a remedy necessary? Is there no alter- native between an unjust conviction of a man of an offence to whose grade of guilt he does not quite reach, and his equally unjust acquittal in the face of evidence showing his guilt of an intermediate grade? It has already been seen that in the United States, at an early day, a statutory ap- proach was made to this result by the beneficent enactments dividing murder into two degrees. But this by itself is not enough. A court may say to a jury, “Here is evidence of pre- meditation; you must here find either murder in the first (d) See infra, §§ 552-643. XIII PREFACE. degree, or acquit.” Eminent jurists, in order to meet this difficulty, have authoritatively advanced positions which have just been incidentally noticed, and will now be stated more fully. The idea of diminished responsibility, in cases of abnormal excitement, is already familiar to the law. Homicide in hot blood is not murder but manslaughter; yet, what is rage but a short frenzy, and how difficult is it to distinguish such frenzy from the mania transitoria of the alienists ? A drunken man engages in a brawl and shoots an innocent stranger; and here, as his mind was so stupefied by drink that he was inca- pable of a specific intent to take life, the offence is reduced to murder in the second degree. Or, he receives and passes a counterfeit note when in the same condition, and here his drun- kenness is admissible to show that he did not know the note was counterfeit. Or, a series of men, swept away by religious or political excitement, fall into such a highly charged and abnormal state of mind that they are incapable of accurate perception, and here, then, homicide committed when in such A a state is held to be reduced to murder in the second degree.(e) How are these last states distinguishable from other well- known exciting influences? What is there that mitigates guilt in cases where the patient is advanced one degree in the insane scale, but will not mitigate it when he is advanced two degrees ? By the Austrian and Bavarian codes this question has been recently answered by the recognition of degrees in penal res- ponsibility. Diminished responsibility (verminderte Zurech- nungsfahigkeit.) is distinctively and authoritatively defined as a condition in which the mind is incapable of calm and exact premeditation or conception, and to this condition a lesser grade of punishment is assigned. And the same principle is XIV (e) See infra, § 181. PREFACE. adopted juridically by the North German courts. In England there is no statutory adoption, so far as concerns insanity, of such diminished responsibility, nor have the courts as yet pro- ceeded so far as to look upon nervous or mental disease as lowering the grade of guilt, emphatic as they are in recog- nizing the entire suspension of responsibility when insanity destroys the capacity of distinguishing between right and wrong. But the reform which the courts, in their distinc- tively judicial capacity, have felt unable to effect, has been brought about by the joint action of judiciary and executive. Thus in two remarkable cases of homicide, those of Watson and Edmunds, to be hereafter fully noticed,(/) the defence being insanity, but the proof amounting merely to insane pre- disposition, or at the highest to a light and incipient stage of insanity, while the jury were directed to convict, yet, after conviction of the capital crime, on application to the crown, in which the judges joined, capital punishment was commuted to imprisonment for life. In the United States, in construing the statutes already noticed as establishing degrees in homicide, the courts(y) have uniformly held, as has been already noticed, that, when through drunkenness the defendant was incapable of premeditation or of specific intent, then only the second degree of murder is reached. The same relaxation has been applied, not only in the United States, but in England, to cases of larceny and other fraudulent crimes when the party’s mental condition was such through drunkenness that he was incapable of guilty knowledge or intent. And in Pennsylvania, in a series of cases of riotous homicide committed by parties in a high state of political and religious excitement, the courts humanely and wisely accepted the principle already stated, that there may (/) See infra, §§ 166-173. (g) See infra, §§ 214-227. XV PREFACE. be a fury and distraction of mind in which the capacity to comprehend, to compare, to weigh, and to premeditate, may be tethporarily so far depressed or disturbed as to bring the offence within the definition of murder in the second, as dis- tinguished from that of murder in the first degree.(A) From the scope of the reasoning which has led to such results, it is impossible to withdraw cases of mental excitement and disturbance, which, though not amounting to such mature insanity as to utterly suspend responsibility, yet prevent the patient from forming calm, premeditated, and specific criminal designs. Slow as have the courts been in reaching this con- clusion, we may now regard it as gradually winning judicial acceptance ;(£) and if so, we may view the law as having received an expansion philosophically consistent with its own principles, and bringing it in full accord with the mature and humane renditions of science. Heretofore “moral insanity,” and “ insane monomania” have owed the little practical favor they have wrung from courts and juries to the fact that there were cases in which their recognition seemed to be the only way of escaping a verdict which would involve the penalty of death. The consequence was that the public was outraged, sometimes by the acquittal, on the ground of insanity, of men who in no other relation would be viewed as insane, and some- times by the conviction and execution of men who, though not fully insane, would in no other relation be regarded as fully and perfectly responsible. The modification of the law now introduced avoids both these extremes. It says, on the one hand, that men not fully and perfectly insane are not to be acquitted of crime. It says, on the other hand, that they are not to be convicted of those higher grades of calm and specific guilt of which they were not capable. It judges them accord- (h) See t'fl/rn, §§ 181, 200. (t) See infra, § 200. XVI PREFACE. ing to their lights, and assigns to them that well-known grade of modified guilt which belongs to those who do wrong, wilfully, indeed, and intentionally, but whose illegal acts are the consequents of such passion as destroys in them the capacity of accurate guilty knowledge or complete guilty design. Such is the shape into which the law of insanity is now gradually settling. That the change is one of natural and logical development, will at once be seen; but with regard to it, so far as concerns the question of time, and therefore, so far as concerns the present edition of this work, two circumstances are to be particularly noticed. The first is, that the develop- ment here spoken of, has, on the law side, evidenced itself distinctively in the last ten years. The second is, that, on the psychological and medical side, it has only been within the last ten or fifteen years that the opinions of experts and of scientists have presented themselves in such a body as to enable the full voice of science and experience in this relation to be heard. The results on both sides of the inquiry will be ex- hibited in the following pages. What has been just said is mainly designed for the purpose of explaining why the text of the former editions has been in a large measure thrown aside, and why, in its place, is presented what is substantially a new treatise. The author takes this method of expressing his acknowl- edgments to T. C. Coogan, Esq., and Nathan Franks, Esq., for aid rendered in examination of authorities. XVII CORRIGENDA. Page 196, at end of first paragraph, add in note: “A partial correction of this has been, it is true, attempted in New York, by the statute of May 17, 1869 (chap. 895), authorizing the county judge, where ‘any person in confinement for the crimes of arson or murder or attempt at murder shall appear to be insane,’ to examine into the question, and, for this purpose, ‘call two or more respectable physicians and other credible witnesses,’ and if necessary impanel a jury.” Page 196, line 19, for “opinions,” read “opinion.” Page 256, note () “Moral insanity” (i. e. a supposed insanity of the moral SYSTEM CLAIMED TO COEXIST WITH MENTAL SANITY) IS NO DEFENCE, § 163. (e1) While experts may be called to testify as to states of MIND AND CONDITIONS OF HEALTH, IT IS FOR THE COURT TO DECLARE WHETHER SUCH STATES AND CONDITIONS CONSTITUTE IRRESPONSIBILITY, § 190. C/1) Predisposition to insanity as lowering grade of guilt, § 200. Cgl) Capacity of insane defendants to plead, § 200a. D. IlOW FAR INTOXICATION AFFECTS RESPONSIBILITY, § 201. (a1) Insanity produced by delirium tremens affects responsi- bility IN THE SAME WAY AS INSANITY PRODUCED BY ANY OTnER CAUSE, § 201. (5') Insanity immediately produced by intoxication, does not DESTROY RESPONSIBILITY WHERE THE PATIENT, WHEN-SANE AND RESPONSIBLE, MADE HIMSELF VOLUNTARILY INTOXICATED, § 207. (c1) While intoxication is, per se, no defence to the fact of GUILT, YET WHEN THE QUESTION OF INTENT OR PREMEDITATION IS CONCERNED, IT MAY BE PROVED FOR THE PURPOSE ON DETER- MINING THE PRECISE DEGREE, § 214. E. Insanity as related to life insurance, § 228. F. Insanity, when disqualifying a witness, § 242. G. Evidence of insanity, § 246. (a1) Burden of proof, § 246. (a2) Civil issues, § 246. (b2) Criminal issues, § 257. (51) Effect of commissions of lunacy, § 270. (c1) Witnesses, § 272. (a2) Non-experts .§ 272. (b2) Experts, % 275. (a3) Wlio they are, and what are their qualifications, § 275. (b3) Questions to be put to them, § 283. (a4) When there was personal examination, § 283. (b4) As to facts proved on trial, § 287. (c4) On a hypothetical case, § 288. ((Z4) On a conclusion of law, § 292. (c3) Weight to be attached to their testimony, § 293. () Scientific treatises, § 303. 2 BOOK I.] MENTAL UNSOUNDNESS. (e1) Presumptions prom character op act, §§ 83, 359. Presumptions prom old age, § 87. Presumptions prom party being deaf, dumb, etc., § 95. CHAPTER II. MENTAL UNSOUNDNESS CONSIDERED PSYCHOLOGICALLY. A. General theories op mental unsoundness, § 305. (a1) Preliminary observations, § 305. (ft1) Psychical theory, § 319. (c>) Somatic theory, § 320. (d1) Intermediate theory, § 329. (a2) Its basis, § 329. (b2) Its effect on responsibility, § 336. B. HOW MENTAL UNSOUNDNESS IS TO BE DETECTED, § 338. (a1) By whom, § 338. (ft1) At what time, § 341. (a2) Time of act, § 342. (ft2) At trial, § 343. (c2) At and after sentence, § 344. (c1) By what tests, § 345. (a2) Physiognomy, § 345. (ft2) Physical conditions, § 347. (a3) Injuries to brain, § 348. (b3) Anomalies of sensibility, of pulse, of secretions, of senses, § 352. (c2) Hereditary tendency, § 362. (a3) Psychologically, § 362. (ft8) Legally, § 373, (d2) Conversation and deportment, § 378. (e2) Writings, § 386. (/2) Prior history, § 388. (g2) Nature of act, § 389. (a3) Its insensibility, § 389. (ft3) Its incongruity with antecedents, § 390. (c3) Its motivelessness, § 399. (a4) Motives rarely simple, § 401. (ft4) Passion as a motive, § 403. (c4) Lawlessness as a motive, § 404. (d3) Neglect to escape, § 406. (e3) Forgetfulness, § 410. C. From what mental unsoundness is to be distinguished, § 412. (a1) Emotions, § 412. (a2) Remorse, § 413. (ft2) Anger, § 418. 3 MENTAL UNSOUNDNESS. [BOOK I. (c2) Shame, § 428. (d2) Grief, § 426. {e2) Homesickness, § 429. (/2) Fear, § 432. (51) Simulated insanity, § 443. (a2) Reasons for suspecting, § 445. {b2) Forms generally simulated, § 446. (c2) Not proved by sanity at trial, § 452. (cZ2) Tests, § 454. D. Mental unsoundness connected with derangement of the SENSES AND DISEASE, § 461. (a1) Deaf and dumb, § 461. (a2) Psychologically, § 461. {b2) Legally, § 464. (bl) Blind, § 469. (c>) Epileptics, § 470. E. Mental unsoundness as connected with sleep, § 482. (a1) Somnolentia or sleep-drunkenness, § 484. (bl) Somnambulism, § 492. F. Mental unsoundness as affecting the temperament, § 502. (a1) Depression, § 502. (Z>>) Hypochondria, § 508. (c1) Hysteria, § 517. (cZ1) Melancholia, § 523. G. Mental unsoundness as affecting the moral sense, § 531. (a1) General “moral insanity,” § 531. (a2) As to psychological possibility of separate insanity of moral function, § 533. {b2) As to whether such separate insanity exists, § 541. (a3) Authorities in the affirmative, § 541. (Z>3) Present weight of authority is negative, § 552. (&!) Special “moral monomanias,” § 567. (a2) At present repudiated, § 567. (br) Absurdity of classification, § 572. (c2) “ Homicidal mania," § 578. (cZ2) “ Kleptomania;,” (morbid propensity to steal,) § 590. {e2) “ Pyromania," {morbid incendiary propensity,) § 604. if2) “Erotomania,” {morbid sexual propensity,) § 617. (g2) “ Pseudonomania,” {morbid lying propensity,) § 626. (7t2) “ Oikeiomania,” {morbid state of domestic affections,) § 630. (Z2) “ Suicidal mania," § 636. (j2) “ Dipsomania," {morbid passion for drink,) § 639. 4 BOOK I.] MENTAL UNSOUNDNESS. (k2) “ Fanatico-mania,'" % 644. (a3) Supernatural or pseudo-natural demoniacal possession. (a4) A priori improbability of such possession, § 644. (51) Solubility of the instances of such possession by natural tests. (a5) Disease, § 646. (ft5) Morbid imitative sympathy, § 647. (c5) Legerdemain and fraud, § 651. (d5) Mistake of senses, § 654. (e5) Guess work, § 656. (/5) Natural phenomena at present inexplicable, § 659. (c1) Historical evidence of such possession, § 660. (53) Religious insanity. (a4) Christianity, taken in its practical sense, has no ten- dency to produce insanity, § 662. (54) What is called religious insanity is produced (a5) By a departure from practical Christianity, § 669. (a6) Reliance on frames and emotions, § 669. (56) Appeal to unscriptural supernaturalism, § 670. (c6) Appeal to the selfish element, § 675. (55) By constitutional idiosyncrasies, ..§ 677. (c3) Fanatico-mania as a defence, § 678. (I2) “ Politico-mania,” § 679. H. Mental unsoundness as connected with prostration, § 682. (a1) Idiocy, § 682. (&') Imbecility, § 691. (c1) Dementia, § 698. I. Mental unsoundness accompanied with delirium, § 702. (a1) General delirium, § 702. (b') Partial delirium, § 706. (a2) Mania or amentia occulta, § 706. (62) Mania transitoria, § 710. J. Mental unsoundness as connected wiTn delusions and halluci- nations, § 723. K. Mental unsoundness as connected with lucid intervals, § 744. CHAPTER III. TREATMENT OF INSANE CRIMINALS. A. Retribution, § 754. B. Prevention, § 763. C. Example, § 765. D. Reform, § 766. E. Why our present system should be remodelled, § 770. 5 MENTAL UNSOUNDNESS. [book I. CHAPTER IV A. Prior to crime, § 773. ' («') Preparations, § 773. (&’) Intimations, § 775. (c1) Overacting, § 781. B. At crime. (a1) Incoherence, § 782. (6]) SELF-OVERREACniNG, § 786. C. After crime. (a1) Convulsive confession, § 788. (b1) Nervous tremor, § 805. (c1) Morbid propensity to recur to scene and topic of guilt, §812. (d1) Permanent mental wretchedness, § 816. (e1) Animosity between confederates, § 823. PSYCHICAL INDICATIONS OF CRIME. APPENDIX. MEDICO-JURIDICAL OPINIONS. Prom Liman’s Casper’s Gerichtliche Medicin, Berlin, 1871. I. Homicidal attempt, “ Fanatico mania ?” § 833. II. Fraud, “ Insane delusions,” Simulation, § 834. III. Larceny, Simulated imbecility, § 835. IV. Larceny, Simulated mania, Tests, § 836. Y. Attempted infanticide, Hystero-epilepsy, Melancholia, § 837. YI. Larceny, Initial stage of paralysis, § 838. VII. Killing of child, Melancholia, § 839. VIII. Homicide, “ Mania transitoria ?” Intoxication, § 840. IX. Business capacity, Intermission, § 841. X. Homicidal attempt, Insane delusion, § 842. XI. “ Kleptomania ?” By an educated man, § 843. XII. “Kleptomania?” By a cultivated woman, § 844. 6 BOOK I.] CONTRACTS GENERALLY. [§2 CHAPTER I. mental UNSOUNDNESS IN ITS LEGAL RELATIONS. A. What degree of mental unsoundness invalidates a con- TRACT OR WILL. (al) Imbecility. § 1. With regard to lunatics or idiots, in the popular sense, there can be no question in this connection. Their incapacity is patent. No one can deal with them without having notice, and without at once seeing that they are irresponsible. In most instances, they are accepted by the State as its wards; and if not placed in confinement, are pronounced' by a com- mission of lunacy incapable of transferring property. Nor to invalidate their acts is it necessary that a decree of lunacy should have been actually pronounced. The madman, even though his madness be a mere temporary delirium, cannot, by an executory contract, bind himself either in person or in pro- perty ; and consequently in such a class of cases the judgment of the law must relieve him from responsibility. In this .respect the test is the same in the criminal and the civil courts. There are, however, a large class of cases in which, as has been noticed, a contract or a will will be declared void, but in which there is a sufficient degree of intellect to create a responsibility for crime. These will now be discussed. (a2) Contracts generally. § 2. A person, to entitle him to make a valid contract, must know what the act is to which the contract relates, and must intelligently will to do such act. Thus, in an action of eject- ment in Maine, the plaintiff alleged that the deed to the defendant was invalid, because, at the time of making it, the grantor was non compos mentis. On this point the judge charged the jury as follows: “The grantor must be of sound mind and have legal competency. No degree of physical or mental imbecility can avoid his deed if he had legal com- 7 § 5] [BOOK I. MENTAL UNSOUNDNESS IN ITS LEGAL RELATIONS. petency. Legal competency to act, is the possession of mental capacity sufficient to transact business with intelligence and an intelligent understanding of what he was doing.” The jury found for the defendant, and the case came up before the Supreme Court on exceptions to the rulings of the judge. The Supreme Court held the above instructions to the jury to be correct.(u) So where a sale of property is sought to be set aside on the ground of mental incapacity to transact business, there must be that degree of derangement or state of imbe- cility of mind, that induces the belief that the party is incapable of fully comprehending the effect and consequences of his acts, or, at least, that he is so weak as to be almost a mere instru- ment in the hands of the person seeking to obtain the advan- tage. On the contrary, if a person is capable of reasoning correctly on the ordinary affairs of life, or is capable of con- templating and understanding the consequences which usually accompany ordinary acts, he will be held compos mentis and be bound by his acts, (b) § 3. Where by collateral facts it appears that a person was aware of the nature and consequences of a transaction, it will be sufficient to rebut the presumption arising from mental weakness, or from general want of business capacity.(c) § 4. Insanity intervening subsequent to the making of a contract is no bar to its execution.() it will be difficult to overthrow the reasoning of Lord Brougham and Lord Penzance. We cannot hold one department of the mind to be sane, and the others insane, unless we adopt the com- partment theory, which, as will hereafter be seen, is absurd. § 48. Or, let us take the modified form in which this theory is exhibited by Chief Justice Cockburn.^1) “ It is not given to man,” he says, “to fathom the mystery of the human intelli- gence, or to ascertain the constitution of our sentient and intelligent being. But whatever may be its essence, every one must be conscious that the faculties and functions of mind are as various and distinct as are the powers and functions of our physical organization. The senses, the instincts, the affections, the passions, the moral qualities, the will, perception, thought, reason, imagination, memory, are so many distinct faculties or functions of mind. The pathology of mental disease, and the expe- rience of insanity in its various forms, teach us that while, on the one hand, all the faculties, moral and intellectual, may be involved in one common ruin, as in the case of a raving maniac; in other instances, one or more only of these faculties or functions may be disordered, while the rest are left unim- paired and undisturbed; that, while the mind may be over- powered by delusions which utterly demoralize it, and unfit it for the perception of the true nature of surrounding things, (z) Infra, §§ 533-572. (z1) Per Cockburn, C. J., Law Rep., vol. v. p. 549, Q. B. YOL. I.—4 49 § 49] MENTAL UNSOUNDNESS IN ITS LEGAL RELATIONS. [book i. or for the discharge of the common obligations of life, there often are delusions which, though the offspring of mental disease, and so far constituting insanity, yet leave the indi- vidual in all other respects rational, and capable of transacting the ordinary affairs and fulfilling the duties and obligations incidental to the various relations of life. No doubt, when delusions exist which have no foundation in reality, and spring only from a diseased and morbid condition of the mind, to that extent the mind must necessarily be taken to be un- sound, just as the body, if any of its parts or functions is affected by local disease, may be said to be unsound, though all its other mem- bers maybe healthy and their powers or functions unimpaired.” § 49. If we take the last qualification, which is here placed in italics, as conceding the general unsoundness of such a mind, then there is no practical difference between the opinion of Chief Justice Cockburn, on the one side, and those of Lord Brougham, and of all sound modern psychologists, on the other side. But, going back to the beginning of the above extract, if it be the opinion of its able and eminent author, that (1) the senses, (2) the instincts, (3) the affections, (4) the passions, (5) the moral qualities, (6) the will, (7) the perception, (8) the thought, (9) the reason, (10) the imagination, and (11) the memory, are independent and separate portions of the mind, so that one of these may be insane, and yet the indi- vidual may be in all other respects rational, we must reject such a position as not only philosophically incorrect, but as fraught with consequences dangerous to public justice. That such is the case, will be hereafter fully shown.(a) It is enough now to say, that if we suppose a person to have an insane delusion of the “senses” (the first of C. J. Cockburn’s “dis- tinct faculties or functions of mind”), it is hard to conceive how such a delusion can continue to exist, if the other faculties remain in vigor. In fact, all men have, sleeping or waking, such delusions ; and the question of sanity depends, not on the liability of the “senses” to delusion, but on the capacity of the other mental faculties to dispel the delusion. Thus,- for instance, de Boismont tells us, that, at a soiree given by M. (a) Infra, §§ 142, 533-572. 50 BOOK I.J [§ 50 wills; contracts; delusions. Bellart, in Paris, some days before the execution of Marshal Hey, Prince of Moskowa, the usher, having the name of M. Marechal Aine to announce, pronounced it “ M. le Marechal Ney.” “An electric shudder ran through the assembly, and, for my own part, I own that the resemblance to the prince was for a moment as perfect to my eyes as reality.” The delusion was the effect of a highly excited imagination, seizing upon an association of sounds. The dispelling of this delusion was the result of “perception,” “thought,” “reason,” and “ memory,” acting healthily. The delusion could not have continued to exist while these latter functions of mind continued in a healthy state. If it had continued to exist, this would have been a proof that these functions were diseased. Or, to state the proposition generally, no insane delusion can continue to operate, when proper modes have been taken to dispel it, while the reason is unimpaired. The fact that such a delusion continues to operate, under such condi- tions, proves the unsoundness of the reason. § 50. That such, indeed, is C. J. Cockburn’s own conclusion, we gather from the concluding and italicized portions of the extract just quoted; and the apparent conflict of opinion to which we have adverted, may therefore be reconciled when we recollect that as in sanity, so in insanity, there are various gradations, and that sanity and insanity, therefore, have a region in which they melt into each other imperceptibly. To adopt an illustration that Lord Penzance borrows from Mr. Burke, we know what night is, and we know what day is, but it is hard for us to say when either day or night becomes twilight. Hence, just as some sane persons (e.g. in sleep or when acting under compulsion), may be irresponsible, so some insane persons may be responsible, and be legally viewed as such. A person may be of diseased mind, yet may be capable of testi- fying, in cases when such evidence is necessary,(b) in a court of justice; may make contracts, as has just been seen, which, when there is no unfairness, and the party contracted with is without ‘ notice, will be held binding; and may be responsible, though (&) R. v. Hill, 2 Den. C. C. 254 ; Fennel v. Tait, 1 C. M. & R. 584; Spittle v. Walton, 40 L. J. Clian. 308. Infra, § 242. 51 §51] [BOOK I. MENTAL UNSOUNDNESS IN ITS LEGAL RELATIONS. it may be in a diminished grade, for crime.^1) And it is clear that a person of a very low degree of intelligence, even when the mind is debilitated by old age, may make a will which, if not unduly influenced, will be good. Several cases to this effect have been already cited; and such cases, in fact, are relied on by Chief Justice Cockburn for the maintenance of the position that persons of “ unsound mind,” may, under certain circumstances, when they have a disposing memory, and when they have no delusion as to the testamentary subject matter, make a valid will. § 51. If we accept the position just stated—that there may be degrees of mental disease which do not destroy testa- mentary capacity, provided the testator has at the time a de- posing memory, and is not influenced by fraud or imposition— then we not only reconcile the cases which have been cited above, but we avoid a very embarrassing alternative. For, unless we concede that there may be grades in mental disease, and that in the lesser and more qualified grades there may be testamentary capacity, we must, in cases of collateral mono- manias, hold either that the mind is divisible, so that one part may be sane and the other insane, or, as maintained by Lord Brougham and Lord Penzance, that a single such monomania destroys capacity in toto. Let us examine these hypotheses singly. First, that the mind is divisible, so that one part may be sane and the other insane. The psychological error of this hypothe- sis is elsewhere displayed.(e) Its practical absurdities may be here briefly noticed. If it be true, a testator, instead of being one person, is a combination of two, one sane, and another insane. Ilis will, like himself, is divisible. That part which emanates from his insane delusions is void; the part that emanates from his sane judgment is valid. So as to his contracts. Supposing we assume this duality, we have, instead of one obligor, two—the insane part of the obligor, making obligations which are void; the sane part, making obligations which are valid. Or, if we hold that the will or the contract is avoided when the insane elements in the testator’s or (&’) See infra, § 122. (c) See infra, §§ 532-572. 52 book i.] wills; contracts; delusions. [§ 53 obligor’s mind affect such contract or will, we must enter on the still more difficult task of deciding the extent to which such insane elements operate. What tests can we have for such an examination ? Who can undertake to limit the ope- ration of motives admitted to be insane, and therefore inca- pable of rational measurement ? Who can undertake to say that these insane influences at a particular moment, by yielding to a sound judgment, become virtually sane? § 52. On the other hand, if we hold that insane delusions, disconnected with the subject matter of a will, destroy testa- mentary capacity in toto, we are embarrassed with difficulties at least equally great. Many men, whose testamentary capacity it would be monstrous to dispute, have confessed delusions whose sanity it would be equally monstrous to maintain. Thus, Dr. Johnson was confident that he heard his deceased mother’s voice, crying “Samuelnor was this hallucination ever corrected ; and yet no one would maintain that he was incapable of making a will. § 53. Lord Castlereagh, a short time before his suicide, gave a narrative of a supposed apparition, in which he firmly believed, and which exercised a material influence on his life. When in the Irish Parliament, he went to visit a friend at a castle in the north of Ireland. Shown into a dark and vener- able chamber, where there existed every material which would excite a superstitious imagination, having dismissed his valet, he went to bed. Hardly, however, was his candle extinguished, when he became aware of a glimmer of light in his room. Ho fire had been lighted—the curtains were closed—and no explanation affording itself of this phenomenon, he rose from the bed, when, to his surprise, on turning to the point whence the light proceeded, he perceived the figure of a young and beautiful child, with a halo encircling its brow. With perfect confidence in the reality of the object, but believing it had been got up artificially as a joke, he followed it until it nestled in the arch of the great chimney, and at last sunk beneath the fireboard. The next morning he sought in vain for a clue by which the mystery could be dispelled. It was a subject which his host evidently shunned. On putting the question pointedly, however, Lord Castlereagh was informed that it 53 § 53a] MENTAL UNSOUNDNESS IN ITS LEGAL RELATIONS. [book i. was true that such a spectre as that had been reported in former times to have appeared under the title of the “ Radiant Child.” Once again the phantom appeared to the same noble and capable statesman—but no longer, it is said, with a radiant crown. This last appearance was not long before his own self-destruction, and yet, if the exterior alone was considered, when he was at the height of his power and fame. Certainly the spectre can now be easily explained, because a man who is weak enough to commit suicide is not too strong to he haunted in a dream by an apparition of whose traditional reputation he had undoubtedly heard, though the recollection afterwards escaped him. And yet we have here a case of an hallucination so entire as to produce partial insanity on that point, and perhaps to have been a motive power in suicide. Still, it would hardly have been maintained that Lord Castle- reagh, than whom no man of his day exhibited, when in public life, greater coolness or business clearness, was incapable, be- cause of this single delusion, of making a contract or will. §53a. A similar anecdote is related of the late President Lincoln: “It was just after my election in 1860,” so he is re- ported to have said to his Secretary, Mr. John Hay, “ when the news had been coming in thick and fast all day, and there had been a great ‘hurrah boys!’ so that I was well tired out, and went home to rest, throwing myself on a lounge in my chamber. Opposite to where I lay was a bureau, with a swing- ing-glass upon it; and, in looking in that glass, I saw myself reflected nearly at full length ; but my face, I noticed, had two separate and distinct images, the tip of the nose of one being about three inches from the tip of the other. I was a little bothered, perhaps startled, and got up and looked in the glass; but the illusion vanished. On lying down again, I saw it a second time,—plainer, if possible, than before; and then I noticed that one of the faces was a little paler—say five shades—than the other. I got up, and the thing melted away, and in the excitement of the hour I forgot all about it,— nearly, but not quite, for the thing would once in a while come back again: but I never succeeded in bringing the ghost back after that, though I once tried very industriously to show it to my wife, who was worried about it somewhat. She 54 BOOK I.] wills; contracts; delusions. [§ 54 thought it was a ‘ sign’ that I was to he elected to a second term of office, and that the paleness of one of the faces was an omen that I should not see life through the last term.’^c1) Nor was this a single case of morbid cerebral action in the life of this remarkable man. “ lie was,” says his biographer, Mr. Lamon, “ readily impressed with the most absurd super- stitions.” “ lie lived constantly in the serious conviction that he was himself the subject of a special decree, made by some unknown and mysterious power, for which he had no name.” “ He had great faith in the virtues of the ‘ mad stone,’ although he could give no reason for it, and confessed it looked like su- perstition.” Twice was his nervous system so disordered, that it was necessary, according to the same authority, to withdraw him from his business associations, and place him, as had been the case with Lord Chatham, in seclusion.() Ibid. 63 §^1] MENTAL UNSOUNDNESS IN ITS LEGAL RELATIONS. [book i. drunkenness; a less degree of intoxication is not sufficient. It would be otherwise, however, where the payee sues the maker, (z) § 70. “ The doctrine,” says Mr. Browne (1871), in his work on the Medical Jurisprudence of Insanity,(y) “ that a person who has contracted, even by deed, whilst intoxicated to the extent of being no longer under the guidance of reason, and of being incapable of judging of the consequences of his act, may successfully dispute his liability in respect of such a trans- action, is establislied.(z) So, by the law of Scotland, drunken- ness will be a ground for setting aside a marriage entered into by a party in a state of intoxication.(u) There has been a distinction drawn between express and implied contracts in so far as the capacity to contract during a period of intoxication is concerned. When the right of action, it has been said, is founded upon a specific distinct contract requiring the assent of both parties, and one is so drunk as not to be able to assent, there can be no binding contract, but in many cases the law does not require an actual agreement between the parties, but implies a contract from the circumstances; in fact, the law itself makes the contract for the parties. Thus, in actions for money had and received to the plaintiff’s use, or money paid by him to the defendant’s use, the action may lie against the defendant even though he may have protested against such a contract.” So a tradesman who supplies a drunken man with necessa- ries is entitled to recover the price of them if they are re- tained by the party after the intoxication has passed away. It is to be remembered that there is a strong presumption of fraud in the case where a person has taken an obligation from an individual intoxicated, at the time known by the contrac- tors to be so.(6) (%) Caulkins v. Fry, 35 Conn. 170 ; supra, § 65. (y) P. 257. (s) Gore v. Gibson, 13 M. & W. 625; per Sir W. Grant, M. R. Cooke v. Clayworth, 18 Yes. 15, 16, followed by Sir E. Sugden in Nagle v. Baylor, 3 Dr. & W. 64 and 65 ; Shaw v. Tliackray, ut supra. (a) Ersliine’s Principles, Smith’s edition, p. 109 ; Johnstone, 2 S. 495. (b) Levy v. Baker, Moo. & M. 106 n., per Parke, B., 13 M. & W. 126. See Sentance v. Poole, 3 Car. & P. 1. See also Story, §§ 230, 231, 233. 64 BOOK I.] wills; intoxication. [§ 72 § 71. In actions, however, for torts (i. e., cases where the gist is personal injury), drunkenness is no defence to the merits. Thus, if a man is sued for injury to my property or person, it is no defence that he was drunk at the time, for the policy of the law is both to redress such wrongs and to discountenance intoxication.(c) And the plaintiff may even introduce the fact of drunkenness as an aggravating item, when the question is whether proper care was used in avoiding an accident. Thus, in a suit for injury to the plaintiff by running a sleigh against him, a very eminent American judge, Gibson, C. J., said, “The evidence of intoxication ought to have been re- ceived, not because the legal consequences of a drunken man’s acts are different from those of a sober man’s acts, but because, where the evidence of negligence is nearly balanced, the fact of drunkenness might turn the scale, inasmuch as a man par- tially bereft of his faculties would be less observant than if he were sober, and less regardful of the safety of others. For this purpose, but certainly not to inflame the damages, the evidence ought to have been admitted.”() Winslow on Medico-Legal Evidence in Cases of Insanity, 129, 130. 89 §104] [book i. MENTAL UNSOUNDNESS AS TO WILLS AND CONTRACTS. ease, or want of intellect from nativity, are by no means the only tests. The protection of property is one, if not the main object of the statute; it is practical, that the test of liability to a commission, should depend greatly on that unsoundness of mind which discloses incompetency to its management, and the care and protection of it in a rational manner; and this is the rule in England.” lie then cited English authori- ties to sustain him, and said: “ The learned judge fell into an error, by following the lead of Beaumont’s case, 1 Wharton, 52, which seems mainly to have rested on Barnsley’s case, 3 Atk. 168, which we have seen Lord Eldon refused to follow in Bidgway v. Darwin.”^) The judgment was reversed. § 104. A petition for a commission de lunatico inquirendo wras presented by the son of Sarah Collins, in 1867, to the Chancellor of Hew Jersey, applying for a commission to take charge of his mother’s person and estate. She was in the hundredth year of her age, her hearing was somewhat im- paired, and her sight very much so. The weight of the me- dical testimony, however, was in favor of her soundness of mind. The court held that there was no presumption against her soundness from her extreme age. “ She may,” says the Chancellor, “ be so weak and infirm as to be easily influenced, or imposed upon, which would be a reason for setting aside any instruments or transactions executed under the effect of such influence, but this does not amount to unsoundness such as to take from her the control of herself and her property. ”(/*) § 104<2. In a case which attracted much popular attention at the time,(s) Chief Baron Pollock declared, that “ no person ought to be confined in a lunatic asylum unless dangerous to himself and others.” This dictum, which certainly is inconsis- tent with the necessities of medical practice, has been combated, and with great ability, by very eminent psychological author- and has not been followed by the current of American (?) Commonwealth v. Schneider, 59 Penn. 328. (r) Collins in re, 3 Green, N. J. Ch. 253. See ante, § 87. (s) Nottridge v. Ripley, before Chief Baron Pollock, sitting at Nisi Prius, June, 1849, reported in full in Journ. of Psyc. Med. vol. ii. p. 630. (0 See a remonstrance with the Lord Chief Baron, touching the case of 90 BOOK I.] COMMISSIONS OF LUNACY. [§ 105 judicial opinion. There are necessarily cases when the safety of property and the health of the patient himself, require con- finement in an asylum, though there be no danger of violence to himself and others, and it is not likely that the existence of such cases will be again judicially questioned. Whether the confinement, in any particular case, was proper or not, will be for the court and jury, if an action of false imprisonment be brought, to determine specially. And the law in such a case undoubtedly is, that confinement is justifiable, if either the safety of the patient or others require it, or it is necessary for his restoration to health.(u) But the general practice is, not to direct, even under a find- ing of lunacy, the confinement of the lunatic, except such con- finement be required by public peace and morals, or the interest of the patient.(id) § 105. In respect to drunkenness, the law is, that, while occa- sional acts of intoxication will not justify a finding of “ habi- tual” drunkenness, yet, on the other hand, it is not necessary for such a finding that the party should be constantly in an intoxicated state. Thus, in Pennsylvania, Knox, P. J., in put- ting the case upon a traverse to the jury, said: “ Keither was it necessary to make out the case that a person should be constantly in an intoxicated state, that a man might be an habitual drunk- ard, and yet be sober at times for days and weeks together. That the question was, had the traverser a fixed habit of drunken- ness? Was he habituated to intoxication whenever the oppor- tunity offered? The question is one of fact for the jury to find, but the court has no hesitation in saying, that the man who is intoxicated or drunk the one-half of his time, should be pro- nounced an habitual drunkard.” And, in the Supreme Court, Rogers, J., said: “ To constitute an habitual drunkard, it is not necessary that a man should be always drunk. It is im- Nottringe v. Ripley, by John Conolly, M.D., 1849. A letter to the Lord Chancellor on the defect of the law regulating the custody of lunatics, by Charles Curten Cooper, London, 1849. Psychological Review, vol. ii. p. 564; ib. vol. iii. p. 14. A letter to the Right Hon. Lord Ashley, M. P., relative to the case of Nottridge v. Ripley, Dundee, 1849. (m) Hinchman v. Ritchie, Brightly R. 143. (w1) Com. v. Kirkbride, 2 Brewster, 400. 91 §105] MENTAL UNSOUNDNESS AS TO WILLS AND CONTRACTS. [BOOK I. possible to lay down any fixed rule as to when a man shall be deemed an habitual drunkard. It must depend upon the de- cision of the jury under the direction of the court. It may, however, be safely said, that to bring a man within the mean- ing of the act, it is not necessary that he should always be drunk. Occasional acts of drunkenness, as the judge says, do not make one an habitual drunkard. Hor is it necessary he should be continually in an intoxicated state. A man may be an habitual drunkard, and yet be sober for days and weeks together. The only rule is, has he a fixed habit of drunken- ness? Was he habituated to intemperance whenever the op- portunity offered? We agree that a man who is intoxicated or drunk one-half his time is an habitual drunkard, and should be pronounced such. We also concur with the court, that, if the jury found the traverser to have been at the date of the inquisition an habitual drunkard, it was necessary to decide whether he was capable or incapable of managing his estate. His incapacity in that event is a conclusion of law. It is not necessary to say, it is a presumptio juris et dejure; but, at least, it throws the burden of proof of capacity on the traversers. Indeed, it may be well doubted, whether his management or mismanagement of his estate is a matter of inquiry. It is very certain, under the act of the 13tli of June, 1836, proceed- ings may be instituted against an habitual drunkard who has no estate. Hut this cannot be if the mismanagement of it be necessary. It is well said, that there must be an evidence of squandering property, to support a proceeding to declare an individual an habitual drunkard, else the object of the act in many cases would be defeated. For it is precautionary in its design, and hence a disposition of mind or body which might lead to the wasting of an estate, is sufficient to justify the en- forcement of its provisions.(v) It is indeed impossible that a man can be an habitual drunkard without waste or misma- nagement, as the very act of drunkenness is itself waste. In this case, even if required, the evidence was full and plenary to this point.'”(w) So, also, has it been held in Vermont, that an habitual O) Sill V. McNight, 7 W. & Ser. 245. (w>) Ludwick v. Com. 6 Harris, 173. 92 BOOK i.] COMMISSIONS OF LUNACY. [§ 106 drunkard “ is one who is in the habit of getting drunk, or one who commonly or frequently gets drunk,” not that he is con- stantly or universally drunk.(x) § 106. An order was made on 23d Nov. 1861, in the English Chancery, for a commission in the case of William Frederick Windham, of Eelbrigg Hall, Norfolk. The petitioner’s case was imbecility and a consequent inability on the part of the respondent to manage his own estate. It appeared that he was sent in his boyhood to Eton ; but that while in that school his conduct was so unique and extravagant as to lead to the belief that he was at that time deranged. As he became older, these peculiarities became more marked. lie was extravagant and absurd in his purchases; he incurred enormous debts; he was guilty at public places of gross indecency which the presence of ladies did not restrain; his associates were among the un- educated and the profligate; and three weeks after he came of age he married a woman of disreputable character, knowing that up to the night before the marriage she had cohabited with one of his associates as the latter’s mistress. Although his income at this time was not more than £1580, he presented her, shortly after his marriage, with jewelry valued between £12,000 and £14,000, and settled on her absolutely £800 per annum. Although, after her marriage, she cohabited, to his knowledge, with another man, he condoned this act, con- tinuing to live with her. His habits were devoid of cleanli- ness ; and he sometimes displayed utter callousness. Unfor- tunately, when the question came to he tried, there was the usual conflict of opinion among the experts. Dr. Forbes Wins- low and Dr. Mayo, it is true, whom the court appointed me- dical examiners, and Dr. Bright, who was associated with them as assessor, united in the emphatic opinion that the respon- dent was in a state of mental imbecility, and was incapable of managing his own affairs. Dr. Southey, who was appointed subsequently by the Lord Justices as an additional examiner, came to the same result. On the other hand, Dr. Tuke, Dr. Sutherland, Dr. Hood, Dr. Seymour, and Dr. Conolly, testified that, in their opinion, Mr. Windham was sane and of sound (x) State v. Pratt, 34 Vt. 223. 93 § 106] MENTAL UNSOUNDNESS AS TO WILLS AND CONTRACTS. [BOOK I. business capacity; and Dr. Tuke, in particular, sustained this position on the ground (1) of Mr. Windham’s remarkable powers of observation, and (2) of the skill with which he had conducted his defence. Mr. Warren, master in chancery, charged the jury that “ the question to be decided was not whether Mr. Windham was absolutely insane, but whether there was such imbecility of mind, not amounting to insanity, as to render him liable to be robbed by any one. The broad question was whether he was of sufficiently sound mind to be intrusted with the management of himself and his affairs. Mere weakness of character, mere liability to impulse, good or bad, mere imprudence, recklessness, and eccentricity did not constitute unsoundness of mind, unless, in looking fairly at the whole of the evidence, there was good reason to refer them to a morbid condition of intellect. They might furnish evi- dence of unsoundness, but they did not constitute it.” The jury, by a majority of 15 to 8, returned as a verdict that “Mr. Windham is of sound mind and capable of taking care of him- self and his affairs.” “After the verdict was returned,” says Dr. Taylor,(?/) “ he was guilty of many extravagant acts, ex- hausted a splendid fortune and became a bankrupt; showing that, whatever legal soundness of mind he might possess in the opinion of two-thirds of the jury, he practically did not evince that capacity which they declared him to possess in taking care of himself or his affairs.” But Dr. Taylor, in citing bankruptcy, and even waste, as evidence of want of business capacity, mistakes the purport of laws instituting commissions of lunacy. They are not designed to place men, who are simply extravagant or reckless, in the hands of a committee, for, if so, all business would be at a standstill, and half the estates of the country would in a few years be placed in chancery. The question for such commission simply is, Is the respondent incapable from mental unsoundness of managing his own affairs? If capable, he must be allowed to contribute his own energies and means to that volume of public wealth whose ebb and flow are essential to the economical activity of (y) Taylor’s Med. Jur., Penrose’s ed. p. 665. A case, corresponding in many respects Avitli the above, is that of Winter, reported in 26 Am. Journal of Ins. 47. 94 BOOK I.] WIIAT AVOIDS RESPONSIBILITY FOR CRIME. [§ 108 the State. lie must take his chance, and learn, if he can, from the discipline of life, that wisdom which, perhaps, he may not at first display. “ Mere extravagance or follies,” as declared by Lord Chelmsford when commenting on this case in the House of Lords, “ are not therefore sufficient, unless the imbe- cility amounted to unsoundness of mind.” § 107. Persons of “unsound mind, incompetent to take pru- dent care of themselves, are entitled to the protection of courts of equity as much as technical idiots and lunatics. ”(z) C. ’What avoids responsibility for crime.(<2) § 108. Two preliminary questions meet us as we enter on the discussion of criminal responsibility. The first is, whe- (s) Nailor v. Nailor, 4 Dana (Ky.), 389 ; Shaw v. Dixon, 6 Bush. (Ky.) 644. («) The consideration to be given to this species of defence was thus justly and humanely stated by Parker, C. J., of New Hampshire, in a charge to the grand jury: “The public papers, in giving reports of trials, often say, ‘the defence was, as usual, insanity,’ or make use of some other expression, indicating that this species of defence is resorted to, in desperation, for the purpose of aiding in the escape of criminals. Such opinions are propagated, in many instances, by those whose feelings are too much enlisted, or whose ignorance respecting the subject is too great, to permit them to form a dispas- sionate and intelligent judgment ; and they have a very pernicious tendency, inasmuch as they excite the public mind, and the unfortunate individual who is really entitled to the benefit of such defence is thereby sometimes deprived of a fair trial. They tend to make the defence of insanity odious, to create an impression against its truth in the outset, and thus to bias the mind of the jury against the prisoner, and to induce them to give little heed to the evi- dence, in the very cases where the greatest care and attention and impar- tiality are necessary for the development of truth and the attainment of justice. “We all concur in the doctrine of the law, that, for acts committed during a period of insanity, and induced by it, the party is not responsible ; that, when the criminal mind is wanting—when, instead of being guided by the reason which God bestowed, the individual is excited and led on by insane fury and impulse, or by the aberrations of a wandering intellect, or a morbid and diseased imagination, or a false and distorted vision and perception of things—punishment should not follow the act as for an offence committed ; that, when the faculty of distinguishing between right and wrong is wanting, the individual ought not to be held as a moral and accountable agent. As well, nay, much better, might we, as was formerly done in France, institute prose- cutions against the brute creation for offences committed by them, and hang a beast for homicide, than to prosecute and condemn a human being who is deprived of his reason ; for in such case there is no hope of restoration to a 95 96 MENTAL UNSOUNDNESS AS TO CRIMES. [book i. ther the definition of “ insanity” is for the court or for the jury, and was mooted in 1870 and 1871 in two able judg- ments of the Supreme Court of New Hampshire. In the first of these cases,(b) the defence was “ dipsomaniaand the court trying the case (Perley, C. J. and Doe, J.) instructed the jury that, “whether there was such a mental disease as dipso- mania, and whether the killing of Drown (the deceased) was the product of such disease, were questions of fact for the jury.”(c) In a subsequent trial for murder in killing the de- fendant’s wife, where the defence was an insane delusion that the wife had been guilty of adultery, the court (Doe, J.) charged the jury, that, if the defendant killed his wife in a right mind, and a reinstating of a fellow-citizen, who has been once lost to the community, in the rights and affections of humanity. But if we imbibe the idea that instances of insanity are very rare—that derangement exists only when it manifests itself by incoherent language and unrestrained fury— that the defence, when offered, is probably the last resort of an untiring advo- cate, who, convinced that no real defence can avail, will not hesitate to palm off a pretended derangement to procure the escape of his client from merited punishment—if in this way we steel our hearts against all conviction, it is of little avail that we agree to the abstract proposition, that insanity does in fact furnish a sufficient defence against an accusation for crime. “ There are undoubtedly instances where this defence is attempted from the mere conviction that nothing else will avail—cases where the advocate forgets the high duty to which he is called, and excites a prejudice against the case of others, by attempting to procure the escape of a criminal under this pre- tence ; but such are truly rare, and usually unsuccessful.” “Lawyers and physicians,” says Mr. Stephen, in his treatise on Criminal Law (London, 1863, p. 87), “mean two different things by the word ‘mad- ness.’ A lawyer means conduct of a certain character. A physician means a certain disease, one of the effects of which is to produce such conduct. If the pathological character of madness could be accurately ascertained, the difference would be perfectly clear. Suppose, for example, it were shown to consist in obscure inflammation of the brain. It would obviously be mon- strous to set aside a perfectly reasonable will, made with every circumstance of deliberation and reflection, because, after the testator’s death, it was proved, by dissection, that, at the time of executing the will, he had obscure inflam- mation of the brain; yet this would be demonstrative proof that in the medi- cal sense of the word he was mad.” But would it ? Certainly, unless there be proof of insane conduct, no amount of cerebral disorder or hereditary in- sane antecedents has been held, by intelligent medical experts, to raise even the presumption of insanity. (6) State v. Pike, 49 N. H. 399. (c) See this case examined at large, infra, §§ 190, 191. 96 BOOK I.] WHAT AVOIDS RESPONSIBILITY FOR CRIME. [§ 109 manner that would he criminal and unlawful if the defendant were sane, the verdict should be not guilty by reason of insanity, if the killing was the offspring or product of mental disease in the defendant. Neither delusion nor knowledge of right and wrong, nor design or cunning in planning and exe- cuting the killing and escaping or avoiding detection, nor ability to recognize acquaintances, or to labor, or transact business, or manage affairs, is as matter of law a test of mental disease; but all symptoms and all tests of mental disease are purely matters of fact to be determined by the jury. “ Whether the defendant had a mental disease, and whether the killing of his wife was the product of such disease, are questions of fact for the jury” “ Insanity is mental disease—a disease of the mind. An act produced by mental disease is not crime. If the defendant had a mental disease which irresistibly impelled him to kill his wife—if the killing was the product of mental disease in him—he is not guilty. If the defendant had an insane impulse to kill his wife, and could have successfully resisted it, he was responsible. Whether every insane impulse is always irresistible, is a question of fact. “Whether in this case the defendant had an insane impulse to kill his wife, and whether he could resist it, are questions of fact. Whether an act may be produced by partial insanity when no connection can he discovered between the act and the disease, is a question of fact. The defendant is to be acquitted on the ground of insanity, unless the jury are satisfied beyond a reasonable doubt that the killing was not produced by mental disease.” It was held by the Supreme Court in error that these instructions were correct.^1) § 109. If the rule be that “mental disease” is exclusively a question of fact for a jury, and if it be also exclusively a question of fact for the jury to determine whether the act complained of was the product of mental disease, then any further examination of the question as a matter of law is unnecessary. All that is required is to use the words in ques- tion in a charge to the jury, and the matter, so far as concerns (c1) MS. Rep.; and see Stevens ®. State, 31 Ind. 485 ; and article in 4 Am. Law Review, 530 ; see infra, § 191, note z. VOL. I.—7 97 § HO] [book i. COURTS TO DETERMINE THE LAW. the court, is closed. It is now submitted, however, that, able and learned as are the judges who have maintained this view, it cannot be sustained on reasons either psychological or judi- cial. That it cannot be sustained on authority, these learned judges themselves concede. § 110. The proposition before us, then, is that the entire question of responsibility is to be left to the jury, with the instruction that if the act was the product of “ mental disease” they are to acquit. But what is “mental disease?” And here we encounter the first obstacle to this method of solving this vexed and yet most important question. “Mental disease,” in fact, is a term so indeterminate and vague, that to leave the question to the jury with the instructions here criticized, is to leave it to them without any instructions at all. Mental, like physical disease, ranges from slight indisposition or disorder, on the one side, to the comatose state immediately preceding dissolution, on the other. There is no phase of ennui or of misanthropy, no tinge of jealousy or avarice however faint, no corrosion of remorse however just, that has not received this title. States of mind eminently responsible—those which the most latitudinarian ethics would pronounce as peculiarly the subjects for the discipline and penalties of the law—have, as was the case with Lady Macbeth, been invested with the title as readily as those where responsibility is confessedly gone.() State v. Brandon, 8 Jones, 463. See also infra, § 170. (w) See infra, § 710. 146 BOOK I.] IRRESISTIBLE IMPULSE. [§ 162 tends to prove that he was sane when he did it. On the con- trary, if he had been insane a short time before the act, this tends to prove that he was insane when he did it. This pre- sumption is often applied to the making of wills and deeds. It applies with equal force to the taking of another’s life. Another similar rule is, that, if a man is sane just after having done an act, it tends to prove that he was sane when he did it; but, if he was insane just after, it tends to prove that he was insane when he did it. You can judge practically how strong these presumptions of evidence are. You are to apply them to the present case. “ Up to within a few moments of Holmes’s death, had the prisoner been insane ? Had he ever been insane ? or had he been insane within a short period ? If he had never been insane, or if he had not been insane for some time previous, that would have a tendency to show that he was not insane when he committed the act. From a few moments after the act has he been insane? If he has been sane from a few moments after the act, it tends to show that he was sane when he did it. If he has been insane since, it tends to show that he might have been insane when he did it. “ There is evidence on this subject as to his appearance some two years ago, when Frank Robbins, his relative, died; also as to his appearance at Hew Market. And some other facts are alluded to by his counsel. You heard them in evidence. I do not propose to recapitulate the evidence on this sub- ject. Both the experts say that these various circumstances fprnished no proof of insanity. There is also evidence that the prisoner had frequent headaches; but it hardly needs an expert to testify as to them. So many of us suffer intense pain from them during the best years of our lives, that no one will infer insanity from them alone. The jury will judge of the strength of the proof as to the prisoner’s sanity when he killed Holmes, arising from the testimony as to his being sane before and afterwards, the proof coming so near to the time of killing. If he was calm as well as rational immediately before and immediately after, it will tend to show how far he was calm and rational then. And in this connection the question, whether the prisoner had any motive to do the act 147 § 162] INSANITY AS A CRIMINAL DEFENCE. [book i. which could possibly influence a sane man, is a question to be taken into consideration. You will also consider the instru- ment which he used, and all the circumstances of the act of killing. The prisoner is himself a witness, and testifies as to his state of mind when he did the act. We learn from him all the facts we know in regard to his insanity at the time. The description of it comes from him alone. “ There are two things to be inquired into on this point. In the first place, assuming his statement to be true, does it prove that bodily disease had suddenly attacked him, and that he acted under that influence, or that he acted under the influ- ence of passion, and thus became blind and furious? If it was the latter it was not insanity, and he must seek for an excuse on other grounds, which I shall speak of hereafter. On this point the opinion of the two experts is given. Dr. Jarvis says the facts indicated a maniacal paroxysm. Again, he says, not regarding the prisoner’s statement as true, the facts tend to raise a suspicion of insanity. He says the act of kill- ing, of itself, is no evidence of insanity. Few men would pre- tend that the mere act of killing another is, of itself, evidence of insanity. It would give to crime perfect impunity if the commission of crime were to be regarded as an evidence of insanity. I believe there are some philosophers who pretend to think it is so; but they lay aside common sense, and would deprive the community of all protection against criminals. It is proper also to say, that, if a homicide is committed with cir- cumstances of cruelty and atrocity, that cruelty and atrocity, of itself, does not tend to prove insanity. The statute treats such circumstances as aggravations of the crime, and not as proof of insanity. If they were of themselves regarded as evi- dence of insanity, it would furnish an inducement to every murderer to act with as much cruelty as possible, in order to furnish proof that he was insane, and excuse himself on that ground. But if the act is done without any assignable motive, you look more readily to insanity as the cause, than if a strong motive were proved. “I have spoken of the opinion of Dr. Jarvis that there might have been a sudden attack of insanity that came on without any premonition, led to the murder, and departed as soon as 148 BOOK I.] [§ 164 MORAL INSANITY. the murder was committed, leaving no trace behind. The opinion of Dr. Choate is the contrary. He regards such a kind of insanity as unheard of and impossible. As insanity arises from bodily disease, he thinks it could not come on so sud- denly, rage so violently, and then totally disappear. You are to judge of these opinions. The opinions of experts are mere evidence for the j ury to consider in connection with other evi- dence. The responsibility is, after all, on you to say whether the prisoner is, or is not, guilty by reason of insanity. I think the opinions of experts are not so highly regarded now as they formerly were, for, while they often afford great aid in deter- mining facts, it often happens that experts can be found to testify to any theory, however absurd. The experts before you are gentlemen of learning, and you must judge between them.”^1) An interesting case of alleged mania-transitoria, with the opinion of Dr. Caspar, will be hereafter reported at large.(i«2) § 163. (d1) “Moral Insanity” {i.e. a supposed insanity of the MORAL SYSTEM CLAIMED TO COEXIST WITH MENTAL SANITY) IS NO DEFENCE. [For several important medico-juridical opinions in cases of alleged “moral insanity,” see Appendix, §§ 834, 838, 843, 848.] At the outset it must he remembered that “moral insanity,” as above defined, is to be distinguished (1) from insane irre- sistible impulse, (2) from transitory mania, and (3) from occult insanity, with each of which it is sometimes confounded. Hereafter it will be shown(x) that moral insanity, viewed in this sense, has, psychologically, no existence.^1) It will also be shown that “ motivelessness” is no necessary proof of insanity. At present it will be proved that moral insanity is not, by the Anglo-American law, recognized as a defence to an indictment for crime. § 164. Moral insanity, viewing the term in the sense which (w1) See Review of this case by Dr. Jarvis, in 26 Am. J. Ins. 369 ; and infra, §§ 710-722. (w2) Infra, Appendix, § 840. (®) Infra, §§ 531-678. (x') Infra, §§ 401-404. 149 § 165J [book i. INSANITY AS A CRIMINAL DEFENCE. is given above, has been, whenever it has been suggested as a defence, repudiated by the English courts.(y) Recently (1868-1872) it has been the subject of renewed discussion, in three remarkable trials. § 165. The first in order of time is that of Townley in 1868. He was shown, on the trial before Baron Martin, to have belonged to a family in which positive insanity existed; it was proved by medical witnesses that he stated to them that he did not think he had committed any crime, though it must be remembered that this is what was said by Burr after the death of Hamilton, and what would be said by any one acting on the “law of honor,” or any other pretended higher law; and it was shown that the reason on which he relied for this notion was, that, the lady whom he killed having been en- gaged to him, she was his property, and that, for what he called virtual adultery, he was, by the law of honor, entitled to punish her by death. It was also testified by Hr. Forbes Winslow, that he found it impossible to impress the defendant with a sense of the seriousness of the issue. But Baron Martin charged the jury, that, in point of law, these facts did did not constitute a defence. “ If,” said he, “ his (the defend- ant’s) real motive was, that he conceived himself to have been ill used, and, either from jealousy of the man who was'preferred to him, or from a desire of revenge upon him, committed the act, that would be murder. These were the very passions which the law required men to control; and, if the deed was done under the influence of these passions, there was no doubt that it was murder.” The cautiousness with which this is stated cannot escape observation. The judge does not say that the defendant was to be convicted though he did the act under an insane delusion that to do so was, by some supposed higher law, right. It is simply declared that to kill under influence of jealousy or revenge is murder. It is proper to add that the defendant was convicted, and sentenced for life to penal servi- tude ; during which he committed suicide.(^) (y) R. v. Oxford, 9 C. & P. 533 ; R. v. Goode, 7 Ad. & El. 536 ; R. «. Barton, 3 Cox, C.C. 275 ; R. v. Higginson, 1 C. & Iv. 129 ; R. v. Layton, 4 Cox, C.C. 149. (2) See R. v. Townley, 3 F. & F. 839 ; supra, § 127. Shortly after Town- ley’s case, on a trial for murder, before Erie, J., the defence relied on evi- 150 BOOK I.] MORAL INSANITY. [§ 167 § 166. The Rev. J. Selby "Watson, a clergyman of over seventy years, was tried in London, in January, 1872, for the murder of his wife. It appeared in evidence that for years he had been suffering under her petulance and violence ; and it was made probable that the act was done in a condition of frenzied rage. The defence was insanity, lashed into fury by provocations which had become unendurable. Mr. Justice Byles, in his charge to the jury, said, according to the report in the Times of January 13th, 1872, “that the real and only question * * was this, Was the prisoner at the time he com- mitted the act legally responsible for it, and was he a respon- sible agent ? That depended upon a question on which the counsel also agreed, Did he at the time he committed this act know what he was doing? If not, of course he was not crimi- nally responsible. Did he also know that what he was doing was wrong? He was perfectly aware that doubts on the uni- versal applicability of this rule had been expressed by many eminent persons for whose opinion he had the greatest respect. But if it was to be altered at all, it must be altered by act of parliament.” The defendant was convicted and sentenced to be hung, with a recommendation to mercy; and the sentence was commuted to imprisonment for life. § 167. Christiana Edmunds was tried in January, 1872, at London, before Baron Martin, for the murder of a little boy, named Barker, on the 12th of the preceding June. The uncle of the boy had on that day bought some chocolate cream drops from a respectable confectioner named Maynard. Of these the boy ate several, and died a few hours afterwards. At a post-mortem, strychnine enough was found in his stomach to have killed an adult. Shortly afterwards evidence trans- pired which connected the prisoner with the poisoning. It dence showing a great amount of senseless extravagance and absurd eccen- tricity of conduct, coupled with liabits of excessive intemperance, causing fits of delirium tremens, the prisoner, however, not having been laboring- under the effects of such a fit at the time of the act, and the circumstances showing sense and deliberation, and a perfect understanding of the nature of the act: it was held, that the evidence was not sufficient to support the defence, as it rather tended to show wilful excesses and extreme folly than mental incapacity. R. v. Leigh, 4 F. & F. 915. See also R. v. Southey, 4 F. & F. 864; and also an interesting review in 23 Am. Jour, of Insanity, 387. 151 § 168] INSANITY AS A CRIMINAL DEFENCE. [book i. appeared that between March and June she obtained from a chemist at Brighton, on various pleas, and once on a false name, a considerable quantity of strychnine. Towards the end of May, she sent a boy whom she met in the street to buy some chocolate-drops for her, at Mr. Maynard’s. When he returned with them, she said they were too large, and she sent him back to exchange them for others which were smaller. This was done ; and the case of the prosecution was, that in this way she introduced into the shop the poisoned sweets by which young Barker had been killed. It further appeared that she had frequently sent little boys on a similar errand; that she had left parcels of sweets in other shops; and that children who had eaten out of these parcels had been taken sick with symptoms not unlike those produced by strychnine. It was shown, also, by way of motive, that she had become attached to a Dr. Beard; that she had given Mrs. Beard a chocolate-cream which had caused the latter much sickness; that, to divert suspicion from herself of intentional poisoning, she had sought to throw the charge on Mr. Maynard ; that, to do so, she had, in the way specified, introduced poisoned candy into his store; and that, to clinch the matter, she gave evi- dence, on the inquest that followed the death of young Barker, that she had herself bought poisonous candy at Mr. Maynard’s shop. She was also shown to have written anonymous letters to the father of Barker, urging him to prosecute Mr. Maynard; and she took an active part in that prosecution herself. § 168. Insanity was the defence, and it was proved that the prisoner’s father was, at the age she had reached on the trial, a maniac, and that he died in an asylum ; that her brother was from childhood an epileptic idiot; that her sister labored under chronic hysteria, and had attempted suicide; that her mother’s father died at 43 in an imbecile state from paralysis; and that she herself, eighteen years before, had suffered from partial paralysis and hysteria. Dr. Wood, physician to St. Luke’s Hospital, stated that he visited the prisoner about ten days before the trial, in connection with Hr. Maudsley and others. He was struck with her indifference to her position ; he thought her quite incapable of estimating it; and he believed her “incapable of judging between right and wrong 152 BOOK I.] MORAL INSANITY. [§ 169 in the same sense that other people would.” Dr. Robertson testified that he thought “her intellect quite clear and free from any delusion, but that her moral sense was deficient, as in the descendants of insane parents.” Dr. Maudsley con- curred generally with Dr. Robertson, but he went on to say, in his cross-examination, that “every body who committed crime exhibited some want of moral feeling.” § 169. Baron Martin, in his charge,(a) said, in respect to insanity, the question “ was a difficult one. A poor person, he remarked by the way, was seldom inflicted with insanity, and it was common to raise a defence of that kind when people of means were charged with the commission of crime. He had heard a doctor say that all mankind were mad more or less, but that had little to do with the case under consideration. The state of mind which excused crime was well fixed in our law. There were many diseases to which the mind was liable as well as the body. There was the idiot, who was born without any mind whatever. Again, there was the man who was raging mad, and, if he had what was called a homicidal tendency, he would have no more criminal responsibility than a tiger. But the most numerous cases of that kind were of persons said to be subject to delusions. They were persons who believed in a state of things which did not exist, and acted on that state of things.” After giving the answers of the judges in McNaughten’s case, he said, “If the jury in this case should think that the prisoner did not know right from wrong at the time she committed the crime with which she is charged, if she did commit it, they must acquit her.” The scope of the charge is, that, if the defendant was under a delu- sion which made the poisoning seem right to her, she was entitled to an acquittal on the ground of insanity. If not, she should be convicted. It is difficult to see what sound objections can be made to this view of the law. If the fact that a person has descended from insane ancestors, or has years back shown symptoms of insanity, is a bar to an indictment for crime, then persons who have been so affected will become a class who can murder, or burn, or rob with impunity, and whom (a) See report in the Times, of January 17, 1872. 153 §170] [book i. INSANITY AS A CRIMINAL DEFENCE. society, as it cannot punish, will be obliged to sequestrate by a process which will bear far more harshly on them than would the penal amenability which would be otherwise im- posed. The act for which the prisoner was tried was marked by much premeditation, and was executed with great intelli- gence ; and there was no proof at the trial either of any insane delusion on her part, or of such a condition of mind and will as deprived her of ability to resist the impulse to the fatal deed. Dr. Robertson came nearest to a positive statement; but he limited himself to saying, that, while the prisoner’s intellect was good, her moral sense was deficient, and that her act was “on the border-land between crime and insanity.” Even, therefore, supposing that the law recognized such a de- fence as irresistible homicidal impulse, it is difficult to see how this defence could have been sustained on such feeble asseve- rations as these, in the face of direct proof that the prisoner was fully capable of so moulding her “impulse,” not only as to make it subservient to a very important purpose of her own, but to let it out when it was likely to be undetected, and to restrain it when to indulge in it would bring exposure. She was under the dominion, so far as the testimony went, of no such unrestrainable rage for poisoning as would force her to lay her poison in the public streets, whenever the poison was in her hands, and persons to be poisoned before her face. She poisoned when she could do so with impunity ; she controlled herself when she could not. § 170. Such is the case as it appeared on the trial. But, so slight were the opportunities of examination which had been secured by the experts who testified for the defence, and so consequently imperfect was their testimony, and so earnest were the appeals made for a reconsideration of the question on the grounds of additional testimony as to insanity having been secured, that Baron Martin united in recommending a recon- sideration of the question by the Home Secretary.(6) Addi- (&) The Lancet took strong ground against the verdict. It went so far as to make the following extraordinary statement:— “ If there be one thing certainly proved in mental medicine, it is this, that for any woman belonging to a family which (like that of the Edmunds’s) was a prey to insanity and other nervous diseases, and living an involuntarily 154 BOOK I.] MORAL INSANITY. [§ 170 tional medical testimony was then taken, and it was under- stood that Sir W. Gull, and Dr. Orange, superintendent at single life while struggling with hysteria and suppressed sexual feeling, it would be almost impossible to go on to the critical age of forty-three without actual derangement of mind. That her crime had a motive, and that her conduct was directed writh an infernal cunning towards her end, is not in the least inconsistent with the worst forms of madness. We do not hesitate to say that had Christiana Edmunds been hanged, a judicial murder would have been committed.” Dr. Forbes Winslow added his high authority to the opinion of Dr. Eobertson. See also Eeview of these communications in London Spectator of Feb. 8,1872. The following are part of the comments of the Saturday Revieio :— “ It must be admitted that public opinion influences the administration of criminal justice in this country, and public opinion is liable to fluctuations. Some years ago corporeal punishment was in extreme disfavor, whereas now people apparently like their newspaper to inform them how a garroter looked during his flogging, and it is frequently suggested that other offences besides robbery with violence might be usefully visited with the lash. Garroting indeed went on until nobody was safe in the streets after dark, and it was felt that the civilization and humanity of the age must submit to the unpleas- ant necessity of reviving a punishment which had been regarded as only suit- able to a period of ignorance and barbarism. * * Suppose that Townley had been acquitted on the ground of insanity, and that, as is only too prob- able, that form of insanity had become common, there would soon have been a general concurrence of opinion that hanging was the only effectual cure for it. * * Mr. Baron Martin, in that case, told the jury that, if Townley knew that tbe act which he committed was contrary to the law of God and punishable by the law of the land, he was guilty of murder. This, indeed, is all that an English judge can say of such a case, and perhaps it is all that he ought to say. The doctrine of vitiated moral sense excusing crime cannot be admitted without endangering the foundations of morality and criminal justice. Take, for example, the character which wrould have been described in the words of a well known play of the last century, as that of ‘ bold in- triguer and a gay companion.’ The heroes of many comedies of that time were men of vitiated moral sense, but it would never have occurred to any psychologist to suggest that seduction or adultery was pardonable because it was committed without compunction. Another medical witness, Dr. William Wood, ‘was very much struck with prisoner’s absolute indifference to her position, and he failed altogether to impress her with its seriousness. ’ These, again, are almost the exact words which were used by Dr. Forbes Winslow in Townley’s case. This witness discussed with the prisoner the subject of what was said to have passed between her and Dr. Beard. He asked whether she thought it wrong for a person to destroy the life of another person because she believed that the husband of that person wished to get rid of her. ‘ After some hesitation she said she thought it would be wrong, but she did not say it in such a manner as to lead him to believe she really thought so. ’ 155 § 171] INSANITY AS A CRIMINAL DEFENCE. [book i. Broadmoor, both high authorities in psychological medicine, united, after a careful examination, in the opinion that the defendant was insane. Her sentence was consequently com- muted to imprisonment at Broadmoor as a criminal lunatic. § 171. In reviewing this case, we are first compelled to notice the very scanty preparation which had been made to enable the medical experts at the trial to speak intelligently on the issue. The defence, indeed, was singularly defective in the scope of the testimony it adduced. Dr. Beard, the defend- The witness here admits, while attempting to qualify the admission, that the prisoner had that capacity of distinguishing right from wrong which the law holds to be sufficient to render her responsible for her actions. It seems to follow that until the law is changed there is nothing more to be said about the case. Dr. Maudsley gave evidence to the same effect. ‘ He found an extreme deficiency of moral feeling as to the crime with which the prisoner was charged, and she did not appear thoroughly to realize her position.’ Such evidence ought to be disregarded in this as it has been in many other cases, but it happens that the medical witnesses are supported by the fact that near relations of the prisoner have been committed to lunatic asylums on the usual certificates, and have remained in them until death. Mr. Baron Martin, commenting upon similar evidence which was given in Townley’s case, said the object of that evidence was to show that it was possible, and not unlikely, that the hereditary taint might exist in the prisoner. ‘ All the evidence, however, failed to show the existence of any delusion in the prisoner’s mind which could explain his act.’ These words fit accurately to the present case, but it must be acknowledged that the evidence of insanity in the prisoner’s family went much beyond that which was given in Town- ley’s case. It is of course possible that the doctors may be right although they give wrong reasons for their conclusions. We may observe that Dr. Maudsley has given the same reason for the same conclusion in the case of Watson, where we cannot help saying that both reason and conclusion ap- pear to us preposterous. It lias of course been remarked that, if the prisoner Edmunds had committed suicide, and the evidence of insanity existing in the family had been given at an inquest, the jury would have arrived without hesitation at a verdict which would have been generally approved. It is, however, unnecessary to add that in all such cases we ought not to be unduly influenced in our estimate of facts by the indisposition which we feel to give apparent sanction to a theory of irresponsibility for crime which we regard as mistaken and pernicious.” In commenting on these cases, a writer in the Times said : “ Oxford’s con- finement as a lunatic had no effect whatever in preventing persons of weak or perverse minds from firing or attempting to fire at Her Majesty ; but the moment flogging was assigned as the penalty for the offence, the weak and the perverse restrained themselves at once, and the offence was never heard of again.” 156 BOOK I.] MORAL INSANITY. [§ 172 ant’s family physician, for whom it was afterwards suggested by Dr. Winslow that the prisoner had an “ insane passion,” was not called ; though no one was so competent as he to speak as to the state of her mind. But, waiving this, the experts who were examined had had no personal acquaintance with her, and formed their opinion on a brief prison interview. How little comparative weight opinions given on such slight examinations are entitled to, will be hereafter already seen.^1) The medical gentlemen referred to were not to blame. They were asked by the prisoner’s friends to attend her at the periods in question, and they did so. The difficulty arose from the practice of making such examination, not judicial, as in Germany, under a commission from the government, but partisan, conducted by the defence, according to its capacity or policy. A poor defendant, under this system, has no chance. A rich defendant can indeed, at such periods as he may desire, obtain the attendance of distinguished experts, but their testi- mony is necessarily imperfect and ex parte. § 172. Then, again, the peculiar mode by which convictions are in England reviewed tends, in proceedings such as the present, still further to unsettle the public mind, and to in- crease the uncertainty of the law. That the Home Secretary should have issued a requisition to Dr. Orange and Sir W. Gull, to semi-judicially examine the question of Christiana Edmunds’s sanity, was eminently proper. But the examina- tion should have been conducted in open court, or, at least, as is the practice in Germany, the return of those eminent phy- sicians should have been under oath, and should, reasons and conclusions, have been published. As it is, we have, on the one side, a published trial, leading to the conclusion of her sanity, on which conclusion she was found guilty by the jury and sentenced by the court, and, on the other hand, a secret subsequent investigation, showing her insanity, leading to the virtual setting aside of verdict and sentence. We have no right to assume otherwise than that each decision, on its own particular evidence, was right. But, to understand the deci- sion of the Home Secretary, the testimony on which it was based should be supplied. (b1) See infra, §§ 328-345. 157 § 174J INSANITY AS A CRIMINAL DEFENCE. [book i. § 173. But, thirdly, it must he recollected, that, whatever may have been the erroneousness of the verdict of the jury, and no matter how strongly such error may have been ground for a revision of the sentence by the home office, there was at no time any question as to the propriety of the rulings of the court. These rulings were the subject of careful consultation among the several judges. It was stated, by Baron Martin, that this was their deliberate view, and that it was not likely to be changed except by act of parliament. The challenge thus thrown out has not been accepted. In the House of Lords, which, as the supreme appellate court of the empire, is peculiarly charged with cognizance of such issues, the only expression on the subject has been one of assent. We may therefore hold it to he established in England, that the doctrine of “ moral insanity,” so far as it involves the idea of irresponsi- bility based exclusively on moral as distinguished from mental derangement, is rejected by the courts. § 174. In the United States, there is almost equal judicial unanimity in refusing recognition to this theory, and in declaring that no amount of derangement of morals is a defence unless accompanied with mental insanity. To this effect are decisions in in Maine,(d) in Hew York,(e) in Hew Jersey,(/) in Delaware,(g) in Virginia,(i) in Horth Caro- in Ohio,(/i:) in California,(1) and in almost every remain- ing jurisdiction where the question has been mooted.(m) In (c) Com. v. Rogers, 7 Mete. 500; Com. v. Heath, 11 Gray, 303 ; see U. S. v. Holmes, 1 Clifford, 198. (d) State v. Lawrence, 57 Me. 574. (e) Freeman v. People, 4 Denio, 10 ; supra, § 145, note i. Shater v. Peo- ple, 2 Comst. 199 ; McFarland’s Case, 8 Abbott, Prac. Cas. N. S. 69. (/) State v. Spencer, 1 Zabriskie, 196. (g) State v. Windsor, 5 Harr. 512. (*) Yance ». Com., 2 Va. Cases, 132. (j) State v. Brandon, 8 Jones, 403. (&) State v. Gardiner, Wright, 392; see U. S. v. Schultz, 6 McLean, 121; Farrer v. State, 2 Ohio St. R. 54 ; see Warden’s Forensic View, 498. (Z) People v. Coffman, 24 Cal. 230. (m) The courts, in varied terms, unite substantially in declaring, as the proposition is stated by a very able jurist, Judge Thurman, (Farrer v. State, 2 Ohio St. R. 54) “that there is no authority for holding that mere moral insanity, as it is sometimes called, exonerates from responsibility.” 158 BOOK I.] MORAL INSANITY. [§ 175 Pennsylvania, it is true, there is an apparent departure from this current of authority by the acceptance, in a case already cited,(w) of “ moral insanity” as a doctrine that could be under certain circumstances sanctioned by the courts. But a scru- tiny of this case will show, that C. J. Lewis, by “moral insanity,” means, not the mania sine deliria of Pinel, or, as here defined, moral without mental lunacy, but insanity in its general sense, manifesting itself in irresistible impulse. His views, therefore, are in accordance with those here expressed. § 175. The nearest advance to the recognition of moral insanity was made in 1864, by the Court of Appeals of Ken- This result was in part due to a reaction from the extreme to which the courts and executive had, in one or two noted prior cases, gone in rejecting the defence of insanity almost in toto ; but, be this as it may, we find Robertson, J., who, when at the bar, had taken bold ground, in one of the cases last referred to, in maintenance of moral insanity, now main- taining the same position on the bench. “ Moral insanity,” he tells us, “is now as well understood by medico-jurists, and almost as well established by judicial recognition, as the intel- lectual form^o1) Mentally, man is a dualism consisting of an (n) See supra, § 158. (o) Smith v. Com., 1 Duvall, 224. (o1) To this assertion, Dr. Chipley, medical superintendent of the Eastern Kentucky Lunatic Asylum, makes, in the American Journal of Insanity, for July, 1866, the following just reply:— “It has seemed to me that it is not an unusual thing for those who enter- tain the opinions expressed by the court, to claim a greater weight of authority in their favor than is warranted by the facts. Judge R. says: ‘ Moral insanity is now as well understood by medico-jurists, and almost as well established by judicial recognition, as the intellectual form.’ “ It is to be feared that this assertion has been derived, not from an examin- ation of the decisions of the courts, but from the declarations of active parti- sans whose wishes are father to the thought. “ So far as I have been able to ascertain, the doctrine of moral insanity has not been recognized in the courts of England, whence we have drawn our principles of law ; nor in the courts of this country, except in a few isolated instances. Certainly its recognition has not been generally acceded to in the higher courts of either country. Nor is there any greater accord among those medical men whose positions have made them most conversant with all forms of mental maladies. “The doctrine is not recognized, for any medico-legal purposes, by a 159 §175] INSANITY AS A CRIMINAL DEFENCE. BOOK I. intellectual and a moral nature. * * No enlightened jurist now doubts the existence of such a type of moral, contradis- majority of the members of this association, to whom is confided the care of almost all the insane in our country. “While, therefore, it remains unrecognized in the courts of England, and has been admitted by only very few judicial authorities in our own land ; and while it is repudiated, as a false doctrine, fraught with great evil to society, by a majority of the practical psychologists, known to us to be gentlemen of fidelity, integrity, and experience, are we not warranted in entering a claim to the weight of authority in the negative ? Certainly there is something more than a ‘ dissentient voice occasionally heard from the bench, the bar, the medical profession at large, and from those who claim some special knowledge of insanity and the insane.’ “That the doctrine is advocated by many honest, capable and faithful ob- servers, no one can gainsay. It is impossible to avoid this division of senti- ment on any scientific or professional question not absolutely demonstrative in its character, and it is the division of sentiment among gentlemen who are ardently seeking truth, and the importance of the subject, which bring it so frequently to the surface for renewed examination. There is here no partisan spirit, but a sincere desire to harmonize on a truthful and solid basis. “I do not propose to discuss the abstract question of the possibility of a perversion of what are called the moral powers, or, as Professor Upham terms them, the sensibilities. “ This may occur from ill-directed education, from habit, evil associations, and the absence of that salutary control that should be exercised over persons in early life, which make men desperately wicked. But the practical question for us is this : Shall such perversions free one from legal penalties while the intellectual powers are unimpaired ? In the school of morals and the forum of conscience, I will readily admit that all crimes are species of insanity, but I am not prepared to admit the plea of insanity as an excuse for violations of law, unless it can be shown that there is a congenital or accidental defect of those powers with which the Creator has endowed man for the purpose of enabling him to discriminate between right and wrong and to choose the one and avoid the other. “ In this discussion it is important also to understand what is meant by moral insanity. If we accept the definition of some of its advocates, as that of the learned Dr. Copland, the controversy is at an end, and the adjective ‘ moral’ may be very properly dropped from medico-legal science. He defines it to be ‘a perversion of the inclination, temper, etc., the intellectual facul- ties being more or less weakened or impaired.’ This yields all for which the opponents of the doctrine contend. They make no claim to any special amount of intellectual impairment, but simply insist that some degree of mental unsoundness is required to free one from accountability for his acts. But the term is not generally applied, simply because the mental aberration is manifested chiefly in the state of the feelings, affections, temper, habits, and conduct of the individual; but, in the language of Dr. Pritchard, who is said by Dr. Bucknill to have been ‘ the able and learned inventor of moral 160 BOOK I.] MORAL INSANITY. [§ 175 tinguished from intellectual insanity as homicidal mania, or morbid and uncontrollable appetite for man-killing; and insanity,’ it denotes ‘a disorder which affects only the feelings and affections, or what are termed the moral powers of the mind, in contradistinction to the powers of the understanding or intellect.’ It is in this sense that I propose to consider the doctrine. “ Whenever, therefore, it can be shown that any one or more of the intellect- ual faculties become unsound from disease, the case is at once removed from the category of moral insanity. It will be important to bear this in mind, especially, in any consideration that may be given to the cases that have been so repeatedly alleged as instances of pure moral insanity—cases which have been cited and reproduced so frequently that they have become suf- ficiently worn to expose the fallacy of the very doctrine they are intended to support. “ In order to determine the limits of man’s responsibility, it is important to ascertain the foundation of his accountability. Why is he held responsible for his acts ? “ On this topic, I do not intend to enter upon any metaphysical disquisition. Metaphysicians are not agreed among themselves, in the views they enter- tain. They are all prone to analyze the mind into great departments, assign- ing to each certain functions or powers. Professor Upham says: ‘The human mind exists in the three great departments of the intellect or under- standing, the sensibilities, and the will,’ and he declares ‘ the office of the will is mandatory and executive.’ “Others, with more reason I think, consider the will as a mere resulting power—the mere power of obeying the dictates of the understanding. “ For all our purposes, the mind is an entity with multiple powers of mani- festation. “We admit that, in a certain sense, the propensities and sentiments are integral portions of our mental constitution, and that they are liable to irreg- ular and deranged action ; but it does not follow that one may become irre- sponsible for his acts while intellect remains sound. “Man is not made accountable because he is endowed with propensities and instincts; these he has in common with the beasts that perish, and for whom no criminal laws are enacted. “Man’s propensities and passions, and their liability to irregular and de- ranged action, make penal statutes necessary to the protection of society ; but he is held accountable only because he is also endowed with intellectual fac- ulties and a free rational will or power capable of regulating and controlling the sensibilities. “ If one is born with all the emotional endowments of our nature, but des- titute of understanding, his irresponsibility is unquestionable. The same is true when the faculties of the understanding are perverted, impaired, or destroyed by disease. “In every aspect in which man’s accountability is viewed, we arrive at the same point, that its sole basis is the existence and soundness of the intel- VOL. I.—11 161 §177] INSANITY AS A CRIMINAL DEFENCE. [book i. pyromania, or the like passion for house-burning; kleptomania, or an irresistible inclination to kill.” * * But, if his insanity extend no further than a morbid perversion and pre- ternatural power of insane passion, or emotion, he not only “knows right from wrong,” but knows, also, that the act he is impelled to do is forbidden by both moral and human law. § 176. We have to regret, in the opinion just quoted, an ambiguity in the use of terms which makes it doubtful whether the “moral insanity” of which the writer speaks, is simply the “ irresistible impulse” of a person mentally insane, or is that supposed state of moral unsoundness coexisting with mental soundness which the technical term conveys. If the former was intended, the decision goes no further than those sustained in previous sections, which declare that an irresist- ible impulse, in an insane person, coercing crime, is a defence to an indictment for such crime. If, however, Judge Robert- son meant more than this—if his purpose was to say that there could be moral insanity coexisting with mental sanity— then we must remember that he states this as a supposed ren- dition of medical science, and that his opinion is simply a statement of fact as to which it will be seen he is entirely mistaken. So far from moral insanity in this sense being ac- cepted, it is repudiated by the just weight of modern psycho- logical opinion.(o2) § 177. In 1869, the same judge, in an insurance case, where the question was whether an insane suicide avoided the policy, took occasion further to enforce these views: “ According to lectual powers—those wonderful endowments which so eminently distinguish man from other animals, which enable him to discriminate between good and evil, right and wrong, and to choose the one and avoid the other ; or, in the language of Judge R., he is accountable because he has ‘the light of reason to guide him in the pathway of duty, and a free and rational presiding will to enable him to keep that way in defiance of all passion and temptation.’ “If, then, accountability is a structure erected solely on the intellectual power, must it not remain unshaken so long as its foundation is sound and unbroken ? Is it not illogical to set out with the fundamental proposition, that man is made responsible for his acts only because he is gifted with an understanding, and then arrive at the conclusion that he may become irre- sponsible without the impairment or disease of any one of its powers ?” () Infra, §§ 552-572. O') See supra, § 163, for a particular enumeration of tlie adjudicated cases. 168 BOOK I.] [§ 185 MORAL INSANITY. the state to plunge irresponsibly into any excesses they may desire. If they were destitute of reason, their irresponsibility would be a less grievance. They would be like the savage to whom powder is given, but who does not know how to con- trive means for using it to destroy others. But, being pos- sessed of reason, they are able to use their irresponsibility as an immunity for every crime. And what is to be done with them ? Confinement in a lunatic asylum, is the answer. But such confinement is difficult, (1) from the skill with which reason can create counter-proof, and can, when there is an object for it, suppress or conceal passion, and (2) from the enormous expense and trouble which would attend the incar- ceration of so large a number of patients as is here supposed. But can such persons be justly, on this hypothesis, incarce- rated? How does incarceration differ from imprisonment? And what is imprisonment but punishment ? And what would such punishment be but a penal discipline imposed compulsorily by the law ? The difference between such penal discipline, and that which the law now applies on conviction of a crime, is simply, that in the first case the offender is tried for being generally bad; in the second, he is tried for a spe- cific bad act. But he cannot be tried for being generally bad, unless he is responsible. We are therefore reduced to the dilemma either of allowing such persons to roam at large, or of confining them, which assumes their responsibility. § 185. Again, it is the duty of the state to require, on the part of all persons endowed with reason, the exercise, under penal discipline, of such reason, in all matters which concern the safety and health of the body politic. The state, in this respect, is a delicate machine, over whose mechanism every rational man has more or less control. It may seem hard, to adopt the analogy of a railroad, to make it an indictable offence for a brakeman simply to fall asleep at his post, or for the acting superintendent of a great corporation not to con- struct a time-table sufficiently lucid and accurate to prevent possible collisions. It may seem a hard thing to shoot an admiral of acknowledged bravery for indecision in action, or to cashier and imprison an engineer for a slight miscalculation 169 §185] INSANITY AS A CRIMINAL DEFENCE. [book i. as to the thickness of an iron plate. Yet we all feel the necessity of such hardness for the purpose of educating men at large in the exercise of all their faculties when in the dis- charge of public trusts. It is such discipline alone that makes railway travel practicable, and that prevents a nation’s life from being carelessly sacrificed in war. Reason, in such cases, is called forth, nerved, and pointed, by the penalty the law im- poses on its action. Law, in fact, can only thus educate reason and give it supremacy, by penalty. Law cannot, except in certain very rare cases, command a thing to be done. It can only punish when the thing is not done, or when a positive wrong is committed. Yor can it thus punish by precept, or by mere expression of disapprobation. It must punish, if it do so at all, by penal discipline; and this discipline, to have a moral effect, must be executed as announced. In other words, supremacy of reason over passion, on the part of all persons possessing such reason, is essential to the safety of the state; and the state is bound to educate its subjects to the exercise of their reason to this extent. It needs careful engineers, careful sailors, careful superintendents, and careful workmen; and, to create this carefulness, it must impose penalties on carelessness. A fortiori, therefore, if it needs, among those con- cerned with its machinery, the capacity to control passion by reason, must it impose penalties on the yielding of reason to passion. This subordination, among its subjects, it is one of the highest offices of the state to create; but its only direct process for this purpose, is by penal discipline. This may, in some cases, work hardly, as it may do in the cases of railway carelessness we have just noticed. But, in the one case as in the other, it is the idea of responsibility that must be implanted in each breast; and this can only be done by exacting responsi- bility among persons possessed with reason, as a general and absolute rule. And, in cases of hardship, it is well to keep in mind the following striking observations of Lord Brougham, when this topic was under examination in the House of Lords. “With respect to the point, of a person being an accountable being, that was, an accountable being to the law of the land, a great confusion had pervaded the minds of some persons whom he was indisposed to call reasoners, who considered ac- 170 BOOK I.] MORAL INSANITY. [§ 186 countability, in its moral sense, as mixing itself up with the only kind of accountableness with which they, as human legis- lators, had to do, or of which they could take cognizance. He could conceive of the case of a human being of a weakly con- stituted mind, who might, by long brooding over real or fancied wrongs, work up so perverted a feeling of hatred against an individual that danger might occur. He might not be deluded as to the actual existence of injuries he had received, but he might grievously and grossly exaggerate them, and they might so operate upon a weakly framed mind and intellect as to pro- duce crime. He could conceive that the Maker of that man, in His infinite mercy, having regard to the object of His creation, might deem him not an object for punishment. But that man was accountable to human tribunals in a totally different sense. Man punished crime for the purpose of prac- tically deterring others from offending by committing a re- petition of the like act. It was in that sense only that he had anything to do with the doctrine of accountable and not accountable. He could conceive a person whom the Deity might not deem accountable, but who might be perfectly accountable to human laws.”(w?) § 186. Then, as to the effect of these views on the individual himself. If scrutinized carefully, the doctrine of the indisso- lubility of the connection between reason and responsibility, can give no ground of personal complaint. Even among “ moral lunatics,” there is no one of whom we can say that, in the earlier stages of his life, he might not have been taught self-control. It would be a most cruel thing for a parent to say to a young child, “ you are so bad that I will not try to reform you.” And it would be an equally cruel and destructive thing to say, “ for the wrong you do I will not correct you.’’(It?1) This would be the sure course to bring up an irreclaimable class of bad men. But, while it is one of the chief peculiarities of Christianity to teach that no sinners are irreclaimable, so it is one of the most merciful offices of government to say to all men that they can be reclaimed. To rational beings who are supposed to have (w) Hansard’s Pari. yol. lxvii. 728 ; see also supra, § 115. (w') See supra, §§ 115-118 ; infra, §§ 403, 539. 171 §187] INSANITY AS A CRIMINAL DEFENCE. [book i. subordinated their reason to their passions, we can imagine no more humane counsel to be spoken than this: “There is no such thing as irresponsibility among those possessed of reason; you will certainly be punished if you break the law.” The doctrine, on the other hand, that irreclaimable guilt is irresponsible, is the sure way to make irreclaimable guilt. § 187. And again, even assuming their responsibility, which on this hypothesis cannot be assumed, to imprison “ moral luna- tics” on the charge of being “ bad,” instead of making impri- sonment dependent on conviction for a specific crime, would be subversive of one of the primary features of Anglo-American jurisprudence. As an illustration of this we may mention the means proposed by Dr. Thomson, Surgeon to the General Prison for Scotland, whose argument in favor of distinctive moral insanity is elsewhere noticed. Feeling the embarrassment of holding that a class of “ moral lunatics,” such as he describes, should be emancipated from criminal discipline in its ordinary sense, he seeks to relieve himself by a proposal not unlike that adopted in Turkey when it is thought desirable to crush out a rival family. “Moral insanity,”he holds, is transmitted by sexual propagation; and hence “ moral lunatics,” or the incu- rably wicked, are to be kept from having children. But how ? By the Turkish method ? For this more summary and inex- pensive process, Dr. Thompson is not quite prepared. Another remedy, however, is preferable, imprisonment during puberty. “ Why,” he asks, “ should they go to prison for short periods only, to be sent out again in renovated health, to propagate a race so low in physical organization?” He afterwards proposes, for such cases, imprisonment for life. The latter, no doubt, is the only safe alternative, if we accept the doctrine of moral insanity. The dilemma, therefore, may be thus stated : if we accept the doctriue of moral insanity, we must imprison the “moral lunatics” for life, on charge of being generally bad ; if we reject this doctrine, we submit such persons to ordinary penal discipline. But the first alternative is both cruel and in- compatible with Anglo-American jurisprudence. We must therefore take the second.(A2) 172 (w>2) See infra, § 566a. BOOK I.] MORAL INSANITY. [§ 188 § 188. Nor, finally, can it be said that there are some men, who, while possessed of reason, are incapable of moral sense, and who are consequently to he withdrawn from the ordinary operations of penal discipline. We have already noticed the cruelty of this position to the persons thus described, and the repugnance of the mode of imprisonment it proposes to the principles of Anglo-American Jurisprudence. It is enough now to say that, where the state does not find a moral sense, it is its duty to create one. That there is, among rational beings, a moral sense always coexisting with reason, it is not neces- sary here to maintain ; and it may be enough, for this purpose, to refer to the impressive exposition of this view published by a great English thinker lately (1872) deceased.(rr) But, if we assume that there is no such moral sense, then comes in the position just noticed, that the moral sense which the state does not find it must createfx1) And that it is to be created, where it does not exist, by penal discipline, Mr. Bain, who holds the latter view, has demonstrated by a process so lucid and logical that it deserves the most careful judicial thought. “ I have given it as my deliberate opinion that authority or punishment is the commencement of that state of mind recog- nized under the various names of conscience, the moral sense, the sentiment of obligation. The major part of every community adopt certain rules of conduct necessary for the common preserva- tion or ministering to the common well-being. They find it not merely their interest, but the very condition of their existence, to observe a number of maxims of individual restraint, and of respect to one another's feelings on such points as person, property, and good name. Obedience must be spontaneous on the part of the larger number, or on those whose influence preponderates in the society; as regards the rest, compulsion must be brought to bear. Every one not of himself disposed to follow the rides pre- scribed by the community is subjected to some infliction of pain to supply the absence of other motives; the infliction increasing in severity until obedience is obtained. It is the familiarity with the (x) “The ConscienceLectures on Casuistry, Delivered in the University of Cambridge, by F. D. Maurice. 2d Edition, 1872. (a1) See also infra, § 486. 173 §188] INSANITY AS A CRIMINAL DEFENCE. [book i. regime of compulsion and of suffering, constantly increasing until resistance is overborne, that plants in the infant and youthful mind the first germs of the sense of obligation. I know of no fact that would prove the existence of any such sentiment in the primi- tive cast of our mental constitution. An artificial system of controlling the actions is contrived, adapted to our volitional nature, the system of using pain to deter from particular sorts of conduct. A strong line of distinction is drawn in every human mind between actions that bring no pain except what arise out of themselves, as when we encounter a hitter taste or a scalding touch, and those actions that are accompanied with pains imposed by persons about us. These actions, and the circumstances attending them, make a deep and characteristic impression; we have a peculiar notion attaching to them, and to the individual persons the authors of the attendant pains. A strong ideal avoidance, not unmixed perhaps with the per- turbation of fear, is generated towards what is thus forbidden by penalties rising with transgression. The feeling drawn out towards those who administer the pain is also of the nature of dread, we term it usually the feeling of authority. From first to last this is the essential and defining quality of the conscience, although mixed up with other ingredients. As duty is circumscribed by punishment, so the sense of obligation has no other universal property, except the ideal and actual avoidance of conduct prohibited by penalties. This discipline indoctrinates the newly- introduced member of society with the sentiment of the forbidden, which by and by takes root and expands into the sentiment of moral disapprobation ; he thus joins with the other members of the com- munity in imposing and enforcing the prohibitions that have been stamped and branded in the course of his own education. Duty, then, may be said to have two prime supports in the more self- regarding parts of our nature—the sense of the common pres- ervation and well-being operating upon a preponderating majority, and the sense of punishment brought to bear upon individuals (who must he the smaller number) not sufficiently prompted by the other sentiment. Order being once estab- lished in a society, that is to say, the practice of obedience being habitual to the mass of the community, it is only neces- sary to apply a disciplinary process to the young to prepare 174 BOOK I.] MORAL INSANITY. [§ 189 them for the same acquiescence in the public morality. The imposition of penalties begets at once the sense and avoidance of the forbidden and the awe of authority, and this, as a general rule, is retained through life as the basis of the individual con- science, the foremost motive to abstain from actions designated as wrong. “ It is not implied that conscience is never anything else than the actual and ideal avoidance and dread of punishment. Other elements concur sometimes so largely as to obliterate in the view the primary germ and characteristic type of the faculty. There are motives that supersede the operation of punishment in a variety of instances; as when we contract a positive sen- timent of goodwill towards those whom the law forbids us to injure. Even then we do not lose the strong feeling implanted in us respecting the forbidden and the authoritative; we simply are no longer in the position of being moved by that alone. Our tender feelings, our sentiments of the fair, the equal, impel us as it were of our own accord to respect those interests of our fellow-beings that are protected by the enact- ments of society. Moreover, as already said, there is a certain maturity of the well-disposed mind at which we enter the company of the majority, spontaneous in its own obedience from a recognition of the common safety, and compelling the dissentient minorities by force or punishment. At this stage the conscience, which was at first derived or implanted, is now inde- pendent or self-sustaining. The judgment of the individual approves of the common prohibitions against falsehood, injustice, breach of bargains, and other injuries, as prohibitions essential to its own security, in company with the rest of the society, and con- science therefore passes into a higher grade of the prudential motive.” § 189. ¥e may therefore afford to meet the advocates of “ moral insanity” on their own ground, and assume with them that there are cases in which there is no moral sense or con- science, and in which the individual so constituted is left to the control of his appetites and passions alone. And, if so, these are cases where a moral sense or conscience is to be created by the state. This can only be done by a system of general penal discipline, applicable to all persons endowed with reason. To except those whose moral sense is perverted or 175 §191] INSANITY AS A CRIMINAL DEFENCE. [book i. extinct, is to except the very class for whose benefit, as wTell as for the safety of the community, the law is required.^2) (e1) While experts may be called to testify as to states OF MIND AND CONDITIONS OF HEALTH, IT IS FOR THE COURTS TO DECLARE WHETHER SUCH STATES AND CONDITIONS CONSTI- TUTE IRRESPONSIBILITY. § 190. Such, as the preceding pages have indicated, has been the general Anglo-American practice. In 1870, however, in the Supreme Court of Hew Hampshire, a case(y) was decided by which this position was in some measure assailed. The de- fendant, Pike, was tried before Perley, C. J., and Doe, J., for murder in perpetrating robbery. One of the defences appears to have been “dipsomania,” and on the trial the court in- structed the jury that “whether there is such a mental disease as dipsomania, and whether defendant had that disease, and whether the killing of Brown was the product of such disease, were questions of fact for the jury.” § 191. In the Supreme Court, this was affirmed, Smith, J., saying: “ This was correct. If there are any diseases whose existence is so much a matter of history and general knowledge that the court may properly assume it in charging a jury, dip- somania certainly does not fall within that class. The court do not profess to have the qualifications of medical experts. "Whether there is such a disease as dipsomania is a question of science and fact, not of law.” In an opinion, delivered in the same case, and supporting the same view, Doe, J., went still further: “Whether the old or the new medical theories are correct,” he says in the course of his argument, “ is a question of fact for the jury ; it is not the business of the court to know whether any of them are correct.” “It is often difficult to ascertain whether an indi- vidual had a mental disease, and whether an act was a product of that disease; hut these difficulties arise from the nature of the facts to he investigated, and not from the case; they are practical difficulties to be solved by the jury, and not legal (*2) See also supra, § 115 ; and infra, §§ 403, 566a. (y) State v. Pike, 49 N. H. 399. 176 BOOK I.] AUTHORITY OF EXPERTS. [§ 191 difficulties for the court.” “To say that the expert testifies to the tests of mental disease as a fact, and the judge declares the test of criminal responsibility as a rule of law, is only to state the dilemma in another form. For, if the alleged act of a defendant was the act of his mental disease, it was not in law his act, and he is no more responsible for it than he would be if it had been the act of his involuntary intoxication, or of another person using the defendant’s hand against his utmost resistance ; if the defendant’s knowledge is the test of responsibility in one of these cases, it is the test in all of them. If he does know the act to be wrong, he is equally irre- sponsible whether his will is overcome, and his hand used, by the irresistible power of his own mental disease, or by the irresistible power of another person. When disease is the propelling, uncontrollable power, the man is as innocent as the weapon—the mental and moral elements are as guiltless as the material. If his mental, moral, and bodily strength is sub- jugated and pressed to an involuntary service, it is immaterial whether it is done by his disease, or by another man, or a brute, or any physical force of art or nature set in operation without any fault on his part. If a man knowing the dif- ference between right and wrong, but deprived, by either of those agencies, of the power to choose between them, is punished, he is punished for his inability to make the choice —he is punished for incapacity ; and that is the very thing for which the law says he shall not be punished. He might as well be punished for an incapacity to distinguish right from wrong, as for an incapacity to resist a mental disease which forces upon him its choice of the wrong. Whether it is a possible condition in nature for a man knowing the wrong- fulness of an act to be rendered by mental disease incapable of choosing not to do it and of not doing it, and whether a defendant in a particular instance has been thus incapacitated, are obviously questions of fact. But, whether they are ques- tions of fact or of law, when an expert testifies that there may be such a condition, and that, upon personal examination, he thinks the defendant is, or was, in such a condition—that his disease has overcome, or suspended, or temporarily or perma- nently obliterated, liis capacity of choosing between a known VOL. i.—12 177 178 INSANITY AS A CRIMINAL DEFENCE. [book 1. right and a known wrong—and the judge says that knowledge is the test of capacity, the judge flatly contradicts the expert. Either the expert testifies to law, or the judge testifies to fact. From this dilemma, the authorities afford no escape. “ The whole difficulty is, that courts have undertaken to de- clare that to be law which is a matter of fact. The principles of the law were maintained at the trial of the present case, when, experts having testified as usual that neither knowledge nor delusion is the test, the court instructed the jury that all tests of mental disease are purely matters of fact, and that, if the homicide was the offspring or product of mental disease in the defendant, he was not guilty by reason of insanity.”^) (z) In justice to the learned judge by whom the above opinion was given, the whole of his argument on this point is appended. It will well repay study, as much for its learning and argumentative power as for the novelty of the positions it advances. That these positions are erroneous, it is attempted in the text to demonstrate. It is but fair, however, that they should be here expanded in the language in which they are expressed in the court by which they were pronounced. “ The defendant’s exception to the instructions given to the jury in relation to his responsibility as affected by dipsomania, raises the general question of the legal tests of insanity ; for, if the instructions given upon dipsomania are correct, they would be correct when given upon any other alleged form of insanity. “ If knowledge of right and wrong, or delusion, is the test in other alleged forms of insanity, knowledge and delusion must be the test in alleged dipso- mania. The correctness of all the instructions given on the tests of mental disease, is involved in the exception taken by the defendant. “This was the first instance in which such instructions were ever given; but they are an application of ancient and fundamental principles of the com- mon law. A product of mental disease is not a contract, a will, or a crime; and the tests of mental disease are matters of fact. Boardman v. Woodman, 47 N. H. 147-150. Tried by the standard of legal precedent, the instructions are wrong; tried by the standard of legal principle, they are right. We have come to a point where we can plainly see that the paths of precedent and principle diverge, and where we must choose between them. In making our choice there are various considerations which weaken the attraction of precedent. “A striking and conspicuous want of success has attended the efforts made to adjust the legal relations of mental disease. In regard to the validity of a contract as affected by insanity, the authorities have been conflicting and vacillating. Littleton says, ‘ No man of full age shall be received in any plea by the law to disable his own person.’ Co. Lit. 246, b. Coke says, ‘ There have been four several opinions concerning the alienation or other act of a man that is nail compos mentis, etc. For, first, some are of opinion, 178 BOOK I.] [§ 192 AUTHORITY OF EXPERTS. § 192. Is, then, responsibility a question of fact, to be de- termined by the jury on the testimony of experts? Is the that he may avoid his own act by entry or plea. Secondly, others are of opinion, that he may avoid it by writ, and not by plea. Thirdly, others, that he may avoid it either by plea or by writ; and of this opinion is Fitzherbert in his Natura Brevium. * * * And Littleton here is of opinion, that neither by plea, nor by writ, nor otherwise, he himself shall avoid it, but his heir * * * shall avoid it by entry, plea, or writ. And herewith the greatest authorities of our books agree ; and so it was resolved with Littleton in Beverly’s case, where it is said, that it is a maxim of the common law, that the party shall not disable himself.’ Co. Lit. 247, b. ‘By the law of England no man shall avoid his own act by reason of these defects. ’ 1 Hale P. C. 29. Blackstone says, ‘The king indeed, on behalf of an idiot, may avoid his grants or other acts. But it hath been said that a non compos him- self * * * shall not be permitted to allege his own insanity in order to avoid such grant: for that no man shall be allowed to stultify himself, or plead his own disability. The progress of this notion is somewhat curious.’ Blackstone gives its history, showing that it did not prevail in the time of Edward I. ; that ‘ under Edward III. a scruple began to arise whether a man should be permitted to blemish himself by pleading his own insanity; and afterwards’ it was doubted whether a plaintiff who had executed a release since the commencement of his suit, and who was taken to be sane at its commencement and at the time of pleading, should be permitted to plead an intermediate deprivation of reason existing at the execution of the release, ‘ and the question was asked how he came to remember the release if out of his senses when he gave it. Under Henry YI. this way of reasoning * * * was seriously adopted by the judges, * * * and from these loose authorities, which Fitzherbert does not scruple to reject as being contrary to reason, the maxim that a man shall not stultify himself hath been handed down as settled law.’ 2 Bl. Com. 291, 292. “In 1767, Lord Mansfield stated the law thus: ‘It hath been said to be “a maxim that no man can plead his being a lunatic to avoid a deed executed, or excuse an act done at that time, because” it is said “if he was a lunatic he could not remember any action he did during the period of his insanity.” And this was doctrine formerly laid down by some judges ; but I am glad to find that of late it hath been generally exploded ; for the reason assigned for it is, in my opinion, wholly insufficient to support it; because, though he could not remember what passed during his insanity, yet he might justly say, if he ever executed such a deed, or did such an action, it must have been during his confinement or lunacy ; for he did not do it either before or since that time. As to the case in which a man’s plea of insanity was actually set aside, it was nothing more than this : It was when they pleaded ore tenus; the man pleaded that he was at the time out of his senses. It was replied, How do you know that you were out of your senses ? No man that is so, knows himself to be so. And accordingly his plea was, upon this quibble, set aside; not because it was not a valid one if he was out of his senses, but 179 § 192] INSANITY AS A CRIMINAL DEFENCE. [book i. judge, on issues of insanity, to leave the whole question, in- cluding that of responsibility, to experts to decide, telling the because they concluded he was not out of his senses.’ Chamberlain of London v. Evans, 5 Bl. Com. App. 149 (Am. ed. 1773). ‘ The party him- self may set up as a defence, and in avoidance of the contract, that he was non compoa month when it was alleged to have been made. The principle advanced by Littleton and Coke, that a man shall not be heard to stultify himself, has been properly exploded as being manifestly absurd and against natural justice.’ 2 Kent Com. 451. ‘Yet, clear as this doctrine appears in common sense and common justice, it lias met with a sturdy opposition from the common lawyers, who have insisted (as has been justly remarked, in defiance of natural justice and the universal practice of all the civilized nations in the world) that, according to a known maxim of the common law, no man of full age should be admitted to disable or stultify himself. * * * How so absurd and mischievous a maxim could have found its -way into any system of jurisprudence professing to act upon civilized beings, is a matter of wonder and humiliation. There have been many struggles against it by emi- nent lawyers in all ages of the common law ; but it is, perhaps, somewhat difficult to resist the authorities, which assert its establishment in the funda- mentals of the common law ; a circumstance which may well abate the boast so often and so rashly made that the common law is the perfection of human reason.’ Story Eq. § 225. “It seems to have been finally considered, in this and other jurisdictions, that a man might avoid a contract on the ground of his insanity, in all cases, excepting perhaps a contract for necessaries. Lang v. Wliidden, 2 N. H. 435, 438; Burke ®. Allen, 29 N. H. 106 ; Seaver v. Phelps, 11 Pick. 304; Gibson v. Soper, 6 Gray, 279. But it is now held that he is estopped to avoid a contract made in good faith, unless he restores the other party to his pre- vious position, or makes compensation. Molton v. Camroux, 2 W. H. & G. 487; S. C., 4 W. H. & G. 17; Young v. Stevens, 48 N. H. 133 ; 1 Parsons Con. 383-386 (5th ed.). This result places the contracts of insane persons and minors, to a considerable extent, on the same ground. Carr v. Clough, 26 N. II. 280 ; Heath v. West, 28 N. H. 101; Lincoln v. Buckmaster, 32 Vt, 652; 2 Gr. Ev. § 369, 370. “ The English law, in proceedings for guardianship, has been confused and unsettled. 13 Law Magazine and L. Review, 122. “In relation to the burden of proof on the question of insanity in criminal cases, the English and nearly all the American authorities have been mani- festly wrong. The uniform rule in England and the general rule in this country, has been that the burden was on the defendant to prove sanity either beyond reasonable doubt, or by a preponderance of evidence. In King v. Arnold, 16 St. Tr. 695, 764, Mr. Justice Tracy said to the jury, ‘ the shooting my lord Onslow, which is the fact for which the prisoner is indicted, is proved beyond all manner of contradiction; but W'hether this shooting was malicious, that depends upon the sanity of the man. ’ One of the most important judicial encroachments upon the province of the jury, in 180 BOOK I.] AUTHORIITY OF EXPERTS. 181 jury that they are to accept the experts’ rendering? Is, in other words, the “ test of criminal responsibility” a matter of England, has always been the inference of malice declared by the court as a legal presumption. The legal idea of malice includes the idea of sanity ; and the legal presumption of malice threw the burden of proving insanity on the defendant. This has always been understood, in England, as distinctly as it was by Erskine, when he said in King v. Hadfield, 27 St. Tr. 1314, 1318, ‘ I must convince you that the unhappy prisoner was a lunatic. * * * * .The whole proof therefore is undoubtedly cast upon me and by Mr. Baron Martin, when he charged the jury, in Queen v. Townley, Ann. Reg. 1863, part 2, p. 308, ‘ unless they were satisfied—and it was for the prisoner to make it out—that he did not know the consequences of his act, or that it was against the law of God and man, and would subject him to punishment, he was guilty of murder.’ This great error was corrected in State v. Bartlett, 43 N. H. 224—a case most revolutionary in precedent, but most conservative in principle. “In testamentary cases, tried by a probate court without a jury, the court necessarily decides the fact as well as the law. In Stewart v. Lispenard, 26 Wend. 255, Blanchard v. Nestle, 3 Denio, 37, and Clarke v. Sawyer, 2 Comst. 498, it was held that mental imbecility is not testamentary incapacity unless it amounts to a total absence of reason ; but this test was abandoned in Dela- field v. Parish, 25 N. Y. 11. In 1826, an English judge of probate decided in Dew v. Clark, 3 Addams, 79, that, as a matter of fact proved by the medi- cal authorities of his day, delusion wms the test of insanity. Boardman v. Woodman, 47 N. H. 148, 149. The courts of this country inadvertently adopted in testamentary cases, as a rule of law, the. test of delusion which the English judge of probate had found as a matter of fact. And this mistake greatly increased the difficulty of extricating the subject from the embarrass- ments and obscurities which beset it. In 1867, it was supposed that the American doctrine of testamentary capacity was firmly established on the English probate foundation of fact mistaken here for a basis of law, when suddenly even that foundation was destroyed by the English probate court. “In Smith & a. v. Tebbitt & a., Law Rep. 1 P. & D. 398, Sir J. P. Wilde said, ‘ What is to be the proof of disease ? What is to be the test, if there be a test, of morbid mental action ? “The existence of mental delusions,” it would perhaps be answered. But this only postpones the question, in place of answering it. For what is a mental delusion ? How is it to be defined so as to constitute a test universally applicable of mental disorder or disease ? The word is not a very fortunate one. In common parlance a man may be said to be under a delusion when he only labors under a mistake. The delusion intended is, of course, something very different. To say that a morbid or an insane delusion is meant, is to beg the question. For the delusion to be sought is to be the test of insanity ; and to say that an insane or morbid delusion is the test of insanity or disease, does not advance the inquiry. “A belief of facts which no rational person would have believed,” says Sir John Niclioll. “ No rational person.” This too appears open to a 181 §192] INSANITY AS A CRIMINAL DEFENCE. [book i. fact, to be deposed to by experts, and found by the jury on their testimony ? Such are the questions that are involved in the positions just stated, and which are now to be discussed. like objection, for what are the limits of a rational man’s belief? And to say that a belief exceeds them, is only to say that it is irrational or insane. “ The belief of things as realities which exist only in the imagination of the patient,” says Lord Broughman in Waring v. Waring, 6 Moo. P. C. 354. But surely sane people often imagine things to exist which have no existence in reality both in the physical and moral world. What else gives rise to unfounded fears, unjust suspicions, baseless hopes, or romantic dreams ? I turn to another definition. It is by Dr. Willis, a man of great eminence, and is quoted by Sir John Nicholl in Dew v. Clark. “A pertinacious adherence to some delusive idea in opposition to plain evidence of its falsity.” This seems to offer a surer ground : but then the “evidence” of the falsity is to be “plain,” and who shall say if it be so or not ? In many or most cases it would be easy enough. Those who have entertained the delusive idea that their bodies were made of glass or their legs of butter (as it may be found in medical works that some have done), certainly have plain evidence at hand—the evidence of their senses—of its falsity. But what if the delusive idea concern a subject in which the senses play no part, and the plain evidence by which it is to be discharged is matter of reasoning and addressed to the intellectual faculty ? Will all sane men agree whether the evidence is plain or not ? And, if not, shall one man in all cases pronounce another a monomaniac when the evidence is plain, to his reason, of the falsity of the other’s ideas ? “ ‘ I find no fault with the language of these definitions as fairly and properly describing the mental phenomena they are used to depict. I only assert that the existence of mental delusion thus defined, is not capable of being erected into an universal test of mental disease. It is no doubt true that mental disease is always accompanied by the exhibition of thoughts and ideas that are false and unfounded, and may therefore be properly called delusive. But what I mean to convey on this head is this, that the question of insanity and the question of “delusions” is really one and the same—that the only delu- sions which prove insanity are insane delusions—and that the broad inquiry into mental health or disease cannot in all cases be either narrowed or determined by any previous or substituted inquiry into the existence of what are called delusions. I say in all cases, for in some such as those to which I have already alluded, where the delusive idea ought to receive its condem- nation and expulsion at once from the simple action of the senses, the contrary is the case; and the same may be said of delusions obviously opposed to the simple, ordinary, and universal action of reason in healthy minds. These are the simple cases about which no one would doubt, and in them the proof of the delusions is also the proof of insanity without more. But what is to be said of the more complicated cases ? What if the diseased action of the mind does not exhibit itself on the surface, as it were, opposing its hallucinations to the common senses or reasons of all mankind, but can be tracked only in the recesses of abstract thought or religious speculation—regions in which the 182 BOOK I.] AUTHORITY OF EXPERTS. [§ 193 § 193. It is conceded by the learned judge who delivered the opinion which has last been quoted, and which maintains mental action of the sane produces no common result—and all is question and conflict ? In what form of words could a delusion be defined which would be a positive test of insanity in such cases as these ? In none, I conceive, but “ insane delusions,” or words of the like import, which carry with them the whole breadth of the general inquiry. How, then, is this question of insanity to be approached by a legal tribunal ? What tests are to be applied for disease ? What limits assigned within which extravagance of thought is to be pro- nounced compatible with mental health ? The decided cases offer no light on these heads. I nowffiere find any attempt to devise such tests, or assign such limits. Nor do I conceive that any tests, however elaborate, beyond the common and ordinary method of judging in such matters, would be compe- tent to bear the strain of individual cases in the course of experience.’ “ The judge held it to be the duty of the court 4 to inform itself, as far as opportunity permits, of the general results of medical observation,’ and he quoted Dr. Ray, Dr. Prichard, and Dr. Esquirol. If the American law of insanity is to be that which the English probate court holds, from time to time, to be a matter of fact depending upon 4 the general results of medical observation,’ and the progress of medical science, we have no assurance that this branch of our law will be more stable hereafter than it has been hereto- fore. 44 The attempt to establish a legal test of mental disease lias been as unsuc- cessful in criminal as in testamentary cases. In England, from 1826 to 1867 delusion was applied as the test in the latter ; but it was not adopted in the former ; and it was not shown how it happened that what was an infallible test of mental disease in a man when he disinherited his child, was no test of mental disease in him when he deprived his child of life. 44 It has been held wdtliin one hundred and fifty years that the test in crimi- nal cases is whether the defendant was totally deprived of his understanding and memory and did not know what he was doing any more than a wild beast. King v. Arnold, 16 St. Tr. 695, 765. This was the original form of the knowledge test. In 1800 the attorney-general of England declared that this test had never been contradicted, but had always been adopted. King v. Hadfield, 27 St. Tr. 1288. Erskine, in the same case, said : 41 will employ no artifices of speech. * * * The attorney-general, standing undoubtedly upon the most revered authorities of the law, has laid it dowm, that to protect a man from criminal responsibility, there must be a total deprivation of memory and understanding. I admit, that this is the very expression used both by Lord Coke and Lord Hale ; but the true interpretation of it deserves the utmost attention and consideration of the court. * * * Delusion, therefore, where there is no frenzy or raving madness, is the true character of insanity. * * * I really think, however, that the attorney-general and myself do not, in substance, very materially differ. * * * In contemplat- ing the law of the country and the precedents of its justice to which they must be applied, I find nothing to challenge or question. I approve of them 183 184 INSANITY AS A CRIMINAL DEFENCE. [book i. the affirmative of the points just stated, that the views he advances are in conflict with the great body of Anglo-Ameri- thoroughout; I subscribe to all that is written by Lord Hale ; I agree with all the authorities cited by the attorney-general from Lord Coke.’ Id. 1309, 1312, 1314, 1318, 1324. The effort of Erskine was made with such ‘artifices of speech,’ that the court seem to have been mystified. When Lord Kenyon, satisfied that the defendant was insane, stopped the trial, and ordered a ver- dict of acquittal, his remark, that, ‘ with regard to the law as it has been laid down, there can be no doubt upon earth,’ apparently meant as it had been laid down by the attorney-general and by Erskine. He seems not to have understood that the ancient test was questioned ; and yet, tried by that test, Hadfield must have been convicted. Hadfield’s acquittal was not a judicial adoption of delusion as the test in the place of knowledge of right and wrong (9 C. & P. 546) ; it was probably an instance of the bewildering effect of Erskine’s adroitness, rhetoric, and eloquence. “The common instincts of humanity have abandoned the original ‘wild- beast’ form of the knowledge test, only to adopt others equally arbitrary, though less shocking to the intelligence and sensibility of the age. Knowl- edge of right and wrong, in some degree, with more or less of explanation and variation, has always been, in theory, the test of criminal capacity in England, and generally in this country: the English courts have never recognized delusion as the test. They have noticed delusion only so far as it destroyed the knowledge of right and wrong; which is the same as an explicit rejection of it as a test. If knowledge of right and wrong is the test, it is immaterial whether that knowledge be destroyed by disease assuming the form of delusion, or any other form. “It is matter of history that insanity has been, for the most part, a growth of the modern state of society. Like many other diseases, it is caused, in a great degree, by the habits and incidents of civilized life. In the earlier and ruder ages, it was comparatively rare. Its present extent has been chiefly attained within a few hundred years. Until recently, there were no asylums for the insane, and no experts devoting their lives exclusively to the practical study and treatment of the disease. The necessary opportunities for obtain- ing a thorough understanding of it did not exist until they were furnished by the positions of superintendents of asylums and their assistants. Conse- quently, until recently, there was very little knowledge of the subject. “ In old books it is often found under the head of lunacy. Lord Hale was the first writer who undertook to introduce into a law book any considerable statement of the facts of mental disease. 1 Hale P. C. 29-32. Not only was he guided by the best medical authorities of his day, but he carefully used the language of medical men. Among other current medical ideas which he recorded, was this: the insanity ‘ which is interpolated, and by certain periods and vicissitudes,’ ‘is that which is usually called lunacy, for the moon hath a great influence in all diseases of the brain, especially in this kind of dementia ; such persons commonly, in the full and change of the moon, especially about the equinoxes and summer solstice, are usually in 184 BOOK I.] AUTHORITY OF EXPERTS. [§ 193 can decisions on the same topic. This, in fact, will be abun- dantly verified by an inspection of the preceding pages, where the height of their distemper;’ and ‘such persons as have their lucid inter- vals (which ordinarily happen between the full and change of the moon) in such intervals have usually at least a competent use of reason. ’ He did not imagine that this medical lunar theory was a principle of the common law. Lord Erskine, in delivering judgment in Cranmer's case (12 Yes. 445, 451), said ‘the moon has no influence;’ and the reporter inserted this mar- ginal note, 4 In cases of lunacy, the notion, that the moon has an influence, erroneous.’ The reporter may not have distinguished between law and fact; but Erskine did not suppose that he was announcing his disagreement with Hale on the point of law. “ The other causes, symptoms, and tests of mental disease recorded by Hale, were as clear matters of fact as the lunar theory. When he put them in his History of the Pleas of the Crown, he merely followed the line of the custom, that had been pursued by him and all other English judges, of giving to the jury their opinions of the facts of the cases tried before them. Ante, 416, 417. In his History of the Common Law, he says of trial by jury, 4 Another ex- cellency of this trial is this, that the judge is always present at the time of the evidence given in it. Herein he is able, in matters of law emerging upon the evidence, to direct them; and also, in matters of fact, to give them a great light and assistance, by his weighing the evidence before them, and ob- serving where the question and knot of the business lie ; and by showing them his opinion even in matters of fact, which is a great advantage and light to laymen.’ 2 Hale’s Hist. Com. L. 147. 44 In King v. Cullender and Duny, 6 St. Tr. 700, there is an instance of the positive manner in which judges were accustomed to give their opinions to the jury on matters of fact. In that case, the defendants were tried before Hale for witchcraft; and he instructed the jury as follows : ‘That there were such creatures as witches he made no doubt at all; for, first, the Scriptures had affirmed so much. Secondly, the wisdom of all nations had provided laws against such persons, which is an argument of their confidence of such a crime.’ The jury found a verdict of guilty ; the judge was fully satisfied with the verdict, and upon his sentence the defendants were executed. The doctrines of insanity and witchcraft stated by Lord Hale were held by him in common with the most enlightened classes of the most civilized nations. He was not their author, nor was he responsible for them. They were equally doctrines of fact; one was no more a matter of law than the other ; and they are equally entitled to oblivion, although the ancient doctrine of insanity outlived the ancient doctrine of witchcraft. 44 When we remember that the universal belief in witchcraft has been over- come within two hundred years, it is easy to understand how the phenomena of insanity were long regarded as supernatural. Witchcraft and demoniacal possession were accepted as truths taught by miraculous inspiration. Cases of insanity were found answering the biblical description of cases of demo- niacal possession ; but the suggestion that any of the latter might be cases of 185 [book i. 186 INSANITY AS A CRIMINAL DEFENCE. the course of English and American judicial precedent in this relation is exhibited. It is proposed now to pass the question mental or physical disease was received as an attack upon the infallibility of the Scriptures. This state of things discouraged investigation, and encouraged the belief that insanity, at least in some of its forms, was demoniacal posses- sion. The natural causes and operations of cerebral disease were mysterious ; the theological clouds that encompassed it were appalling. “In a period of ignorance, credulity, superstition, and religious terrorism, before there was a science of medicine, we should not expect to find any scientific or accurate understanding of such a malady. Well might the boldest shrink from the exploration of a condition believed to be, in its origin, beyond the bounds of nature, and curable only by the power of exorcism. “As the ancient theory of diabolism gradually passed away, insanity was still attributed to special providences, and not to the operation of the general laws of health. The sufferers were treated for wickedness rather than sick- ness. Among men of science, the investigation of the subject is now disen- cumbered of all theological complications. But this is a modern emancipation not yet realized by the mass of even the most enlightened communities. Very few persons have an adequate conception of the fact that insanity is a disease. The common notion of it is of something not merely marvellous, but also peculiarly, vaguely, and indescribably connected with a higher or lower world. The insane are generally considered as more than sick; and, if they are not spoken of as possessed, their condition, to the popular apprehension, is still enveloped in a supernatual shadow. The Lord Chancellor of England declared, in the House of Lords, on the 11th day of March, 1862, that ‘the introduction of medical opinions and medical theories into this subject has proceeded upon the vicious principle of considering insanity as a disease.’ Hansard, clxv, 1297. This remark indicates how slowly legal superstitions are worn out, and how dogmatically the highest legal authorities of this age maintain, as law, tests of insanity, which are medical theories differing from those rejected by the same authorities only in being the obsolete theories of a progressive science. “ It was for a long time supposed that men, however insane, if they knew an act to be wrong, could refrain from doing it. But whether that suppo- sition is correct or not, is a pure question of fact. The supposition is a suppo- sition of fact—in other words, a medical supposition—in other words, a medical theory. Whether it originated in the medical or any other profession, or in the general notions of mankind, is immaterial. It is as medical in its nature, as the opposite theory. The knowledge test in all its forms, and the delusion test, are medical theories introduced in immature stages of science, in the dim light of earlier times, and subsequently, upon more extensive ob- servations and more critical examinations, repudiated by the medical profes- sion. But legal tribunals have claimed those tests as immutable principles of law, and have fancied they were abundantly vindicated by a sweeping denun- 186 BOOK I.] AUTHORITY OF EXPERTS. [§ 193 of authority, therefore, as one that does not admit of dispute, and to adduce some general reasons to show why, so far from ciation of medical theories—unconscious that this aggressive defence was an irresistible assault upon their own position. “ When the authorities of the common law began to deal with insanity, they adopted the prevailing medical theories. The distinction between the duty of the court to decide questions of law, and the duty of the jury to decide questions of fact, was not appreciated and observed as it now is in this state. In criminal cases, the jury might decide the law as well as the fact (Pierce v. The State, 13 N. H. 536 ; Quincy Mass. Reports, 558-572) ; in civil and crimi- nal cases, the court gave to the jury their opinion of the facts as well as of the law (ante, 416, 417), and the difference between a question of fact and a question of law was generally of little or no practical importance. When new trials had not come into use (3 Bl. Com. 405 ; Witham v. Lewis, 1 Wills. 55 ; Quincy Mass. Reports, 558 ; Hilliard on New Trials, ch. 1, §§ 2, 3) ; when prisoners were not allowed the assistance of counsel in relation to matters of fact (4 Bl. Com. 355; 11 St. Tr. 476; 19 St. Tr. 944) ; and juries were pun- ished at the discretion of the court, for finding their verdict contrary to the direction of the judge (4 Bl. Com. 361) ; the sphere of the court was latitu- dinarian. The judicial practice of directing or advising juries in matters of fact has never been discontinued in England. And this practice has carried into reports and treatises, on various branches of the law, many opinions of mere matters of fact. Without any conspicuous or material partition between law and fact, without a plain demarcation between a circumscribed province of the court and an independent province of the jury, the judges gave to juries, on questions of insanity, the best opinions which the times afforded. In this manner, opinions purely medical and pathological in their character, relating entirely to questions of fact, and full of error as medical experts now testify, passed into books of law, and acquired the force of judicial deci- sions. Defective medical theories usurped the position of common law principles. “ The usurpation, when detected, should cease. The manifest imposture of an extinct medical theory pretending to be legal authority, cannot appeal for support to our reason or even to our sympathy. The proverbial reverence for precedent does not readily yield; but, when it comes to be understood that a precedent is medicine and not law, the reverence in which it is held will, in the course of time, subside. “The legal profession, in profound ignorance of mental disease, have assailed the superintendents of asylums, who knew all that was known on the subject, and to whom the world owes an incalculable debt, as visionary theorists and sentimental philosophers attempting to overturn settled principles of law; whereas, in fact, the legal profession were invading the province of medicine, and attempting to install old exploded medical theories in the place of facts established in the progress of scientific knowledge. The invading party will escape from a false position when it withdraws into its own territory; and the administration of justice will avoid discredit when the controversy is thus 187 § 193] INSANITY AS A CRIMINAL DEFENCE. [book i. accepting the positions which have been so ably maintained by the New Hampshire judges, we must reaffirm the view brought to an end. Whether the old or the new medical theories are correct, is a question of fact for the jury ; it is not the business of the court to know whether any of them are correct. The law does not change with every ad- vance of science nor does it maintain a fantastic consistency by adhering to medical mistakes which science has corrected. The legal principle, however much it may formerly have been obscured by pathological darkness and con- fusion of law and fact, is, that a product of mental disease is not a contract, a will, or a crime. It is often difficult to ascertain whether an individual had a mental disease, and whether an act was the product of that disease ; but these difficulties arise from the nature of the facts to be investigated, and not from the law ; they are practical difficulties to be solved by the jury, and not legal difficulties for the court. “ If our precedents practically established old medical theories which science has rejected, and absolutely rejected those which science has established, they might at least claim the merit of formal consistency. But the precedents require the jury to be instructed in the new medical theories by experts, and in the old medical theories by the judge. “ In Queen v. Oxford, tried in 1840, Dr. Chowne testified that he considered doing an act without a motive a proof, to some extent, of an unsound mind ; that one kind of insanity has been well described by the term ‘lesion of the willthat it is sometimes called moral insanity ; that patients are often im- pelled to commit suicide without any motive ; that this state of mind is not incompatible with an acuteness of mind and an ability to attend to the ordi- nary affairs of life. Ann. Reg. 1840, part 2, p. 262. Lord Denman instructed the jury, that, if some controlling disease was, in truth, the acting power within the defendant, which he could not resist, he was not responsible, and that knowledge was the test. 9 C. & P. 545, 546. “ In Queen v. M’Naughten, tried in 1848, Dr. Monro testified that an insane person may commit murder and yet be aware of the consequences; that lunatics often manifest a high degree of cleverness and ingenuity, and exhibit occasionally great cunning in escaping from the consequences of such acts ; that he considered a person laboring under a morbid delusion to be of unsound mind ; that insanity may exist without any morbid delusion ; that a person may be of unsound mind, and yet be able to manage the usual affairs of life ; that insanity may exist with a moral perception of right and wrong, and that this is very common. Eight experts gave their opinions going to show that the defendant had committed the act in question under the influence of a morbid delusion which deprived him of the power of self-control. Their testimony, in substance, was, that the defendant was insane, and that knowl- edge of right and wrong was not the test. The medical testimony was so strong that the court stopped the trial, and substantially directed the jury to acquit the defendant, but Ch. J. Tindal instructed the jury that knowledge was the test. It does not appear how the defendant could be acquitted by that test. Ann. Reg. 1843, part 2, pp. 35, 359. “In Queen v. Pate, tried in 1850, Dr. Conolly testified, ‘I have conversed 188 BOOK I.] AUTHORITY OF EXPERTS. [§ 193 already announced—that, while experts may be called to testify as to states of mind and conditions of health, it is for the with the prisoner since this transaction, and in my opinion he is a person of unsound mind. I am not aware that he suffers from any particular delusion. He is well aware that he has done wrong, and regrets it.’ Dr. Monro testified, ‘ I have had five interviews with Mr. Pate since this transaction, and, from my own observation, I believe him to be of unsound mind. I agree with Dr. Conolly that he is not laboring under any specific delusion. I think he may have known very well what he was doing, and have known that it was very wrong; hut it frequently happens with persons of diseased mind that they will perversely do what they know to be wrong.’ Mr. Baron Alderson instructed the jury that knowledge was the test. “In Queen v. Townley, tried in 1863, Dr. Winslow testified, ‘I think that at this present moment he is a man of deranged intellect. He was deranged on the 18th of November, and I thought still more so last night when I saw him the second time.’ The witness was asked, ‘If the present state of mental derangement existed on the 21st of August, would it be likely to lead to the commission of the act then committed ?’ His answer was, ‘ Most un- doubtedly. Assuming him to have been on the 21st of August as he was on the 18tli of November and yesterday, I do not believe that he was in a con- dition of mind to estimate, like a sane man, the nature of his act and his legal liability.’ The witness further testified, ‘He does not appear to have a sane opinion on a moral point. I have no doubt he knows that these opinions of his are contrary to those generally entertained, and that if acted upon they would subject him to punishment. I should think he would know that killing a person was contrary to law, and wrong in that sense. I should think that, from his saying he should be hanged, he knew he had done wrong.’ Dr. Gisborne testified, that ‘the prisoner’s language implied that he knew that what he had done was punishable, but that he (the witness) believed he would repeat the offence to-morrow.’ Mr. Baron Martin instructed the jury that knowledge was the test. “ In these cases, the testimony of the experts negatived the idea that knowl- edge of right and wrong is the test. And the admission of this evidence, coupled with the rule given by the court to the jury that knowledge is the test, brought the law into conflict with itself. Either the experts testified on a question of law, or the court testified on a question of fact. The conflict was only rendered a little more palpable in People v. Huntington, tried in New York in 1856. Experts testified, as they have long testified in England and elsewhere, that a man without delusion may be irresponsible by reason of insanity, for an act which he knows to be a crime, the consequences of which he understands. One expert testified that he defined insanity as a disease of the brain by which the freedom of the will is impaired, and that almost all insane people know right from wrong. The knowledge test of insanity, as laid down by the English judges in their opinions given to the House of Lords in what is called M’Naughten’s case, 1 C. & K. 131, was read by counsel to the experts; the experts were directly asked their opinion of that test, and they testified that they did not agree with the English judges on that subject. 189 190 INSANITY AS A CRIMINAL DEFENCE. [book i. court to declare whether such states and conditions constitute irresponsibility. The same knowledge test, as laid down by the Supreme Court of New York (Freeman v. People, 4 Denio, 28), was read to one of the experts, and the same kind of testimony was repeated. The court instructed the jury that knowledge was the test. Report of the Trial of People v. Huntington, 257, 260, 261, 263, 268, 269, 270, 271, 447. “ In Com. v. Rogers, one expert testified that insane persons generally know the distinction between right and wrong. The opinion of three experts was, that the defendant was insane; that his reason had been overborne by delusion, and an insane and irresistible impulse or paroxysm. In coming to the last conclusion, it does not appear that they were guided by the knowledge test; and, upon their testimony, it would seem, that, in their opinion, knowledge was not the test. The court instructed the jury that knowledge was the test. In the application of that test to the evidence, the court adopted the language of the experts in relation to delusion and impulse, intending apparently to use delusion and impulse not as a substitute for the knowledge test, or as a modi- fication of it, but as an illustration of a process by which the knowledge of the wrongfulness of the act might be suddenly removed. The jury were unable to understand the law in the form in which it was stated in the instruc- tions, and, after considering the question of sanity some time, they came into court, and asked what degree of insanity would amount to a justification ; but the court added nothing to the instructions previously given. Report of the Trial of Com. v. Rogers, 149-166, 276-278, 281 ; S. C., 7 Met. 500. “ It is the common practice for experts, under the oath of a witness, to inform the jury, in substance, that knowledge is not the test, and for the judge, not under the oath of a witness, to inform the jury that knowledge is the test. And the situation is still more impressive when the judge is forced by an im- pulse of humanity, as he often is, to substantially advise the jury to acquit the accused on the testimony of the experts, in violation of the test asserted by himself. The predicament is one which cannot be prolonged after it is realized. If the tests of insanity are matters of law, the practice of allowing experts to testify what they are, should be discontinued ; if they are matters of fact, the judge should no longer testify without being sworn as a witness and showing himself qualified to testify as an expert. “ To say that the expert testifies to the tests of mental disease as a fact, and the judge declares the test of criminal responsibility as a rule of law, is only to state the dilemma in another form. For, if the alleged act of a defendant was the act of his mental disease, it was not in law his act, and he is no more responsible for it than he would be if it had been the act of his involun- tary intoxication, or of another person using the defendant’s hand against his utmost resistance ; if the defendant’s knowledge is the test of responsibility in one of these cases, it is the test in all of them. If he does know the act to be wrong, he is equally irresponsible whether his will is overcome, and his hand used, by the irresistible power of his own mental disease, or by the irre- sistible power of another person. When disease is the propelling, uncon- trollable power, the man is as innocent as the weapon—the mental and moral 190 BOOK I.] AUTHORITY OF EXPERTS. [§ 194 § 194. First, let it be remembered that American common law courts have no process for the collection of the opinions of elements are as guiltless as the material. If his mental, moral, and bodily strength is subjugated and pressed to an involuntary service, it is immaterial whether it is done by his disease, or by another man, or a brute, or any phy- sical force of art or nature set in operation without any fault on his part. If a man, knowing the difference between right and wrong, but deprived, by either of those agencies, of the power to choose between them, is punished, he is punished for his inability to make the choice—he is punished for incapa- city ; and that is the very thing for which the law says he shall not be punished. He might as well be punished for an incapacity to distinguish right from wrong, as for an incapacity to resist a mental disease which forces upon him its choice of the wrong. Whether it is a possible condition in nature for a man, know- ing the wrongfulness of an act, to be rendered by mental disease incapable of choosing not to do it and of not doing it, and whether a defendant in a par- ticular instance has been thus incapacitated, are obviously questions of fact. But, whether they are questions of fact or of law, when an expert testifies that there may be such a condition, and that, upon personal examination, he thinks the defendant is, or was, in such a condition—that his disease has overcome, or suspended, or temporarily or permanently obliterated, his capacity of choosing between a known right and a known wrong—and the judge says that knowledge is the test of capacity, the judge flatly contradicts the expert. Either the expert testifies to law, or the judge testifies to fact. From this dilemma, the authorities afford no escape. “The whole difficulty is, that courts have undertaken to declare that to be law which is a matter of fact. The principles of the law were maintained at the trial of the present case, when, experts having testified as usual that neither knowledge nor delusion is the test, the court instructed the jury that all tests of mental disease are purely matters of fact, and that, if the homicide was the offspring or product of mental disease in the defendant, he was not guilty by reason of insanity.” In State v. Jones, decided in the same court in 1871, we have these views thus in part affirmed by Judge Ladd :— “These instructions have now been twice given to the jury in capital cases in this State; first by the very learned ex-Cliief Justice Perley in State v. Pike, and now again by Mr. Justice Doe in the case before us. “In State v. Pike no exceptions were taken to this part of the charge, and the questions here raised were not before the whole court for judicial determi- nation, although they were printed in the case as transferred, and no objection to their form is understood to have been made. “ But a question was passed upon in that case, which, carried to its logical results, goes far towards settling most of the questions raised upon the instruc- tions here. It was claimed that the defendant was irresponsible by reason of a species of insanity called dipsomania. The court instructed the jury, that ‘ Whether there is such a mental disease as dipsomania, and whether the defendant had that disease, and whether the killing of Brown was the 191 192 [book i. INSANITY AS A CRIMINAL DEFENCE. experts on litigated questions of criminal responsibility. A case comes on to be tried in one of our criminal courts. In product of sucli disease, were questions of fact for the jury.’ These instruc- tions were specially excepted to by the defendant, and were held correct. This would seem to be entirely inconsistent with the idea that either delusion or knowledge of right and wrong is, as matter of law, a test of criminal capacity ; and would also seem to be about equivalent to holding in general terms that it was for the jury to say whether the killing was the product of mental disease, and return their verdict of ‘ guilty’ or * not guilty by reason of insanity,’ as they found the facts to be. “We should be slow to establish any doctrine, on this important subject, which we could see would be likely to result in the escape of malefactors from punishment, or afford encouragement to a fictitious defence of insanity; and no considerations of convenience or ease in the administration of the law, as before observed, should be allowed to weigh at all against adhering to any doctrine, or any course of practice, that rests upon sound reason, or that appears to be necessary for the attainment of right results, whether such doc- trine or practice is supported by uniform authority or not. “ Still, it is no objection to the course of the judges who tried this case, and who tried Pike’s case, that it relieves the subject of some of its most formi- dable difficulties, so far as the court is concerned, and at the same time fur- nishes at least one clear and explicit direction which the jury can understand. “ No untried or doubtful theory is adopted ; the instruction given was always law, and always must be law, while justice is administered upon principles at all consonant with the calls of civilization and humanity. “ The only objection is, that the court did not go further, and undertake to explore a region where all is doubt, uncertainty, and confusion upon the authorities, and where upon principle they had no right to go at all; that they did not undertake to lay down a rule where, if we could allow ourselves to investigate the fact, we should probably find there is and can be no rule, nor to enunciate as law a pure matter of fact which can only be absolutely known to the Almighty. “I may add, that it confirms me in the belief that we are right, or at least have taken a step in the right direction, to know that the view embodied in this charge meets the approval of men who, from great experience in the treatment of the insane, as well as careful and long study of the phenomena of mental disease, are infinitely better qualified to judge in the matter than any court or lawyer can be. See Pay’s Med. Jurisprudence, 5th ed. § 44. “The satisfaction with which the charge in State v. Pike is understood to have been received by the most enlightened members of the medical pro- fession, proves to my mind not that we have thrown down old landmarks to adopt any theory based on a partial, imperfect, or visionary view of the subject, but that, in a matter where we must inevitably rely to a great extent upon the facts of science, we have consented to receive those facts, as de- veloped and ascertained by the researches and observations of our own day, instead of adhering blindty to dogmas which were accepted as facts of science 192 BOOK I.] AUTHORITY OF EXPERTS. [§ 194 tlie great majority of our jurisdictions, there is no law by which a commission can issue to take the deposition of wit- nesses out of the reach of local process. Even in those juris- dictions where such a law exists, there is no reported case of a witness, residing at a distance, being examined by deposi- tion. Indeed, even where this is technically legal, the step is one which parties would be very unlikely to take. An expert, in order to give an opinion to which the jury will attach weight, must visit the patient personally. Hence it is that practically, in seeking for experts, the parties are limited to those whom they can produce on trial. Of course, when there is wealth, or when the State makes, as it very rarely does, suitable provision, experts may he brought from a dis- tance. But, whether brought from a distance or taken from the immediate neighborhood, they are open to the very serious objection that they are unofficial persons selected by the party calling them, because their preascertained views will serve that party’s necessities.^1) For we have in none of our States governmental hoards of experts, chosen as independent arbi- ters, on the same basis as our courts of law. Hence it is, that the experts, whose testimony the jury are to take, are simply voluntary theorists. So far as concerns the defendant, they are called by him because, from their opinions already ad- vanced, their views favor his defence. It is by the defence, indeed, that testimony of experts, in issues of insanity, is mainly produced. It is natural that it should be so, for not and erroneously promulgated as principles of law fifty or a hundred years ago. “ The last instruction, that the defendant was to be acquitted on the ground of insanity, unless the jury were satisfied beyond a reasonable doubt that the killing was not produced by mental disease, was in accordance with State v. Bartlett, 43 N. H. 224, and was correct.” This is stated with much lucid ability, and relieves the question of the em- barrassing issue as to experts with which it was complicated in State v. Pike. In this, its simpler and later aspect, the topic has been already discussed. Supra, § 109, etc. It is unnecessary here to do more than repeat the conclu- sions there reached, that to give the whole subject to the jury, with instruc- tions “to acquit if the act was the product of mental disease,” is, ably and fairly as the argument is here presented, as repugnant to philosophical juris- prudence as it is to judicial precedent. (s1) See infra, § 295. yol. i.—13 193 § 195] INSANITY AS A CRIMINAL DEFENCE. [book i. only is the burden of proof on the defence, but the interest the defendant has at stake is so enormous, that his whole energies, and his entire estate, as well as the full professional nerve and pride of his counsel, will be exhausted in bringing his case fully before the court. Just so far as the prosecution takes an interest in the case—just so far as it believes in the baselessness of the defence—is it liable to be influenced by the same zeal. But there is here a difference between the position of the defence and that of the prosecution. The defence springs its witnesses, if not its particular point of reliance, on the pro- secution. The prosecution has generally to reply, as best it can, with any testimony which, at the moment and spot, it can catch up. § 195. But, be this as it may, each party has certain theories to be proved, and each party looks around for experts to prove such theories. Now, it so happens, that there is scarcely a single hypothesis as to responsibility, no matter how wild, which, among the large number of experts who have con- cerned themselves with this branch of study, has not its advo- cates. Some particular hypothesis is a convenient one for the emergencies of the case, and consequently the expert who believes it, is sought out and summoned. But he, and the few, as it may be, who agree with him, are summoned alone. The great mass of experts, embracing ninety-nine hundredths of the entire body, are left uncalled. There is undoubtedly one good physical reason for this. No court-room, though as large as the Roman amphitheatre, could hold all those who on this topic have fair claims to be considered experts. No state treasury would attempt the expense of their mainte- nance and remuneration during the very protracted investiga- tions that would ensue. No court would ha.ve time for such trials; and, indeed, it would be impossible to tell how long such a suit would continue. No humane government would permit a course which, by thus confining all the experts of the land (even if we stopped here) in one spot, for an indefi- nite period, would leave their innumerable patients and wards for so long a time without guidance. But, independently of this objection, reason enough for a narrow selection is found 194 BOOK I.] AUTHORITY OF EXPERTS. [§ 196 in the fact that each party calls only the experts that will prove his case, and no more.(a) § 196. How, how has this practically resulted ? We believe that the reports of our criminal trials show that there is not a case in which it was necessary to rely on some extravagant and unique psychological theory to make out a defence, in which such theory was not sustained by experts. Thus, in a re- markable Kentucky case, hereafter to be more fully noticed,(a1) it was testified by experts, and apparently without contradic- tion, that all persons committing suicide are insane, and that consequently (a conclusion in which fortunately the court did not coincide), the exception of suicide in life-insurance policies is a nullity. So in the case of Arthur O’Connor, who was tried in London, in April, 1872, for an assault on the Queen, Dr. Tuke testified to the prisoner’s insanity, because he had no sense of his situation, and because he “argued in a circle,” which facts were declared by an opposite medical expert to prove just the contrary, while Dr. Sheppard, Professor of Psychological Medicine in King’s College, and head of the Colney Hatch Asylum, announced, in an article in the Lancet, that Dr. Tuke’s position was “monstrous.” So also in An- drews’ case,(b) where the defence was mania travisitoria, one physician (a gentleman highly respectable, but standing almost alone in this respect) was brought to testify to the psycho- logical soundness of the defence; while the prosecution limited itself to but one expert in reply, though it could have found a thousand to indorse what that expert said. So in the case now immediately before us, “dipsomania” is spoken of as proved by medical experts; and it is said to be the law that if these experts declare that there is such a disease as “ dipso- mania,” and that “ dipsomania” confers irresponsibility, then the defendant is irresponsible.(b1) But what experts? Who (a) That this fact is admitted and deplored by high medical authority, as fully as by legal, will be abundantly hereafter illustrated. See infra, §§ 275, 283, 293. (o') St. Louis Mutual Insurance Co. v. Graves, 6 Bush, 644; infra, § 236. (5) Supra, § 162. (&1) The unsoundnesg of the hypothesis of “dipsomania” will be here- after shown, infra, § 639. 195 §197] INSANITY AS A CRIMINAL DEFENCE. [book r. are to declare this? Those selected by the defendant out of that small knot of psychological physicians who hold to this theory ? And is the court to be bound by the views of those experts, supposing the prosecution declines to reply, or replies imperfectly ? Is the judge to shut his eye to the fact, that by almost all modern psychologists—by all the governmental for- ensico-legal experts of Germany, by whom such great breadth and ability of diagnosis is exhibited, and by whom such unparalleled patience and compass of induction exercised—by at least a preponderating weight of opinion among English and American alienists—the theory of distinct moral mono- mania, the mind remaining sane, is not only repudiated but denounced ? But how is this fact to he shown ? The prosecu- tion has not means or time, even if it has the desire, to bring these eminent men to the witness-stand. There is no process in other words, in which the true sense of experts, taking them as a body, can be obtained. The test, therefore, is one which, from the inadequacy of our judicial machinery, we can- not apply, (/j2) § 197. But, again, even supposing experts of conflicting views could be fairly and liberally summoned, so as to give the jury the full renditions of science on the questions in liti- gation, there is no court of experts, who can harmonize antag- onistic views, and give to the jury in a concrete shape a posi- tive and final judgment. In legal practice, from the fact that in each State there is a final court of appeal, this difficulty is obviated. We all know what the law is; or, if we do not, we have the means, in each litigated case, of ascertaining such law. And in this certainty, at least as much as in the wisdom of the opinions promulgated, lies our safety. Take, for instance, to repeat a prior illustration, the question of moral insanity. If moral insanity be established by the courts, then the legis- lature can take measures to have all persons “ morally insane” placed in insane asylums, so that no injury to the community can ensue from their running at large. Or, if the courts hold that “ moral insanity” is not a defence, then persons of this class will be held responsible penally for their misdoings, or (52) See infra, § 295. 196 BOOK I.] [§ 198 AUTHORITY OF EXPERTS. placed under bonds to keep the peace. But if the rule is to be laid down by experts called freshly in each particular case, with no court of appeal, it will be impossible to have any settled law. The experts selected in one case will prove entirely a different law from the experts selected in another case. For instance, in those cases in which the state takes the prosecution in its own hands, and calls, as is the practice in some jurisdictions, men of high station as psychologists, the testimony will be that there is no such thing as either mono- mania or “moral insanity” as a distinct insane affection. On the other hand, in a case in which the defendant’s mental sanity is indisputable, and his life may depend on his proving that “ moral insanity” is a good defence, experts who hold to “ moral insanity” are called to prove it exists; and “ moral in- sanity” is so far established. From neither of these decisions is there any appeal. There is no mode of harmonizing them. Nor is it possible to tell what the future may bring forth, except that each party will call such experts as are most favor- able to his views. Now, to speak of the opinions of such special experts as the opinions of experts in general, and declare it to constitute the rule of insanity, is about as reason- able as it would be to speak of the arguments of counsel employed to argue on a series of isolated cases, as constituting the law of the land. The fact is there is no settled and final opinion of experts, to supply the test which is here invoked, because there is no final court by whom conflicts among experts can be reconciled, and a settled law pronounced. § 198. But, after all, we must next observe that the proposed submission of the test to experts for decision is an illusion, for the court will have to explain what it is that the experts say. No court can abdicate its functions of weighing testimony and of declaring what testimony means. It is, indeed, a funda- mental maxim of the law that witnesses are not to be counted, but weighed. Let us take, as illustrating this necessity, the celebrated 'Windham case, elsewhere more fully noticed.(c) A petition of lunacy was taken out against Mr. Windham, his nearest relatives being the petitioners. His course was shown to (c) See supra, § 106. 197 §199] INSANITY AS A CRIMINAL DEFENCE. [book i. have been since his boyhood—at the time of the inquisition he was not much older than twenty-one—one of reckless and imbe- cile profligacy; and some of the most eminent experts, called for the petitioners, declared that he was wanting in capacity to manage his own affairs. But the testimony thus produced was overborne, as to numbers, by a mass of other experts, who, on examination far more superficial, and on tests far less thorough, pronounced for the respondent’s competency.^1) Of course in such cases there was but one course open to the master in lunacy by whom the inquisition was held. His duty was to say where the weight of the testimony was, and by what tests it was to be proved. So it must always be in cases of conflict of evidence. Yet to declare, supposing the testi- mony of experts to be “law,” where the weight of this testimony lies, is really to declare what the law itself is.(c2) § 199. Yor can harmony be by any other course adjusted between civil and criminal law. In many classes of probate cases, the question of a testator’s sanity is taken from the jury and determined exclusively by the court. In all civil issues, this is forced by demurrers either to the pleading or to the evidence. Even on jury trials, the legal relations of the testi- mony of experts can be removed, by bills of exceptions, or by appeal, to the superior court. To declare that in criminal cases such questions are solely for the jury, guided by experts, would be to introduce not merely clashing of courts, but failure of justice. A man would be sane by one class of proceedings, and be insane by another. After being declared responsible by an inquisition of lunacy, he might be declared irresponsible by a jury on an indictment for crime; and thus would he be too irresponsible to be punished as a criminal, and yet not irrespon- sible enough to be placed in an insane asylum. Or, under the direction of experts of opposite views, a man who, in a civil (c1) Similar cases have occurred in the United States. See Winter’s Case, reported in 27 Am. Journ. of Ins. 47, and Com. v. Haskell, 2 Brewster, 505, in which J udge Brewster said: “If we look at the medical testimony, we find an even balance of numbers. Doctors Jones, Butler, Harbeson, and Berkey, on the one side, and Doctors Morton, Groves, Seltzer, and Childs, on the other, present a diversity of professional opinions. This is not unusual.” (c2) See more fully, as to weight to be attached to testimony of experts, infra, § 293. 198 BOOK I.] AUTHORITY OF EXPERTS. 199 court would be held insane, might be convicted by a jury as sane, without any right, on the hypothesis here combated, of appealing to the court for redress. § 199a. But, finally, we must fall back on the position already fully argued, that the question of irresponsibility is one that cannot, consistently with public justice, be surrendered by the courts. Responsibility is a judicial question. It is of the high- est grade. It touches the most cherished prerogatives of citizen and state.(cZ) It involves in its criminal relations two topics, both of which are in the range of j uridical philosophy, and both of which should be decided, in each case that arises, by officers of the state, appointed by the state, bound by fixed rules, and advised, before they decide, by counsel who will present both sides of the question at large. One of these topics is the rela- tion of responsibility to reason, and here arises the principle, heretofore discussed on grounds purely j uridical,(e) that where- ever there is reason there is responsibility. The other topic is that of the divisibility of the Ego into distinct factors, one of which can become insane while the other is sane; and in this is involved the position, hereafter to be vindicated,(/) that there is no such thing as moral insanity coexistent with men- tal sanity. These points are not to be finally adjudicated by experts, who are neither appointed by the state so as to be inde- pendent of party choice, nor are selected from their general judicial fitness, nor are bound by precedent, nor are advised, before they come to a decision, by counsel presenting fully both sides. Experts are no doubt to give facts, though their explora- tions of facts should not be made without notice to the oppo- site side. But questions of high philosophical jurisprudence such as these, bearing as they do most closely on the liberty of the citizen and the safety of the state, should be decided by judges, who, appointed by the state, independent of the parties, and advised by counsel, remember that their decision is to be part of a harmonious and equal system of public law, and that for their rendering of it they are responsible to the state from which their appointment proceeds. (.d) See on this point Mr. Bain’s striking argument, supra, § 188, and infra, § 299. (e) See supra, §§ 110,185-188. (/) Infra, §§ 533-572. 199 §200] INSANITY AS A CRIMINAL DEFENCE. [rook i. (Z1) Predisposition to insanity as lowering the grade op guilt. § 200. It has already been abundantly shown that there are conditions of mind in which actual insanity cannot be said to have set in, but in which there are insane predispositions tending to either undue mental exaltation, or undue mental depression.(y) A psychical condition, inherited, it may he, or the result of some physical cause, makes the patient inca- pable, when excited, of due deliberation, renders it difficult for him to cool, or disturbs his mind when it comes to act on the question of intent. Such a man, for instance, in an ex- citement which this psychical state makes far more intense and protracted than it would be among persons of ordinary mental health, kills another. Is he to be acquitted ? Certainly not, for he cannot, on any sound principles psychological or legal be declared insane. Is he to be convicted of murder in the first degree, and hung ? This, were the defendant a person of healthy and normal temperament, would be perhaps the nat- ural sequence of the trial, should it appear that the homicide was deliberately executed. But, suppose the case of a man who, from insane predisposition, instead of cooling down after the first flush of hot blood, falls into a state of morbid excite- ment continuing and perhaps growing for weeks. Is such a man to be judged, as to a homicide committed during such excitement, by the same rules as apply to a person whose pas- sions have had time to subside ? In other words, are “ cooling time,” and “ intent” and “ premeditation,” to be gauged by the capacity of the ideal rational man, or that of the person under trial ? That the latter view should be taken,—that we should determine these questions according to the capacity of the defendant himself, has been already incidentally argued, and may be confirmed by many analogies of penal jurisprudence. In this way do we judge those conceptions of danger which justify a party in resorting to violent means of self-defence ;(A) so do we determine responsibility in cases of sleep-drunken- (SO Supra, § 181. (7i) Supra, §§ 125-145. 200 BOOK I.] [§ 200a CAPACITY OF INSANE DEFENDANTS TO PLEAD. ness and somnambulism; so do we estimate the conduct of persons when roused by any great political or religious excite- ment ;(z) and so wTe hold in cases of intoxication, when called upon to measure deliberation and intent.(y) If, in cases where homicide has been committed during an excitement which the defendant’s peculiar psychical state has abnormally protracted and intensified, a verdict of murder in the second degree, or of manslaughter, is given in accordance with these views, a result is reached which is not only in accord with sound principle, but is far more consistent with the public idea of justice that would be a verdict either of not guilty, or of mur- der in the first degree.(T) This, in fact, is, under the North German code, the established law in Germany. That it is recommended by high medical authority, will be hereafter seen.(U) Mr. Stephens lends his valuable authority to the same view.(/c2) “ Partial insanity,” he says, “ may be evidence to disprove the presence of the kind of malice required hy the law to constitute the particular crime of which the prisoner is accused. A man is tried for wounding with intent to murder. It is proved that he inflicted the wound under a delusion that he was breaking a jar. The intent to murder is disproved, and the prisoner must be acquitted; but if he would have had no right to break the supposed jar, he might be convicted of an unlawful and malicious wounding.” (g1) Capacity op insane defendants to plead. § 200a. By statutes existing in England, and in several of the United States, it is competent for the defendant’s counsel to formally plead insanity, as a special preliminary defence, in which case an inquest is taken to determine the issue, “ sane or insane.”(7) Where a jury is impanelled to try whether a (*) Supra, § 181; Wharton’s C. L. § 1107. (j) See infra, §§ 211-214, and see particularly Roberts v. People, 19 Mich. 401, infra, §211. (k) See, in illustration of this, McGregor’s case, reported and commented on in 23 Am. Jour. Ins. 549. (A:1) Infra, § 770, note (*), for some excellent remarks of Dr. Winslow to this point. (k2) Criminal Law of England. London, 1863, p. 92. (Z) See R. v. Good, 7 A. & E. 536 ; R. v. Dwerryhouse, 2 Cox, C. C. 446. 201 § 2006] INSANITY AS A CRIMINAL DEFENCE. [book i. prisoner is insane or not at the time when he is brought up to plead to an indictment, the counsel for the prosecution is to begin and call his witnesses to prove the sanity of the pri- But, where a jury is impanelled, at the instance of the counsel for a prisoner, to try whether he was insane or not at the time of the commission of the offence, the proof of the insanity is incumbent on his counsel.[n) § 2006. Where the defendant from insanity is incapable of pleading, the court will disregard his plea of guilty, or any confessions of guilt he may offer. And even his protestations of “ sanity” will be disregarded, if there be adequate proof that he is insane.(o) The defence of insanity may be taken by his counsel against his will, though he may be personally allowed to call witnesses to disprove it.(p) Confessions, by persons whose mental soundness there is reason to doubt, should be jealously scrutinized by the court. Cases are not unknown when such confessions have been the product of insane delusions; and, at all events, an insane per- son is incompetent to make a confession, which, true or false, will subject him to penal responsibility.^) (m) R. v. Davies, 6 Cox, C. C. 326; 8 C. & K. 328. (to) K. v. Turton, 6 Cox, C. C. 385. (o) R. v. Pearce, 9 C. & P. 667. (p) Ibid. (q) See, as to the unreliability of such confessions, infra, §§ 782-799. The value of confessions, in their medico-legal relations, has been treated with much ability in a lecture read by Dr. Hammond in New York, in February, 1871 (Jour. Psyc. Med., 1871, 357) from which the following is taken. “ On the morning of the 30th June, 1860, Francis Saville Kent, four years old, was found murdered in an out-house on his father’s premises, Roadhill House, Wiltshire. The throat was cut to the bone, and there was a wound in the chest which penetrated to the heart. The corpse was wrapped in a blanket which belonged to the bed in which the child had slept the night before ; a piece of flannel, such as women sometimes wear over the chest, was found under the body, and a portion of a newspaper, which had evidently been used for wiping a bloody knife, lay upon the floor. Nothing else was discovered calculated to indicate the perpetrator of the deed, and even the ownership of the piece of flannel could not be traced. Mr. Kent’s family, including servants, consisted of twelve members. The murdered child, a younger one, and the nurse, Elizabeth Gough, slept in the nursery, each oc- cupying a separate bed. Early in the morning the nurse awoke, and found 202 BOOK I.] CAPACITY OP INSANE DEFENDANTS TO PLEAD. [§ 2006 the little boy’s bed empty; but, supposing that Mrs. Kent had come into the room and removed him, she gave herself no uneasiness on the subject, but went to sleep again. About half past six she again awoke, and, arising, went to Mrs. Kent’s bedroom and knocked at the door. Receiving no answer, she waited till her master and mistress had also risen, and then the discovery was made that the child was not in the house. Sometime afterwards the body was found as I have described. “ Before going to bed the night before, Mr. Kent had seen that all the doors and windows of the house were securely closed. The housemaid, in coming down stairs that morning, had found the drawing-room door and one of the windows open. Supposing that they had been forgotten, or opened by some member of the family for the purpose of cooling the room, she had considered the matter of no importance, and had, therefore raised no alarm. There was no evidence of any one having forced an entrance into the house. On the contrary, it was very certain that the murder had been committed by one or more of the inmates, or by some one who must have entered the building and remained secreted in it till the deed was perpetrated. There were no blood stains in the house or garden, no marks of any struggle, and no noise had been heard by any member of the family. “ Suspicions fell, by turns, upon Mr. Kent, the nurse, and upon a daughter of the former by his first wife ; but nothing was discovered sufficient to justify the committal of either for trial, though there were one or two unexplained circumstances which, in the minds of some, connected the young lady with the murder. “She had been heard to utter expressions of dislike against the murdered child, and had, on several occasions, manifested some slight degree of jealousy in regard to him. A night-dress of hers was missing, and no satis- factory account was given of its whereabouts. But there was nothing more. As was very natural, she had shed tears when informed of the cause of her arrest, but had borne herself throughout the examination with wonderful for- titude, and apparently with the utmost consciousness of innocence. “ For two years subsequently she went to school, and then, entering a semi- conventual order connected with the Church of England, remained in seclu- sion till the spring of 1865, when she voluntarily came forward, confessed herself guilty of her brother’s murder, and was committed to take her trial for the crime. The trial took place. She pleaded guilty to the indictment, and, on her plea alone, without any further inquiry, and without the case being sent to the jury, she was sentenced to death. “ From the report of the trial I make the following extract:— “ ‘At nine o’clock the learned judge took his seat on the bench, and the prisoner was placed at the bar. She stood firmly, but meekly, with her eyes cast down, and her hands clasped before her. “ ‘ Silence having been proclaimed, the deputy clerk of arraigns said :— ‘““Constance Emilie Kent, you are charged with the wilful murder of Francis Saville Kent, on the 29th of June, 1860. Are you guilty or not guilty?” “ '■Prisoner (in a low tone). “ Guilty.” “ '•Judge. “Are you aware that you are charged with having wilfully, inten- 203 § 2006] INSANITY AS A CRIMINAL DEFENCE. [BOOK I. tionally, and with malice, murdered your brother ? are you guilty or not guilty ?” The prisoner made some answer, but in so low a tone that it could not be heard. “ 1 Judge. “ I must repeat the question ; you are charged with having wil- fully, intentionally, and with malice, killed and murdered your brother. Are you guilty or not guilty ?” “ ‘ Prisoner (in a low tone). “ Guilty.” ‘‘ ‘ Judge. “The plea must be recorded. ’ ’ The plea was accordingly recorded. “ ‘Mr. Coleridge (one of the counsel). “Before your lordship passes sen- tence, I desire to say two things : First, solemnly, in the presence of Almighty God, as a person who values her own soul, she wishes me to say, that the guilt is hers alone, and that her father and others, who have so long suffered most unjust and cruel suspicion, are wholly and absolutely innocent; and, secondly, that she was not driven to this act by unkind treatment at home, as she met with nothing there but tender and forbearing love ; and I hope I may add, that it gives me a melancholy pleasure to be the organ of these statements for her, because on my honor I believe them to be true.” ’ “The learned judge—evidently a kind and generous-minded man—then assumed the black cap, and, with great feeling, in which the prisoner joined with hysterical sobs, sentenced her, as his duty and the law required. And thus, without any inquiry into the character of the influences wThich had been brought to bear upon her, the tendencies of her disposition while in the religious institution, the sanity or insanity of her mind, her antecedents, or any other point which might have served to throw light upon the case, to lessen her criminality if really guilty, or to weaken the force of her plea if innocent, Constance Kent left the court convicted of the highest crime known to the laws of man. “If innocent, her case is one more added to the long list of others—mono- maniacs, ecstatics, enthusiasts, hysterical persons, and liars—who have con- fessed to the commission of offences wThich they did not perpetrate ; if guilty, she is, so far as I know, the solitary instance of an individual confessing to a crime, and being sentenced to death upon no other evidence than that of ad- mission. Men and women before this have, in the face of overwhelming testimony against them, or while in a drunken debauch, or on their death-beds, or standing on the scaffold, with no hope of escape, or unintentionally, like the robbers and the cranes of Ibycus, confessed their crimes; but, if any criminal of sane mind has ever yet voluntarily supplied all the evidence which could consign him or her to an ignominious grave, that case has escaped my observation. ‘ ‘ Such are the main facts immediately connected with this most extraordinary case, and which is rendered still more extraordinary from the real or supposed discovery of the criminal. That she may have committed the murder is beyond question ; that she did commit it, is, in my opinion, a matter of grave doubt. At the time of the murder, Constance Kent was in her sixteenth year. Her mother had died a lunatic several years previously ; and she her- self, though described as a girl of warm and generous disposition, was con- sidered to possess a rather dull and sluggish intellect. At the time of the trial it was stated that she was an exceedingly plain-looking young woman, 204 BOOK I.] CAPACITY OF INSANE DEFENDANTS TO PLEAD. [§ 2005 with a broad, full, uninteresting face, which wore more an expression of stupid dulness than one of intelligence. She had full, large eyes, glanced uneasily around her, as if expecting some danger, and had, apparently, none of that cunning and shrewdness which it would he supposed she must neces- sarily have possessed. “ When arrested soon after the murder, her behavior was, as I have said, in the highest degree admirable. She evinced a proper amount of feeling, denied all knowledge of the crime, and, when questioned in regard to the dead child, said, ‘ The last time I saw him was in the evening when he went to bed. He was a very merry, good-tempered lad, and fond of romping. I was accustomed to play with him often—I had done so on that day. He was fond of me, and I was fond of him. ’ “Did she commit the murder ? What evidence was there of the fact beyond her own voluntary confession ? It may safely be assumed that there was none. None was brought against her at the trial, and it is not to be supposed that, in a country like England, where the law is rigidly enforced against peer and pauper alike, and in which the regard for human life is at its maxi- mum, she would have been allowed to live quietly for five years undisturbed by those who had never lost sight of the murder. The great mass of the people who read about the affair said, ‘What more is required ? She has confessed herself to be guilty, and therefore she must be guilty.’ Let us see what warrant there is for such an assumption. “After two years passed at a boarding-school, during which it was a common subject of remark that she was very eccentric in her demeanor, Constance Kent entered St. Mary’s College, Brighton, a sort of hybrid convent with a rector and a lady superior. Here she was undoubtedly subjected to the action of influences calculated to exalt her cerebral sensibility, already abnormally heightened by hereditary predisposition and the action of the causes to which I have already alluded. “ Let us suppose, for the sake of illustration, that she entered the quasi con- vent thoroughly conscious of her innocence. She knew that she was sus- pected. She had been arrested as the murderess, but discharged for want of evidence. During the two years or more subsequently, she had heard numerous disputes among her school-fellows in regard to her guilt. “The nurse had been arrested, and, though also discharged, labored under the suspicion of being the criminal, and was, in consequence, unable to pro- cure employment. Whisperings, too, which had reached her ears, had been going on against her father. It was said that he had an intrigue with the nurse, and had killed the child, who had awoke while he was in the room, to save his own reputation. “Crushed to the earth by these reports, he had buried himself in obscurity, a broken-hearted and a ruined man. Brooding over these thoughts and many others that must have forced themselves upon her, taught that self-mortifica- tion was one of the highest privileges of mankind, and thinking for years about the horrible events of that dreadful night, would it be a subject for astonishment if Constance Kent had come in time to think herself the mur- deress, and been brought to believe it her duty to relieve her friends from suspicion, and to save her own soul by taking the guilt upon herself? Had 205 § 2006] INSANITY AS A CRIMINAL DEFENCE. [BOOK I. she not before her the example of her Lord and Saviour, who came down from heaven and assumed the sins of a wicked world in order that man might be saved ? Do we not know, by our daily experience in observations of our fellow- men, that the mind, by constantly entertaining the most preposterous ideas, finally accepts them as true ? It is said, and doubtless with truth, that the most false and improbable story, if frequently told, is eventually so deeply impressed upon the mind of the relator that he religiously believes in its genuineness. “ A mere dream is, in certain states of the system, undistinguishable from realities. A patient, a lady with deranged menstrual function, informed me that she had risen in the night and gone to visit a gentleman of her acquaint- ance, who lived in a distant part of the city, and had stayed in his house all night. Thorough inquiry showTed, beyond the probability of doubt, that there was not a word of truth in her story; that she had not left the house at all, and that the gentleman in question was not at the time in the city. Doubt- less the whole series of events had no other foundation than a vivid dream. In the middle ages spontaneous orgasm made many a woman consider herself subjected to the influence of the devil. We know, too, that most children are incapable of discriminating between the phantoms of dreams and actual events, and they are frequently punished for lying when they firmly believe they have spoken the truth. I have often had children give the most circumstan- tial and serious accounts of their interviews with fairies and ogres, which accounts were clearly attributed to dreams. “ A desire for notoriety will sometimes be the predominant force in causing a false confession. A few months ago I was requested by Colonel Whitely, the chief detective officer of the Government, to visit, in the Tombs prison, a man who had confessed himself to be a member of a gang of counterfeiters. “This individual had written a letter to the Secretary of the Treasury, in which he detailed in the most consistent and minute manner the organization of the band, and as members of which he gave the names of the most eminent and respectable citizens of the United States, of both political parties. His statements were believed, and Colonel Whitely was directed to investigate the whole affair with the utmost secrecy and completeness. Colonel Whitely, with the perspicuity for which he is noted, soon had his suspicions excited that the man’s story was a fabrication. “ Nevertheless, the evidence the fellow had sent to Washington was so far credited that it was under consideration whether or not the alleged members of the band, embracing governors of states, senators, representatives, high officials of the army, and others, should be arrested. “At this juncture, Colonel Whitely requested me to examine the man. I found him perfectly coherent, but wavering and contradictory in his statements. Examination of the skull showed that he had received a wound from a musket-ball, and this, with the facts that he did not sleep, that he had a cere- bral congestion, and w'as evidently laboring under a delusion, convinced me that he wTas a fitter subject for the lunatic asylum on Blackwell’s Island than for a prison, and I accordingly had him sent there. ‘4 In this case a desire for notoriety and the self-inflation resulting from the association of his name with others of exalted station had been the primary force of his action, and had eventually rendered him insane.” 206 BOOK I.] INSANITY PRODUCED BY DELIRIUM TREMENS. [§ 202 D. HOW FAR INTOXICATION AFFECTS RESPONSIBILITY FOR CRIME. § 201. The law in this connection may be summed up as follows:— (a1) Insanity produced by delirium tremens affects responsibility IN THE SAME WAY AS INSANITY PRODUCED BY ANY OTHER CAUSE. (51) Insanity immediately produced by intoxication does not DESTROY RESPONSIBILITY IF THE PATIENT, WHEN SANE AND RESPON- SIBLE, MAKES HIMSELF INTOXICATED. (c1) While drunkenness per se is no defence to the fact of guilt, YET, WHEN THE QUESTION OF INTENT OR PREMEDITATION IS CON- CERNED, IT BECOMES A MATERIAL ITEM OF CONSIDERATION. (a1) Insanity produced by delirium tremens affects responsi- bility IN THE SAME WAY AS INSANITY PRODUCED BY ANY OTHER CAUSE. § 202. If a man who, laboring under delirium tremens, kill another, is made responsible, there is scarcely any species of insanity which, on like principles, wmuld not be subjected to the severest penalties of criminal law. “ It may be the imme- diate effect,” says Dr. Ray,(<7) “of an excess, or series of ex- cesses, in those who are not habitually intemperate, as well as in those who are; but it most commonly occurs in habitual drinkers, after a few days’ total abstinence from spirituous liquors. It is also very liable to occur in this latter class when laboring under other diseases, or severe external injuries, that give rise to any degree of constitutional disturbance. The approach of the disease is generally indicated by a slight tremor and faltering of the hands and lower extremities, a tremulousness of the voice, a certain restlessness and sense of anxiety which the patient knows not how to describe or account for, disturbed sleep, and impaired appetite. These symptoms having continued two or three days, at the end of which time they have obviously increased in severity, the patient ceases to sleep altogether, and soon becomes delirious. At first the delirium is not constant, the mind wandering during the night, but, during the day, when its attention is fixed, capable of rational discourse. It is not long, however, (g) Med. Jur. 438, 207 §202] [book i. INSANITY AS A CRIMINAL DEFENCE. before it becomes constant, and constitutes the most prominent feature of the disease. Occasionally the delirium occurs at an earlier period of the disease, and may even be the first symptom of any disorder. This state of watchfulness and delirium con- tinues three or four days, when, if the patient recover, it is succeeded by sleep, which at first appears in uneasy and irreg- ular naps, and lastly in long, sound, and refreshing slumbers. When sleep does not supervene about this period, the disease is fatal; and whether subjected to medical treatment or left to itself, neither its symptoms nor its duration are materially modified. The character of the delirium in this disease is peculiar, bearing a stronger resemblance than any other form of mental derangement to dreaming. It would seem as if the dreams which disturb and harass the mind during the imper- fect sleep that precedes the explosion of the disease continue to occupy it when awake, being then viewed as realities, instead of dreams. The patient imagines himself, for instance, to be in some peculiar situation, or engaged in certain occupa- tions, according to each individual’s habits and profession; and his discourse and conduct are conformed to this delusion, with striking peculiarity, however, that he is thwarted at every step, and is constantly meeting with obstacles that defy his utmost efforts to remove. Almost invariably the patient manifests, more or less, feelings of suspicion or fear, laboring under continual apprehension of being made the victim of sin- ister designs and practices. He imagines that certain people have conspired to rob or murder him, and insists that he can hear them in an adjoining apartment arranging their plans and preparing to rush into his room; or that he is in a strange place, where he is forcibly detained, and prevented from going to his own home. One of the most common hallucinations is to be constantly seeing devils, snakes, vermin, and all manner of unclean things around him and about him, and filling every nook and corner of his apartment. The extreme terror which these delusions often inspire produces in the countenance an unutterable expression of anguish, and, in the hope of escaping from his fancied tormentors, the wretched patient endeavors to cut his throat or jump from the window. Under the influ- ence of these terrible apprehensions he sometimes murders his 208 BOOK I.] INSANITY PRODUCED BY DELIRIUM TREMENS. [§ wife or attendant, whom his disordered imagination identifies with his enemies, though he is generally tractable, and not inclined to he mischievous. After perpetrating an act of this kind, he generally gives some illusive reason for his conduct, rejoices in his success, and expresses his regret at not having done it before.”^1) § 203. As far as concerns temporary incapacity, therefore, delirium tremens acts in the same way as any other delirium, and, when complete, destroys the moral as well as the intel- lectual responsibility. The only question, therefore, is, whether there is anything in the source from which it is derived which requires that it should be exempted from the general rule by which delirium forms a good defence to an indictment for a criminal offence. In the dicta of one or two of the older law writers, this exception is sought to be sustained, on the ground that a drunkard, in every stage, is a voluntary demon, and that he can no more use his consequent mania as a defence, than can the man who kills another by a sword allege that it was the sword, and not himself, that was the guilty agent. But to this the answer is threefold: (1) that delirium tremens is not the intended result of drink in the same way that drunk- enness is; (2) that there is no possibility that delirium tremens can be voluntarily generated in order to afford a cloak for a particular crime; (3) that, so far as original cause is concerned, it is not peculiar in being the offspring of indiscretion or guilt, for such is the case with almost every other species of insanity. These points scarcely need to be expanded. The fact is, delirium tremens runs the same course with most of the other classes of insanity known in the criminal courts. It is the result, like most other manias, of prior vicious indul- gence ; but it differs from intoxication in being shunned rather than courted by the patient, and in being incapable of volun- tary assumption for the purpose of covering guilt. § 204. Reason, therefore, undoubtedly teaches us that a person who is incapacitated from moral and intellectual agency, by reason of delirium tremens, is irresponsible; and (gl) See an interesting case of Oinomania in 8 Amer. Journ. of Insan. 3; and see infra, “Dipsomania,” § 639. VOL. I.—14 209 §205] INSANITY AS A CRIMINAL DEFENCE. [book i. such is the law, as decided in repeated instances.(A) Thus, in the leading American case, Story, J., declared criminal re- sponsibility not to attach where the delirium is the “ remote consequence” of voluntary intoxication, “ superinduced by the antecedent exhaustion of the party, arising from gross and habitual drunkenness. However criminal,” he proceeded to say, “ in a moral point of view, such an indulgence is, and however justly a party may be responsible, for his acts arising from it, to Almighty God, human tribunals are generally re- stricted from punishing them, since they are not the acts of a reasonable being. Had the crime been committed when Drew (the defendant) was in a fit of intoxication, he would have been liable to be convicted of murder. As he was not then intoxi- cated, but merely insane from an abstinence from liquor, he cannot be pronounced guilty of the offence. The law looks to the immediate, and not to the remote cause; to the actual state of the party, and not to the causes which remotely pro- duced it. Many species of insanity arise, remotely, from what, in a moral view, is a criminal neglect or fault of. the party; as from religious melancholy, undue exposure, extrava- gant pride, ambition, etc. Yet such insanity has always been deemed a sufficient excuse for any crime done under its influence.” § 205. In a still earlier case of at least equal authority, the court told the jury that if they “should be satisfied by the evidence, that the prisoner, at the time of committing the act charged in the indictment, was in such a state of mental in- sanity, not produced by the immediate effects of intoxicating drinks, as not to have been conscious of the moral turpitude of the act, they should find him not guilty.”(f) And expressly to this very point is a more recent case, where a federal judge of high authority told the jury, that, if the defendant was “so (h) U. S. v. Drew, 5 Mason, U. S. Rep. 28; Bennett v. State, Mart. & Yerg. 188 ; Cornwell v. State, ibid. 14; Maconneliey v. State, 5 Ohio (N. S.), 77; Carter v. State, 12 Texas, 500 ; R. v. Thomas, 8 C. & P. 820 ; R. v. Meakin, 7 C. & P. 299 ; Rennie’s Case, 1 Lew. C. C. 76 ; 1 Hale, 32 ; 1 Russ on Cr. 7; 4 Black. Com. 26. (0 u- s- v• Clarke, 2 Cranch, C. C. R. 158 ; S. P. State v. Hundley, 46 Mo. 414. 210 BOOK I.J INSANITY PRODUCED BY DELIRIUM TREMENS. [§ 205 far insane as not to know the nature of the act, nor whether it was wrong or not, he is not punishable, although such delirium tremens is produced by the voluntary use of intoxi- cating liquors.”(j) (j) U. S. v. McGlue, 1 Curtis, C. C. R. 1. This case we give in full:— The prisoner, who was second officer on board the barque Lewis, was in- dicted for the murder of the first officer of that vessel while on board. The defence was insanity. The other facts appear in the charge of the court. Curtis, J. The prisoner is indicted for the murder of Charles A. Johnson. It is incumbent on the government to prove the truth of every fact in the in- dictment necessary in point of law to constitute the offence. These facts are in part controverted, and in part, as I understand the course of the trial, not controverted ; and it will be useful to separate the one from the other. That there was an unlawful killing of Mr. Johnson ; that the mortal wound was inflicted by the prisoner at the bar ; that this wound was given and the death took place on board the barque Lewis ; that Johnson was the first, and the prisoner the second officer of that vessel at the time of the occurrence ; that the vessel at that time was either on the high seas, as is charged in one count, or upon waters within the dominion of the Sultan of Muscat, as is charged in another count; and that the prisoner was first brought into this district after the commission of the alleged offence—do not appear to be denied ; and the evidence is certainly sufficient to warrant you in finding all these facts. It is not upon a denial of either of these facts that the defence is rested, but upon the allegation by the defendant, that at the time the act was done he was so far insane as to be criminally irresponsible for his act. And this brings you to consider the remaining allegation in the indictment which in- volves this defence. It is essential to the crime of murder that the killing should be from what the law denominates malice aforethought, and the government must prove this allegation. Now, if you believe the evidence, there can be no question, that the killing was malicious, provided the prisoner was at the time in such a condition as to be capable, in law, of malice. If he was then so insane that the law holds him irresponsible, it deems him incapable of entertaining legal malice ; and one main inquiry in this case is, whether the prisoner, when he struck the blow, was so far insane as to be held by the law irresponsible for intentionally killing Mr. Johnson. Some observations have been made by the counsel of each side respecting the character of this defence. On the one side it is urged that the defence of insanity has become of alarming frequency, and that there is reason to believe that it is resorted to by great criminals to shield them from the just consequences of their crimes; that there exist in the community certain theories concerning what is called moral insanity, brought forward on trials of this kind, tending to subvert the criminal law, and render crimes likely not to be punished. On the other hand, the inhumanity and injustice of hold- ing him guilty of murder who was not at the time of the act a reasonable being, have been brought before you in the most striking forms. 211 212 INSANITY AS A CRIMINAL DEFENCE. [book i. When delirium tremens is set up as a defence, the prisoner These observations of the counsel on both sides are worthy of your atten- tion, and their effect should be to cause you to follow steadily, carefully, and exactly, the rules of law upon this subject. The general question, whether the prisoner’s state of mind when he struck the blow was such as to exempt him from legal responsibility, is a question of fact for your decision. But there are certain rules of law which jmu are bound to apply, and the court, upon its responsibility, is to lay down ; and these rules, when applied, will conduct you to the only safe decision. You will observe, then, that this defence of insanity is to be tested and governed by principles of law, and not by any loose general notions which may be afloat in the community, or even the speculations of men of science; and I now proceed to state to you such of them as arc applicable to this case. The first is, that the defendant must be presumed to be sane till his insanity is proved. Men, in general, are sufficiently sane to be responsible for their acts. To be irresponsible because of insanity is an exception to that general rule. And, before any man can claim the benefit of such an exception, he must prove that he is within it. You will, therefore, take it to be the law, that the prisoner is not to be ac- quitted upon the ground of insanity, unless upon the whole evidence you are satisfied that he was insane when he struck the blow. The next inquiry is, Wliat is meant by insanity ? What is it which exempts from punishment, because its existence is inconsistent with a criminal intent ? Clearly, it is not every kind and degree of insanity which is sufficient. There are, undoubtedly, persons of great general ability, filling important stations in life, who, upon some one subject, are insane. And there are others whose minds are such that the conclusions of their reasons and the results of their judgments are very far from right. And others whose passions are so strong, or whose conscience, reason, and judgment are so weak, so perverted, that they may, in some sense, be denominated insane. But it is not the busi- ness of the law to inquire into these peculiarities, but solely whether the person accused was capable of having, and did have, a criminal intent. If he had, it punishes him; if not, it holds him dispunishable. And it supplies a test, by which the jury is to ascertain whether the accused be so far insane as to be irresponsible. That test is the capacity to distinguish between right and wrong as to the particular act with which he is charged. If he under- stands the nature of the act, if he knows that it is criminal, and that if he does it he deserves punishment, then he is not so far insane as to be exempt from responsibility. But, if he is under such delusion as not to understand the nature of the act, and has not reason and judgment to know that he is de- serving of punishment, then he is not responsible. This is the test which the law prescribes, and which you are to apply in the present case. It is asserted by the prisoner that when he struck the blow he was suffering under a disease known as delirium tremens, lie has introduced evidence tending to prove his intemperate drinking of ardent spirits during several days before the time in question, and also certain effects of this intemperance. Physicians of great eminence, and particularly experienced in the observation 212 BOOK I.] INSANITY PRODUCED BY DELIRIUM TREMENS. 213 must, show that he was under a delirium at the time the act of this disease, have been examined on both sides. They were not allowed to give their opinions upon the ease; because the ease, in point of fact, on which any one might give his opinion, might not be the case which you, upon the evidence, would find ; and there would be no certain means of knowing whether it was so or not. It is not the province of an expert to draw infe- rences of fact from evidence, but simply to declare his opinion upon a known or hypothetical state of facts; and therefore the counsel on each side have put to the physicians such states of facts as they deem warranted by the evi- dence, and have taken their opinions thereon. If you consider that any of these states of fact put to the physicians are proved, then the opinions thereon are admissible evidence, otherwise they are not applicable to this case. And here I may remark, that although in general witnesses are held to state only facts, and are not allowed to give their opinions in a court of law, yet this rule does not exclude the opinions of those whose professions and studies, or occupations, have rendered them peculiarly skilful concerning particular questions. Wc take the opinion of physicians in this case for the same reason that we resort to them in our own cases out of court, because they are believed to be better able to form a correct opinion upon a subject within the scope of their studies than men in general. But these opinions, though proper for your consideration, are, nevertheless, not binding on you against your own judgment, but should be weighed, and, especially where they differ, compared by you, and such effect allowed to them as you think right. Besides these opinions, the physicians have also described to you the symptoms of the disease delirium tremens. They all agree that it is a disease of a very stx-ongly marked character, and as little liable to be mistaken as any known in medi- cine. Dr. Bell says the symptoms are— “1. Delirium, taking the form of apprehensiveness on the part of the patient. He is fearful of something ; imagines demons and snakes around him. In attempting to escape, he will attack others as well as injure himself. But he is more apprehensive of receiving injury than desirous of inflicting it, except to escape. He is generally timid and irresolute, and easily pacified and controlled. “2. Sleeplessness. I believe delirium tremens cannot exist without this. “ 3. Tremulousness, especialty of the hands, but showing itself in the limbs and the tongue. “4. After a time sleep occurs, and reason thus returns; usually the sleep comes on in not less than three days, dating from the last sleep. At first it is broken ; then this is followed by a profound sleep, lasting six or eight hours, from which the patient awakes sane.” Dr. Steadman, after describing its symptoms substantially as Dr. Bell did, says its access may be very sudden, and he has often known it first to mani- fest itself by the patients attacking those about them, regarding them as enemies ; that a case may terminate in two days, and rarely lasts more than four days. Regarding these accounts of the symptoms of this disease, you will inquire whether the evidence proves that they existed in this case ; and whether the 213 § 205] INSANITY AS A CRIMINAL DEFENCE. [book i. was perpetrated, there being no presumption of its existence from the antecedent tits from which he has recovered.(&) previous habits and the intemperate use of ardent spirits, from which this disease springs, are shown ; and whether the recovery of the prisoner corre- sponded with the course and termination of the disease of delirium tremens as described by the physicians. It is not denied, on the part of the government, that the prisoner had drank intemperately of ardent spirits during some days before the occurrence. But it is insisted, that he had continued to drink, down to a short time before the homicide ; and that when he struck the blow it was in a fit of drunken madness. And this renders it necessary to instruct you concerning the law upon the state of facts which the prosecutor asserts existed. Although delirium tremens is the result of intemperance, and therefore in some sense is voluntarily brought on, yet it is distinguishable, and by the law is distinguished, from that madness which sometimes accompanies drunkenness. If a person suffering under delirium tremens is so far insane as to render him irresponsible, the law does not punish him for any crime he may commit. But, if a person commits a crime while intoxicated, under the immediate influence of liquor, the law does punish him, however mad he may have been. It is no excuse, but rather an aggravation of his offence, that he first deprived himself of reason before he did the act. There would be no security for life or property if men could commit crimes with impunity, provided they would first make themselves drunk enough to cease to be reasonable beings. And, therefore, it is a very important inquiry in this case whether this homicide was committed while the prisoner was suffering under that marked disease of delirium tremens, or in a fit of drunken madness. If the prisoner while sane made himself intoxicated, and while intoxicated committed a murder by reason of insanity which was one of the consequences of that intoxica- tion, then he is responsible in point of law, and must be punished. This is as clearly the law of the land as the other rule, which exempts from pun- ishment acts done under delirium tremens. It may sometimes be difficult to determine under which rule the accused comes. But it is the duty of the jury to ascertain from the evidence on which side this case falls, and to decide accordingly. It may he material for you to know on which party is the burden of proof in this part of the case. It is incumbent on the prisoner to satisfy you that he was insane when he struck the blow, for the law presumes every man to be sane till the contrary is proved. But, if the contrary has been proved, the law does not presume that the insanity of the prisoner arose from any par- ticular cause ; and it is incumbent on the party which asserts that it did arise from a particular cause, and that the prisoner is guilty by law because it arose from that cause, to make out this necessary element in the charge to the same (Jc) State ®. Sewell, 3 Jones, Law (N. C.)245. As to general presumption arising from prior insanity, see §§ 246, 269. 214 BOOK I.] INSANITY PRODUCED BY DELIRIUM TREMENS. [§ 206 § 206. To an indictment in Delaware, for larceny, the de- fence was that the prisoner was so drunk as to render him irresponsible. Judge Wotten charged the j ury that drunken- ness was no excuse or palliation for a crime, but drunkenness long continued produces the disease of mania a potu, which deprives the party of reason, and incapacitates him from dis- tinguishing between right and wrong. In this stage it be- comes a kind of insanity. The jury would have to distinguish between the mere frenzy of drunkenness, and the fixed insanity produced by continued dissipation. If the prisoner extent as every other element in it. For the charge then assumes this form— that the prisoner committed a murder, for which, though insane, he is respon- sible, because his insanity was produced by and accompanied a state of in- toxication. The government must satisfy you of these facts, which are necessary to the guilt of the prisoner in point of law. If you are convinced that the prisoner was insane to such an extent as to render him irresponsible, you will acquit him, unless you are also convinced that his insanity was pro- duced by intoxication, and accompanied that state; in which case you will find him guilty. The prisoner was acquitted. A note in the American Journal of Insanity for July, 1856, says :— “This distinction, between delirium tremens and temporary madness in- duced by intoxication, is laid down in The United States v. Drew, 5 Mason, 28; and (in England) in John Burroughs’ case, 1 Lewin, C. 0. 75. In the latter case, Holroyd, J., said: ‘Drunkenness is not insanity, nor does it answer to what is termed an unsound mind, unless the derangement which it causes becomes fixed and continued by the drunkenness being habitual, and thereby rendering the party incapable of distinguishing between right and wrong. ’ That mere drunkenness is no excuse for crime is very clearly settled by many decisions both in this country and in England. Cornwell v. The State, Mart. & Y. 147, 149; Burnet v. The State, ib. 133; The State v. Turner, 1 Wright’s Ohio, 30 ; The State v. Thompson, ib. 617; Schaller v. The State, 14 Missouri, 502; The State v. John, 8 Ired. 330; Pirtle v. The State, 9 Humph. 663 ; Kelley v. The State, 3 Smedes & M. 518; The United States v. Clarke, 2 Cranch, C. C. R. 158. But, though drunkenness is not of itself a complete defence to crime, as insanity is, yet it may be admissible to the jury as evidence of the intent, in certain cases, with which the act was done. Thus, in Pigman v. The State, 14 Ohio, 555, it was held, on an indict- ment for passing counterfeit money knowing it to be counterfeit, that the drunkenness of the prisoner at the time of passing was proper for the con- sideration of the jury in determining whether he knew the bill to be coun- terfeit. See, also, The State v. McCante, 1 Spears, 389 ; Pennsylvania v. Fall, Addison, 257; Swan v. The State, 4 Humph. 136; Pirtle v. The State, 9 ib. 570 ; Haile v. The State, 11 ib. 154.” 215 216 INSANITY AS A CRIMINAL DEFENCE. [book i. was in the latter condition he could not be held responsible, otherwise he ought to be convicted.(7) (bl) Insanity immediately produced by intoxication does not DESTROY RESPONSIBILITY WHERE THE PATIENT, WHEN SANE AND RESPONSIBLE, MADE HIMSELF VOLUNTARILY INTOXICATED. § 207. Drunkenness, so long as it does not prostrate the faculties, cannot be distinguished from any other kind of passion. If the man who is maddened by an unprovoked attack upon his person, his reputation, or his honor, be never- theless criminally responsible—if hot blood form no defence to the fact of guilt—it would be a most extraordinary anomaly if drunkenness voluntarily assumed should have that effect, independently of all extraneous provocation whatever. If, as is pretended—or else there is no ground for the exception— drunkenness so incapacitates the reason as to make it at least partially incapable of distinguishing between right and wrong, or else so inflames the passions as to make restraint insupportable, then comes in the familiar principle that the man who voluntarily assumes an attitude or does an act which is likely to produce death in others, is responsible for the con- sequences, even though he had at the time no specific inten- tions to take the life of any one. Thus, if a man breaking an unruly horse wilfully ride him among a crowd of persons, the probable danger being great and apparent, or if a work- man out of sport or mischief slide a plank from the top of a roof into a crowded street, or if a manufacturer deliberately and knowingly leave in the cellar of an uninhabited house a keg of powder, and death ensue, it is murder at common law.(m) And so it must also be held that the steamboat captain who deliberately dashes his boat into a crowd of smaller craft, so that life is taken, is in like manner responsible. There can be no question as to this. The man v’ho voluntarily arms himself with weapons of destruction, and then throws them hap-hazard among the innocent or unoffending, without even (l) State v. McGonigal, 5 Harrington, 510. (m) See Wharton on Homicide, 45, where these points are fully established. 216 BOOK I.] INTOXICATION. [§ 209 the excuse of specific malice or provocation, is at least as dan- gerous as the assassin who picks out his victim in advance. Against the last there may be some checks; against the first, none. Caution may ward off the one, or innocence escape it; but to the other the most innocent and benevolent would be as likely to fall victims as the most malevolent. § 208. The safety of the community, in fact, requires that this rule should be observed. Every murderer would drink to shelter his intended guilt. There never could be a con- viction for homicide if drunkenness avoid responsibility.(n) As it is, some of the most premeditated homicides are com- mitted under the stimulus of liquor. The guilty purpose is at first sedately conceived, but there are few men whose tem- peraments are so firmly knit as to enable them to enter a scene of blood, without first fortifying themselves for the task to be performed. The head dreads the heart’s cowardice, and seeks to insure against it by drink. And, if the assassin does not take liquor to strengthen his nerves, he will take it to avoid conviction. There would be no species of deliberate homicide, under such a dispensation, that would not avoid punishment. It would be the undeliberate only that would be made responsible. § 209. The tenor of Anglo-American and European authority to this effect is clear. Even the German text writers, some of whom attenuate to so wide and thin a texture the doctrine of moral responsibility, do not undertake to treat drunkenness as a defence. Sir E. Coke does not go beyond the tenor of Roman as well as of English writers, when he says, “ As for a drunkard who is voluntarius daemon, he hath, as has been said, no privilege thereby, but, what hurt or ill soever he doth, his drunkenness doth aggravate it. Omne crimen ebrietas et incendit et detegit.”(o) And, although drunkenness cannot now be said to aggravate a crime in a judicial sense, yet it is well settled that it forms no defence to the fact of guilt. Thus Judge Story, in a case already cited, after noticing that insanity, as a general rule, produces irresponsibility, went on to say: “An exception is, when the crime is committed by a (n) See post, % 92. () And so Parke, B., a very au- thoritative English crown judge, said to a jury in 1837: “I must also tell you, that, if a man makes himself voluntarily drunk, it is no excuse for any crime he may commit whilst he is so; he takes the consequences of his own voluntary act, or most crimes would go And Alderson, B., said in 1836: “If a man chooses to get drunk, it is his own voluntary act; it is very different from madness which is not caused by any act of the person. That voluntary species of madness which it is in a party’s power to abstain from, he must answer for.”(r) In harmony with this is the whole current of English authority.(s) § 210. The law in this country is that drunkenness is no defence to the factum of guilt; the only point about which there has been any fluctuation, being the extent to which evi- dence of drunkenness is receivable to determine the exactness of the intent or the extent of deliberation.^) (p) 1 Hale, 7; 4 Black. Com. 26 ; Wharton’s C. L. (in loco) ; 1 Gabbett, C. L. 9 ; and see a very learned article in 6 Law Rep. (N. S.) 554. (q) R. v. Thomas, 7 C. &P. 817. (r) R. ». Meakin, 6 C. & P. 297. (s) Burrow’s Case, 1 Lewin C.C. 65 ; Rennie’s Case, 1 Lewin C.C. 76 ; 1 Russel on Cr. 8. (0 People «. Lewis, 36 Cal. 531; People v. Gut, 13 Min. 341; State v. Cross, 27 Mo. 332 ; see McIntyre v. People, 38 111. 514 ; People v. Garbutt, 17 Mich. 9 ; U. S. v. Clarke, 2 Crancli C. C. R. 158 ; U. S. v. McGlue, 1 Curtis C.C.R. 1; Kelley v. State, 3 Smedes &Mar. 518; Cornwall v. State, Mar. & Yer. 147 ; v. State, 9 Humph. 663 ; State v. John, 8 Ired. 330 ; State v. Turner, 1 Wright, 30 ; Sclialler v. State, 14 Missouri, 502; Wh. Cr. Law, § 40; Wh. on Homicide, 369. In Rogers’ case, which came up in 1858, before the New York Court of Appeals, the law was thus stated by Denio, J.: “Where a principle of law is found to he well established by a series of authentic precedents, and especially where, as in this case, there is 218 BOOK I.] INTOXICATION. [§ 211 § 211. A humane qualification of the old law has been lately (1870) recognized by the Supreme Court of Michigan, in an no conflict of authority, it is unnecessary for the judges to vindicate its wisdom or policy. It will moreover occur to every mind that the principle mentioned is absolutely essential to the protection of life and property. In the forum of conscience there is no doubt considerable difference between murder deliberately planned and executed by a person of unclouded intellect, and the reckless taking of life by one infuriated by intoxication: but human laws are based upon considerations of policy, and look rather to the main- tenance of personal security and social order, than to accurate discrimination as to the moral qualities of individual conduct. But there is in truth no in- justice in holding a person responsible for his acts committed in a state of voluntary intoxication. It is a duty which every one owes to his fellow men, to say nothing of more solemn obligations, to preserve, so far as it is in his power, the inestimable gift of reason. If it be perverted or destroyed by fixed disease, though brought on by his own vices, the law holds him not account- able. But, if by a voluntary act he temporarily casts off the restraints of reason and conscience, no wrong is done him if he is considered answerable for any injury which in that state he may do to others, or to society. “Before proceeding to examine the judge’s charge, it is necessary to state one other principle connected with the subject of intoxication. I am of opinion that, in cases of homicide, the fact that the accused was under the influence of intoxication may be given in evidence in his behalf. The effect which the evidence ought to have upon the verdict will depend upon the other circumstances of the case. Thus, in Rex v. Carroll, which was a case of murder by stabbing, there was not, as the court considered, any provocation on the part of the deceased, and it was held that the circumstance that the prisoner was intoxicated was not at all material to be considered. Rex v. Meakin, was an indictment for stabbing with a fork with intent to murder ; and it was shown that the prisoner was the worse for liquor. Alderson, Baron, instructed the jury that, with regard to the intention, drunkenness might be adverted to according to the nature of the instrument used. 4 If,’ he said, 4 he uses a stick, you could not infer a malicious intent so strongly against him if drunk, if he made an intemperate use of it, as you would if he had used a different kind of weapon; but, where a dangerous instrument is used, which, if used, must produce a grievous bodily harm, drunkenness can have no effect upon the consideration of the malicious intent of the party.’ In Rex v. Thomas, for malicious stabbing, the person stabbed had struck the prisoner twice with his fist, when the latter, being drunk, stabbed him, and the jury were charged that drunkenness might be taken into consideration where what the law deems sufficient provocation has been given, because the question in such cases is, whether the fatal act is to be attributed to the passion of anger excited by the previous provocation; and that passion, it was said, is more easily excitable in a person when in a state of intoxication than when he is sober ; so, it was added, where the question is, whether words have been uttered with a deliberate purpose, or are merely low and idle 219 § 211] INSANITY AS A CRIMINAL DEFENCE. [book i. opinion of much force. If a person (so it has been there held) is subject to a hereditary or other of insanity liable to be expressions, the drunkenness of the person uttering them is proper to be con- sidered. But, if there is really a previous determination to resent a slight affront in a barbarous manner, the state of drunkenness in which the prisoner was ought not to be regarded, for it would furnish no excuse. “ It most generally happens, in homicides committed by drunken men, that the condition of the prisoner would explain or give character to some of his language, or some part of his conduct, and, therefore, I am of opinion that it would never be correct to exclude the proof altogether. That it would some- times be right to advise the jury that it ought to have no influence upon the case, is, I think, clear from the foregoing authorities. In a case of lengthened premeditation, of lying in wait, or where the death was by poisoning, or in the case of wanton killing without any provocation, such an instruction would plainly be proper. “Assuming the foregoing positions to be established, I proceed to examine the exception to the charge of the judge. It is difficult to know precisely what was meant by the request to charge ; but I think its sense may be ex- pressed thus : that drunkenness might exist to such a degree, that neither an intention to commit murder, nor a motive for such an act, could be imputed to the prisoner. It was therefore asked that it should be left to the jury to determine whether such a degree of intoxication had been shown ; and that they should be instructed that if it had, the prisoner should be found guilty o manslaughter only. We must lay out of view as inapplicable, the case of a per- son who had become insensible from intoxication, and who was performing an act unaccompanied by volition. There was nothing in the evidence to show that the prisoner’s conduct was not entirely under the control of his will, or which would render it possible for the jury to find that he did not intend to stab the deceased with his knife. The mind and will were no doubt more or less perverted by intoxication, but there was no evidence tending to show that they were annihilated or suspended. Assuming, therefore, that the request did not refer to such a hypothesis, the only other possible meaning is that it sup- poses the jury legally might find that the prisoner was so much intoxicated that he could not be guilty of murder for the want of the requisite intention and motive, and the request was that they might be so instructed. This would be precisely the same thing as advising them that they might acquit of murder on account of the prisoner’s intoxication, if they thought it sufficient in degree. It has been shown that this would be opposed to a well-established principle of law. The judge was not at liberty so to charge, and the excep- tion to his refusal cannot he sustained. What he did charge on the subject of intoxication, was more favorable to the prisoner than he had a right to claim. It implies that if he was so far intoxicated as to be deprived of his reasoning faculties, it was an excuse for the crime of murder, or, as perhaps it was in- tended to state, that he could not be guilty of murder. The rule which I have endeavored to explain assumes that one may be convicted of murder, or of other crime, though his mind be reduced by drunkenness to a condition which 220 BOOK I.] [§ 211 INTOXICATION. excited by slight amounts of alcoholic drinks,—if, in conse- quence of indulging in such drinks his mental faculties become excited to diseased action to such extent that he loses self- control, if he was ignorant of this effect when so indulging,— then he will be regarded as rather insane than intoxicated, and subject to the immunities of insanity.(w) This is undoubtedly in accordance with those analogies which gauge insane delu- sions by the intellectual abilities of patient and not of critic, and which declare that we are to measure a man’s fears and passions by his character and temperament, and not by our own.(p) Dr. Krafft-Ebing, in an essay published in 1871, has vindicated this position psychologically with great power as well as delicacy of discrimination. He establishes by copious proof the fact that there are some temperaments which slight quantities of spirituous liquor make insane, and he argues that such persons, if drinking ignorantly, or en- trapped into drink, should be covered, pro tanto, with the im- munities of insanity. But, to constitute such mitigation of guilt, drunkenness must be involuntary in the sense above stated. A contrary doctrine was indeed intimated by Judge Robertson, of Ken- tucky, in an eccentric opinion already adverted to ;(V) but to view voluntary and an intentional drunkenness as an excuse is without authority either legal or psychological.(w) would have called for an acquittal if the obliquity of mind had arisen from any other cause. The judge ought to have charged, that, if a man makes himself voluntarily drunk, that is no excuse for any crime he may commit while he is so, and that he must take the. consequence of his own voluntary act. (Ilex v. Thomas, supra.) The charge, therefore, gave the prisoner the chance of an acquittal to which he was not entitled ; but this was not an error of which lie could take advantage.” See also Friery v. People, 54 Barbour, 319 ; 2 Keyes, 424. In Com. ». Smith, 1 Duvall, 224, Judge Robertson startled the community by stating that drunkenness maybe an excuse for crime as a “transient insanity. ’ ’ When drunkenness is voluntary, this position is without warrant. For review see 23 Am. Jour, of Insan. 1. (u) Roberts v. People, 19 Mich. 401. (v) See §§ 34-60, 200. See essay by Dr. George Cook, 18 Am. Journ. of Ins. 321. See also 19 ibid. 448. (»‘) Smith v. Com., 1 Duvall, Ivy. 434. (w) See an able review in 23 Am. Journ. of Ins. 1; and see supra, § 200. 221 §213] INSANITY AS A CRIMINAL DEFENCE. [book i. § 212. The connection between drunkenness and insanity is thus stated by Griesinger: “That intoxication, when carried to a certain degree, as a dreamy condition with numerous hallucinations and illusions, really resembles insanity, is easily understood. Sometimes we see individuals who, after par- taking of a relatively small quantity of spirits, and without being in a state of deep intoxication, but retaining fully their consciousness, present a great tendency to commit very extra- vagant, noisy, and foolish acts; a circumstance which may be truly considered as a symptom of predisposition to mental disease. “Moreover, there occur in drunkards sudden convulsive states which resemble epileptic attacks, and which are some- times followed by a condition of forgetfulness and tranquil delirium, at other times by outbreaks of furious delirium, which has been termed the convulsive form of intoxication. “ The habitual drunkard, in whom the habit is already far advanced, presents also, even when he is not in a state of in- toxication, many signs which indicate the existence of an advancing chronic disease of the brain, and which make him closely resemble the mentally diseased. Indeed this condition may gradually pass into insanity, and particularly into de- mentia; and there are constantly found in the brains of habitual drunkards, as in many of the insane, the results of passive congestion—chronic opacities and thickenings of the cerebral membranes. The appetite acquired by habit is so powerful in the drunkard, the ideas which might oppose it are so weak, and the will has become so paralyzed, that he, even though he is aware that he renders himself despised and con- temptible, undermines his constitution, disturbs his domestic happiness, ruins his business, and every day postpones the good resolution which he perhaps has made. “ The craving, the dizziness, the dulness of the senses, the muscular feebleness, the stomach complaints from which he sutlers, are, each time he partakes, alleviated for the moment, and it may, perhaps, be partly owing to the fact that these disorders require each day to be remedied that drunkenness is often so inveterate.” § 213. “Of all the various forms of chronic insanity, 222 BOOK I.] INTOXICATION AS A DEFENCE. [§ 214 drunkenness especially appears to possess much in common with general paralysis. Besides, incompletely developed forms, which in a medico-legal point of view are often very difficult to judge of, are very common. “These slight chronic mental anomalies observed in the drunkard are manifested by very apparent mental dulness, loss of the sense of duty, and in general of all the higher sen- timents: conscience and the sense of truth are blunted, the in- tellect is generally enfeebled, especially the memory, frequently slight or well-marked hallucinations also exist. Numerous other anomalies of the nervous system also present them- selves ; tremors of the hands and of the tongue, deadening of the sense of sight and of touch, debility of the genital organs; the patient has formications and cramps in the limbs, giddiness, sometimes epileptic attacks of greater or less severity; sooner or later marasmus and dropsy may set in, with the usual local affections (gastric disease, emphysema, cirrhosis of the liver, Bright’s disease, etc.). The children of drunkards very fre- quently die early from convulsions; many of them are idiots, imbeciles, or microcephalic; or in later life they present the same disposition to drunkenness, insanity, and crime.”^1) (c1) While intoxication per se is no defence to the fact of GUILT, YET, WHEN THE QUESTION OF INTENT OR PREMEDITATION IS CONCERNED, IT MAY BE PROVED FOR THE PURPOSE OF DETER- MINING THE PRECISE DEGREE. § 214. This position should be very jealously guarded, since, as has already been remarked, there are few cases of premedi- tated violent homicide, in which the defendant does not pre- viously nerve himself for the encounter by liquor, and there would in future he none at all, if the fact of being in liquor at the time is enough to disprove the existence of premeditation. The true view, therefore, would seem to be, not that the fact of liquor having been taken is of any value at all on the question of intent or premeditation, but that when there is no evidence of premeditation aliunde, and where the defendant is proved at the time of the occurrence to be in a state of (w1) Greisinger’s Mental Path., Syden ed. (1867) § 100. 223 224 [book i. INSANITY AS A CRIMINAL DEFENCE. mental confusion of which drink was the cause, the fact of such mental confusion may be received to show either that there was no specific intent to take life, or that there w~as no positive premeditation. In the cases arising out of the sta- tutes resolving murder into two degrees, in which the distin- guishing test is a specific intent to take life, this position receives several pregnant illustrations. Thus, in the Phila- delphia riot cases of 1844, where it was shown that bodies of men were inflamed by sectarian and local prejudices, and blinded by a wild apprehension of danger to such an extent as to make them incapable of discrimination, or of precise or spe- cific purpose, it was held that they could not be considered as guilty of that species of “wilful and deliberate” murder which constitutes murder in the first degree.(rr) Precisely analo- gous to this is the case of the drunkard, who in a fight slays an antagonist without any sober reflection. In his intoxica- tion he is incapable of such mental action as the term “pre- meditate” describes. His mental condition may be such as to deprive him of the capacity to form a “ specific intent” either to take life, or to do anything else. And yet at the same time, at common law, the offence would, strictly speaking, fall under the head of murder, for it would possess the incident of malice, and would be without due provocation. Under such circum- stances the offence properly is to be ranked as murder in the second degree, and so has it repeatedly been decided by the courts.(y) (x) Wharton on Homicide, 371, 2. (y) Com. v. Jones, 1 Leigli, 612; Boswell v. Com., 20 Grattan, 860 ; Com. v. Hart, 2 Brewster, 546; Com. v. Haggerty, Lewis’ C. L. 403 ; Pirtle 0. State, 9 Hump. 434; Swan v. State, 4 Hump. 131; Penns, v. Fall, Addison, 257; People v. Hammill, 2 Parker, C. C. (N. Y.) 223; People 0. Kobinson, ibid. 235; State 0. Harlowe, 2 Mis. (6 Bennett), 446. In a case in Tennes- see, the court thus speak: “Upon the trial, there was evidence that the prisoner was intoxicated at the time he committed the homicide. Upon the subject of the defendant’s intoxication he told the jury that ‘ voluntary intoxi- cation is no excuse for the commission of crime ; on the contrary it is consid- ered by our law as rather an aggravation ; yet, if the defendant was so deeply intoxicated by spirituous liquors at the time of the killing as to be incapable of forming in his mind a design deliberately and premeditately to do the act, the killing under such a state of intoxication would only be murder in the second degree.’ It is insisted that his honor did not state the principle upon 224 BOOK I.] INTOXICATION AS A DEFENCE. [§ 215 § 215. The same general view is taken as to the question of intent. Thus it is now the settled rule in England, that, though this subject, as it has been ruled by this court. In the case of Swan v. The State, Judge Reese, who delivered the opinion of the court, says: ‘But, although drunkenness in point of law constitutes no excuse or justification for crime, still, when the nature and essence of a crime are made to depend by law upon the peculiar state and condition of the criminal’s mind at the time, and with reference to the act done, drunkenness, as a matter of fact, affecting such state and condition of the mind, is a proper subject for consideration and inquiry by the jury. The question in such case is, what is the mental status ? Is it one of self-possession, favorable to a fixed purpose, by deliberation and premeditation ; or did the act spring from existing passion, excited by inade- quate provocation, acting, it may be, on a peculiar temperament, or upon one already excited by ardent spirits ? In such a case it matters not that the pi’ovocation wTas inadequate, ar the spirits voluntarily drank ; the question is, did the act proceed from sudden passion, or from deliberation or premedita- tion ? What was the mental status at the time of the act, and with reference to the act ? To regard the fact of intoxication as meriting consideration in such a case, it is not to hold that drunkenness will excuse crime, but to inquire wThetlier the very crime which the law defines and punishes has been in point of fact committed. In these remarks the court intend to be under- stood as distinctly indicating, that a degree of drunkenness by which the party wTas greatly excited, and which produced a state of mind unfavorable to deliberation and premeditation, although not so excessive as to render the party absolutely incapable of forming a deliberate purpose, might be taken into consideration by a jury, in determining whether the killing was done with premeditation and deliberation.’ The whole subject was ably reviewed by Judge Turley, in the case of Pirtle v. The State. In delivering the opinion of the court in that case, the judge says, at page 671: ‘It will frequently happen necessarily, when the killing is of such a character as the common law designates as murder, and it has not been perpetrated by means of poison, or by lying in wait, that it will be a vexed question, whether the killing has been the result of sudden passion produced by a cause inadequate to mitigate it to manslaughter, but still sufficient to mitigate it to murder in the second degree, if it be really the true cause of the excitement, or whether it has been the result of premeditation and deliberation ; and in all such cases, whatever view is able to cast light upon the mental status of the offenders is legitimate proof: and among others, the fact that he was at the timfi drunk; not that this will excuse and mitigate the offence, if it were done wilfully, deliberately, maliciously, and premeditately (which it might well be, though the perpe- trator was drunk at the time); but to show that the killing did not spring from a premeditated purpose, but sudden passion, excited by inadequate prov- ocation, such as might reasonably be expected to arouse sudden passion and heat, to the point of taking life, without premeditation and deliberation.’ Here the court explicitly lays down the rule to be, that in all cases where the question is between murder in the first and murder in the second degree, the vol. i.—15 225 §215] INSANITY. [book i. drunkenness is no excuse for crime, it may be taken into ac- count by the jury when considering the motive or intent of a fact of drunkenness may be proved, to shed light upon the mental status of the offender, and thereby to enable the jury to determine whether the killing sprung from a premeditated purpose, or from passion excited by inadequate provocation. And the degree of drunkenness which may then shed light upon the mental state of the offender, is not alone that excessive state of in- toxication, which deprives a party of the capacity to frame in his mind a design deliberately and premeditately to do an act; for the court says that, in the state of drunkenness referred to, a party well may be guilty of killing wilfully, deliberately, maliciously, and premeditately ; and, if he so kill, he is guilty as though he were sober. The principle laid down by the court is, that, when the question is, can drunkenness be taken into consideration in de- termining whether the party be guilty of murder in the second degree, the answer must be, that it cannot; but, when the question is, what were the actual mental state of the perpetrator, at the time the act was done, was it one of deliberation and perpetration, then it is competent to show any degree of intoxication that may exist, in order that the jury may judge, in view of such intoxication, in connection with all the other facts and circumstances, whether the act was premeditately and deliberately done. The law often implies malice from the manner in which the killing was done, or the weapon with which the blow was stricken. In such case it is murder, though the perpetrator were drunk. And no degree of drunkenness will excuse in such case, unless by means of drunkenness an habitual or fixed madness be caused. The law in such cases does not seek to ascertain the actual state of the perpetrator’s mind, for, the fact from which itis implied having been proved, the law presumes its existence, and proof in opposition to this presumption is irrelevant and inadmissible. Hence a party cannot show he was so drunk as not to be capable of entertaining a malicious feeling. The conclusion of law is against him. But, when the question is, whether a party is guilty of murder in the first degree, it becomes indispensable that the jury should form an opinion as to the actual state of mind with which this act was done. All murder in the first degree (except that committed by poison, and by lying in wait), must be perpetrated wilfully, deliberately, maliciously, and premedi- tately. The jury must ascertain, as a matter of fact, that the accused was in this state of mind when the act was done. Now, according to the cases of Swan v. The State, and Pirtle ®. The State, any fact that will shed light upon this subject may be looked to by them, and may constitute legitimate proof for their consideration. And among other facts, any state of drunkenness being proved, it is a legitimate subject of inquiry, as to what influence such intoxication might have had upon the mind of the offender, in the perpetra- tion of the deed. We know that an intoxicated man will often, upon a slight provocation, have his passions excited and rashly perpetrate a criminal act. Now, it is unphilosophical for us to assume that such a man would, in the given case, be chargeable with the same degree of premeditation and deliberation that we would ascribe to a sober man, perpetrating the same act 226 BOOK I.] INTOXICATION AS A DEFENCE. [§ 216 person acting under its So where, on the trial of an indictment for an attempt to commit suicide, it appeared that the prisoner was at the time of the alleged offence so drunk that she did not know what she did: it was held that this negatived the attempt to commit suicide.(a) So, also, in an Ohio case, it was very properly held, that, when the charge was knowingly passing counterfeit money with intent to cheat, the drunkenness of the defendant at the time of the offence was a fit subject for the consideration of the jury, there being no ground to suppose that the defendant knew the money to be counterfeited before he was drunk.(6) And when in England the defendant was indicted for an attempt to commit suicide by drowning, and it was alleged that she was at the time un- conscious of the nature of her act from drunkenness, Jervis, C. J., said to the jury: “ If the prisoner was so drunk as not to know what she was about, how can you find that she intended to destroy herself V\c) So again, when the charge was assault with intent to murder, Patterson, J.,said: “A person may be so drunk as to be utterly unable to form any intention at all, and yet he may be guilty of very great violence. If you are not satisfied that the prisoners, or either of them, had formed a positive intention of murdering the child, you may find them guilty of an assault.( 2. Partial. a. Monomania. b. Melancholia. ( primary, 3. Dementia, -j , ’ ( secondary. 4. General paralysis. 5. Imbecility. As to this analysis, it is to be observed simply, that, if it makes the “ effective life” independent of the mind, capable of beiiis diseased when the mind is undiseased, it runs counter (?) Hammond, Diseases of Nervous System, N. Y., 1871, p. 387. (to) Physiology and Pathology of the Mind, London, 1887. 309 § 314] MENTAL UNSOUNDNESS. [book i. both to psychological and to juridicial science. If it does not make this assumption, it is, as an analysis, insensible and illogical. § 312. Dr. Hammond gives the following, which, as a clas- sification of symptoms, is of much value:— I. Perceptional insanity, “ characterized by the tendenoy to the formation of erroneous perception either from false impressions of real objects (illusions) or from no external excitation whatever (hallucinations).” II. Intellectual insanity, “characterized by the existence of delusions.” Subsequently it is said, as explanatory of this distinction, that “ illusions and hallucinations may exist, and the individual be perfectly sensible that they are not realities. In such cases the intellect is not involved. But, if he accepts his false perceptions as facts, his intellect participates, and he has delusions. A delusion is, therefore, a false belief." The objection to this is that the terms illusion and delusion are used convertibly by most psychologists ; and that hallucination is not a symptom of insanity unless the unreal image is not merely the creation of a diseased brain, but is believed to be real. III. Emotional insanity. IV. Volitional insanity. V. Mania. VI. General paralysis. VII. Idiocy and dementia. § 313. The analysis of Casper and Liman is both philoso- phical and simple. It is as follows:— I. Insanity in its progress, including despondency, melancholy, excitation, mania, as among the various forms in which this progress exhibits itself. II. Insanity in its results, including imbecility, dementia, and fatuity. § 314. “ The various diseases included in the general term insanity, or mental derangement,” says Dr. Lay, “ may be con- veniently arranged under two divisions, founded on two very different conditions of the brain; the first being a want of its ordinary development, and the second, some lesion of its struc- ture subsequent to its development. In the former of these divisions, we have idiocy and imbecility, differing from each other only in degree. The various affections embraced in the latter general division may be arranged under two subdivi- sions, mania and dementia, distinguished by the contrast they present in the energy and tone of the mental manifestations. Mania is characterized by unnatural exaltation or depression of the faculties, and may be confined to the intellectual or to the effective powers, or it may involve them both, and these powers may be generally or partially deranged. Dementia 310 BOOK I.J PSYCHOLOGICAL THEORIES. r§ bis depends on a more or less complete enfeeblement of the facul- ties, and may be consecutive to injury of the brain, to mania, or to some other disease; or it may be connected with the decay of old age. These divisions will be more conveniently exhibited in the following tabular view:— ' Idiocy. 1. Resulting from congenital defect. 2. Resulting from an obstacle to the de- velopment of the faculties, superven- ing in infancy. Imbecility. 1. Resulting from congenital defect. 2. Resulting from an obstacle to the de- velopment of the faculties, superven- „ ing in infancy. Defective development of the faculties. INSANITY. 1. General. 2. Partial. Mania. Intellectual, Lesion of the faculties subsequent to their development. Affective, 1. General. 2. Partial. Dementia. 1. Consecutive to mania, or injuries of the brain. 2. Senile, peculiar to old age. (n) § 815. The following classification of Flemming,(o) while less simple, is very valuable both for the delicate precision of its analysis, and for the important aid it aftords to the nomen- clature of forensic psychology:— I. INFIRMITAS. (Geistesschwliche.) Imbecility, the characteristic being the dimi- nution in psychical power. 1st. As to origin. (1) Primaria seit congenita. (Syn. Idiotismus.) A defective de- velopment perceptible either at birth or infancy. (2) E morbo, arising from wounds on the head, brain or nervous fevers, or epilepsy. (3) Senilis, arising from decrease in vitality in the extreme stages of old age. 2d. As to extent. (1) Infirmitas adstricta. Limited imbecility, the characteristic being diminution of particular organic powers. (a) Dysmenia. Weakness of memory, the characteristic being the feebleness of the reproductive power of the perceptive faculty, and the symptoms, an inability to remember things either recent or remote, distinctly or at all. («) Ray on Insanity, 71. (o) Psydriatrisches Journal, Bd. I. lift. 1, p. 112. 311 § 315] MENTAL UNSOUNDNESS. [BOOK I. (b) Infirmitas adstricta surdo-mutorum. Imbecility of the deaf and dumb. (c) Infirmitas adstricta cacorum. Imbecility of the blind. (2) Infirmitas sparsa. General weakness of mind, the characteris- tic being the absolute or relative weakness of all the mental and moral functions, and the symptoms, obtuseness and feeble- ness of the perceptive and attentive powers; feebleness of com- prehension, of ratiocination, of imagination, of memory, in a variety of gradations. II. VESANIA (Geistes verwirrung). Mental confusion, the characteristic being a depravity (depravation) of the psychical powers arising from excess or perversion. 1st. Vesania dysthymodes, or dysthymia, disorder of temperament, the cha- racteristic being the depravity (depravation) of the psychical powers connected with an overpowering disturbance of the temperament. Symptoms ; an anomalous condition of the sensibility, the mental tone, the inclinations, and the impulses. The consequent deliria are the in- variable effect of the dysthymia, and depend upon the prevailing feel- ing or sentiment. (1) Dysthymia transitoria sen subita. Sudden dysthymia, the cha- racteristic being the suddenness and rapidity of its approach. Symptoms ; irritability, proneness to agitation, irascibility, excessive disgust, fear of death, extreme timidity, despair of happiness. It occurs frequently in the Stadium prodromormn of cerebral affections and nervous fevers, or of epilepsy and the cognate complaints ; and is sometimes, though more rarely, accompanied by the sudden suicidal impulse. It should be observed that dysthymia remittens sinks in the remission into the mere dysaethesis. (2) Dysthymia adstricta, or partial dysthymia, the characteristic being an anomalous condition of particular states of feeling, inclinations, and impulses. (a) Atra (the Melancholia Lypemonia of Esquirol), or gloomy Dysthymia, the characteristic being sadness, fear, dread, suspicion, malevolence, homesickness (nos- talgia), and the wildness and ferocity of the intoxicated. (Ferocitas et morositas ebriosorum.) (b) Dysthymia Candida, cheerful Dysthymia (Melancholia hilaris, Chceromanie Chambeyron), the characteristics being hilarity, recklessness of manner, raillery, prone- ness to see all things in the most vivacious light. (c) Dysthymia mutabilis, variable Dysthymia, the charac- teristic being vacillation between the two foregoing forms. (3) Dysthymia sparsa (apathica), general Dysthymia (Melancholia Attonita). The characteristics being apparent obtuseness, dull, heavy reveries and abstractions, prevalence of an indistinct sensation of discomfort, apathy to all extraneous impressions. 2d. Vesania Annoetos, or Anoesia. Disturbance of the understanding. The characteristics being the depravity (depravation) of the psychical powers, with a controlling anomalousness of the intellectual faculties. Symptoms, deliria of various kinds, with manifestations of Dysthymia, which, however, are merely subordinate. 312 BOOK I. PSYCHOLOGICAL THEORIES. [§ 315 (1) Anoesia Transitoria, or Suhita. Sudden Anoesia. The charac- teristics being unexpected appearance and rapid subsidence. (a) Anoesia e febre. Febrile delirium. (5) Anoesia e potu nimio {ebrietas). Drunkenness. (c) Anoesia ex affectu, madness caused by agitation of mind. (d) Anoesia semisomnis. Confusion of mind in sleep. Sleep- drunkenness. (e) Anoesia Somnambula, or Spastica; Somnambulism. (2) Anoesia continua, chronic Anoesia. (3) Anoesia remittens. Remittent Anoesia. (4) Anoesia adstricta, partial Anoesia or Lunacy. The characteris- tics being delirium in particular intellectual departments. (a) Anoesia ad sensationes. Hallucinations (deliria of the senses). (Var. a fallacia sensuumet halludnatio ebrio- sorum), derangement of the senses consequent on excess of drinking. (b) Anoesia ad cogitationes, eccentricity, fixed insane ideas. (5) Anoesia sparsa. General Anoesia or lunacy, the characteristics being Deliria in every department of the intellectual faculties. Var. a Anoesia potatorum {Delirium tremens). 3d. Vesania maniaca seu Mania. The characteristic being a depravity (de- pravation) of the psychical functions, with a concurrent anomalousness of the emotional and intellectual faculties. The symptoms arfe a violent and perverse temper, inclinations and impulses, with violent deliria, which mutually sustain and aggravate each other. (1) Mania transitoria subita, sudden mania, the characteristic being a sudden breaking out of mania without perceptible premoni- tory stages, and without previous Dysthymia or Anoesia ; gene- rally a crisis in sleep, or transition to the second class. {a) Mania subita a febre {Delirium encephaliticum), sudden delirium, with feverish symptoms of the brain and nerves. {h) Mania subita a potu nimio, arising from and during in- toxication. (c) Mania subita ex affectu, mania caused by excessive agita- tion of the affections. {d) Mania subita e partu, mania connected with parturition. (e) Mania subito e morbo occulto (vulgo), Amentia occulta, which also includes the previous species. (2) Mania continua, permanent mania. (3) Mania remittens, Remittent mania. (Remark—Remittent mania in remission turns into Anoesia, in some cases immediately into Dysthymia.) (4) Mania adstricta seu instinctiva. Moral Insanity. {Mania sine delirio of Pinel; Monomanie instinctive of Marc; Mania affectiva; Folie raisonante) ; the characteristics being in- sanity, apparently confined to specific morbid impulses. This class is almost always connected with the symptoms of Mania transitoria seu subita. (5) Mania sparsa, general mania is the characteristic, being a de- pravity (depravation) of both the moral and intellectual powers. 313 § 317] MENTAL UNSOUNDNESS. [book i. § 316. To Ellinger(p) we are indebted for the following :— I. Diseases of the affections, when the affections, sentiments, and desires are prepon- deratingly alienated, while the in tellectual faculties are affected inan inferior or at least a secondary degree. (a) Melancholy, the prevalent type being sadness, depression, fear, dread, and despair. (b) Frenzy, the prevalent type being mirth, mischievousness, anger. (c) Volatility (Launenhaftigkeit). Alternation between the two last- mentioned phases. II. Delirium, the sentiments and intellectual faculties being equally affected, and both the subjective and objective relations alike distorted. (a) (&) (c) Characterized by melancholy, frenzy, and the alternation of the two. III. Diseases of the intellect, where the affections take a subordinate part and the in- tellect is mainly disordered. (a) Partial. (b) General. (c) Debility, including idiocy and imbecility. § 317. Without attempting a formal or scientific analysis, it is now proposed to consider the several points in which psychology comes in contact with the law of the land, in the following order:— A. General theories, § 305. (a') Preliminary observations, § 305. (51) Psychical theory, § 319. (c1) Somatic theory, § 320. (d1) Intermediate theory, § 329. B. How TO BE DETECTED, § 338. (a1) By whom, § 338. (51) At what time, § 341. (c1) By what tests, § 345. (a2) Physiognomy, § 345. (&2) Physical conditions, § 347. (e2) Hereditary tendency, § 362. (d2) Conversation and deportment, § 378. (e2) Writings, § 386. C/2) Prior history, § 388. (.g2) Nature of act, § 389. (p) Ueber die antropologischen Momente der Zurechnungs fahigkeit. Ludwigsburg, 1846. MENTAL UNSOUNDNESS. 314 BOOK I.] PSYCHOLOGICAL THEORIES. [§317 C. From what to be distinguished. (a1) Emotions, § 412. (a2) Remorse, § 413. (52) Anger, § 418. (c2) Shame, § 423. (d2) Grief, § 426. (e2) Homesickness, § 429. (/*) Fear, § 432. (61) Simulated insanity, § 443. (a2) Reasons for suspecting, § 445. (52) Forms generally simulated, § 446. (c2) Not proved by sanity at trial, § 452. (d2) Tests, § 454. D. As CONNECTED WITH DERANGEMENT OF SENSES AND DISEASE, § 461. (a1) Deaf and dumb, § 461. (b]) Blind, § 469. (c1) Epileptics, § 470. E. AS CONNECTED WITH SLEEP, § 482. (a1) Somnolentia or sleep-drunkenness, § 484. (b*) Somnambulism, § 492. F. As AFFECTING THE TEMPERAMENT, § 502. (a1) Depression, § 502. (bl) Hypochondria, § 508. (o') Hysteria, § 517. (d1) Melancholia, § 523. G. As AFFECTING THE MORAL SENSE, § 531. (a1) General “moral insanity,” § 531. (b1) Special “moral monomanias,” § 567. (a2) At present repudiated, § 567. (52) Absurdity of classification, § 572. (c2) “ Homicidal mania,” § 578. (d2) “ Kleptomania,” § 590. (e2) “ Pyromania,” § 604. (/2) “ Erotomania,” § 617. (g2) “ Pseudonomania,” § 626. (7i2) “ Oikeiomania,” § 630. («2) “ Suicidal mania,” § 636. (j2) “Dipsomania,” § 639. (k2) “ Fanatico-mania,” § 644. (Z2) “Politico-mania,” § 679. H. As CONNECTED WITH PROSTRATION, § 682. (a1) Idiocy, § 682. (bl) Imbecility, § 691. (ectator of April 27, 1872, “in the character of George III. We have seen that Lord Waldegrave speaks of his want of frankness. It is 'pro- bable that the brooding temperament and indirectness of conduct which are among the least pleasing of George’s characteristics were closely connected with the mental disease to which he had a constant tendency. Secretiveness and cunning are usually marked features in an organization so affected, and the suspiciousness of others and the strong and irrational likes and dislikes which are main ope- rating causes in such a nature produce, as a necessary result, dis- simulation and crafty under-hand intrigue. When George, then, found that his violent declarations and overbearing wilfulness produced no effect, he restrained his morbid impatience (al- though his reason on several occasions tottered and even tem- porarily succumbed under the effort), and endeavored to attain his ends by cunning watchfulness of opportunities. He acqui- esced outwardly in the change of advisers and abandonment of cherished policy, and then set to work to undermine the position of the intrusive counsellors, and to thwart, as much as he could venture to do, the development of their plans. 382 BOOK I.] CONVERSATION AND DEPORTMENT. [§ 384 lie intrigued, in fact, against the ministers he could not meet openly, and waited for the moment when he could safely dis- miss them again with ignominy. Hence arose the political phenomenon which went under the name of ‘The King’s Friends’—a set of men who formed a backstairs anti-cabinet, the object of which was to employ the king’s name and the influence of his personal sentiments in organizing an opposition to his ostensible cabinet advisers, both in Parliament and in the country at large. It must not be supposed by this that there was any regularly constituted ‘ cabal,’ or any precisely defined plans of operation for its guidance; but there were nearly always throughout the reign of George III. two or three men—generally not men of high ability, but busy, gossiping intriguers, who were irresponsible, and both unavowed and often disavowed agents in making known what the king’s real wishes were. "With the assistance of such men, and by a careful observation of the variations in the public sentiment, George achieved a success in his plans of personal government which, if we remember the relative position of the Crown and Parliament at the commencement of his reign, seems at first marvellous. In the course of this protracted struggle, the king had to undergo many mortifications and not a few seem- ingly fatal checks, but he always bent to the storm in time, and generally knew when and how long to maintain an in- flexible position. Nothing but this superior cunning and adroitness could have saved him from a great civil convulsion such as that which destroyed his predecessors in this path of royal aggrandizement, Charles I. and James II. George III., however, had concentrativeness of action as well as persistence of purpose, and, however tortuous his paths were at times, the tone and direction of his policy were always consistent, and no one had ever cause to suspect him for a moment of having become a convert to Whig constitutional notions, although he might tolerate for a time Whig ministers, and even (as in the case of his concessions to the revolted American colonies and his ultimate acknowledgment of their independence) adopt Whig measures and Whig policy. This persistent uniformity of sentiment, suspended in action from time to time by the necessities of his position, but always reappearing again to the 383 § 384a] MENTAL UNSOUNDNESS. [book i. public eye, produced by degrees a great and lasting effect on the public mind.” § 384a. Mr. A. amassed a large fortune in Philadelphia, in a few years, as a carriage builder. He had an extraordinary degree of skill, among other things, in poising and adjusting the springs and weights of a carriage, and in uniting, in re- markable perfection, beauty and lightness with strength. As his business increased, he would be occupied during large por- tions of the night, as he lay sleepless in his bed, by calculations as to how these adjustments could be best secured. In the spring of 1855, he engaged in real estate speculations, in which he speedily showed that his mind was becoming unbalanced. He negotiated, or pretended to negotiate, for a large and im- mensely valuable lot of ground, intimating that he expected it to be occupied by Queen Victoria in a visit that she was projecting, Then he turned his attention to live stock, taking measures to purchase a vast number of cows, on the plea, he said, of an expected rise in the price of milk. Ilis family petitioned for a commission of lunacy, which was granted, and the present writer was appointed commissioner. While the case was on hearing, it was agreed on both sides that to give every opportunity for recovery, as well as to secure greater certainty in the result, Mr. A. should be permitted to travel for a few months, under the charge of two parties in whom he personally had confidence. The experiment was made, and two remarkable facts were established. The first was, that he was possessed by certain insane delusions, which destroyed his capacity for managing his estate. The second was, that he was conscious that he was under watch, and. that these delusions, if shown to exist, would lead to the pending trial being de- cided adversely to his sanity. Nothing could exceed the adroitness and tact with which, on the one hand, he pursued these delusions, and, on the other hand, sought to conceal or mask them from his attendants. It seems that besides want- ing to purchase all the live stock he met, he had a fancy that these creatures were rational. lie accordingly addressed notes to “ a gray mare,” or “ a black horse, which I met in such a place,” and, in seeking to get these notes to their intended des- tination, he used the adroitness and finesse of a subtle diplo- 384 BOOK I.] CONVERSATION AND DEPORTMENT. [§ 385 matist. Then, when the fact was discovered, he would laugh it off, with the utmost coolness, as a practical joke attempted by him on his guardians. When the case was brought up for a final hearing, he not merely went successfully through the test of a protracted and thorough examination, but cross-ex- •amined the witnesses himself, and made a long, able, and artful speech, in which he endeavored to explain away all the facts that admitted of a doubtful construction. As to those which , were unequivocally irrational, he took a ground something like the following: “ You know, gentlemen of the jury, being busi- ness men yourselves, how acutely one who has been immersed all his life in a business in which he delights, and of which he may be justly proud, must feel when suddenly dragged from that business, forced to compulsory idleness, and dogged by men who he knows are seeking to entrap him into something which* will prove him a lunatic. You can easily see how, under such circumstances, a man might resort to imaginary business, such as the world resorts to in its fashionable sports and games, to fill the void of real. You can understand, also, how he might attempt practical jokes to see how far the gullibility of his keepers may go, and, since they wish to stare, lay traps to give them something to stare at.” Notwithstanding this defence, which for coolness, coherence, and appropriateness the sanest advocate could with difficulty have excelled, Mr. A. was found by the jury to be a lunatic, and was remanded by the court to the Pennsylvania Hospital for the Insane. There his insanity became unrestrained and unmistakable; and a few weeks after, during the momentary absence of an attendant, he killed himself by cutting his throat.(o) § 385. Yet, notwithstanding this capacity for occasional concealment, the abnormal condition of lunatics will, if they are sufficiently watched, sooner or later break out.(p) “ To the manifestation,” says Greisinger, “of such (abnormal) desires, to the free disclosure of tendencies which are generally con- cealed, to certain morbid impulses, may be referred much of the peculiarity which distinguishes the conduct of the in- (o) See infra, §§ 457, 458. (p) See infra, § 459. VOL. I.—25 385 § 386] MENTAL UNSOUNDNESS. [book i. sane. Each has its analogy in healthy life, partly in those peculiar habits and caprices which are occasionally observed as curious appendages to great and energetic intellects (which form the materials of many anecdotes relating to learned men), partly in the directions of the will and modes of action of the passions and emotions. These in detail afford materials for' numerous comparisons, and we find in the poets who dwell much on the emotional states numerous analogies by way of example. “ Thus, when the melancholic has the impulse to leave his home, and roam in the open air because it appears too confined for him, and because he expects alleviation from his state of internal pain by outward disquiet and change, so the same appears in cases of real mental pain, where the sufferer spends his life in the open air, or even in distant lands, in the world, in order to recover internal calm by outward disquiet and rest- lessness. Eichendorff has well expressed this disposition in one of his well-known songs.”^) The presumptions belonging to change of character and disposition, are subsequently discussed.^1) (e2) Writings. § 386. The method of testing conversation and conduct when a question of insanity arises is discussed at large under other heads. It is proper here to notice of what peculiar value writings, emanating from the supposed insane person, are as a criterion. “ Delusions are sometimes cunningly concealed for a length of time,” says Dr. Winslow, “ and, notwithstanding we are certain that they exist, no amount of ingenuity will induce the patient to disclose them, particularly if made aware of the object of our visit. I had been, recently, to see a lady whose insanity was manifested in a remarkable degree m her every action; but after paying her several visits I found it impossi- ble to induce her to exhibit any one delusive impression or insane idea; but no sooner had I left the room, than her con- (q) Greisinger’s Mental Pathol., Syden. ed. (1867) § 47. (?') Infra, § 390 386 BOOK I.] [§ 387 PRESUMPTION FROM WRITINGS. versation and conduct became outrageously insane. Many insane persons are able to talk with apparent rationality, but cannot write without exhibiting their insanity. I have ex- amined, recently, one very remarkable case of this kind, in a clever, well-read, and intellectual woman, whom I had occa- sionally to visit. I never could detect the slightest aberration of mind in her conversation, and yet almost invariably, upon my leaving, she placed in my hands a letter (which had been written previous to my calling) full of the most absurd extra- vagances and fancies; accusing strangers, myself, and members of her family of being engaged in deeply concocted conspiracy against her property and life. Several of these peculiar and interesting cases are recorded, and the medical man has been advised, with a view of obtaining an insight into the true condition of the mind, to open a correspondence with the sup- posed lunatic, upon the principle that few persons positively insane can, for any length of time, write without exhibiting their delusions, whatever amount of self-control they are able to exercise over their thoughts and morbid ideas during pro- tracted conversation.”(r) § 387. The value of letters or other writings, as tests of in- sanity, has been shown by abundant illustrations by Marce, in a monogram on this particular topic.(s) To these might be added a series of cases, English and American, in which the insanity of testators and of obligors has been in a large degree determined by the characters of written documents emanating from them. Hor is such evidence without its worth in cri- minal prosecutions, especially where the question is whether insanity is genuine or simulated. It is not merely the con- tents of writings that contribute to the decision of the question. The style and handwriting often supply important tests. “What experienced forensic physician,” asks Liman, (t) “ is not familiar with the writings of certain cases of lunatics, namely, the so-called querulants, writings teeming with flourishes— (r) Winslow on Med. Leg. Ev. 108. (s) De la valeur des ecrits des alienes au point de vne de la semilogie et de la Med. legale, 1864. (t) Liman’s Casper, 1871. 387 § 388] MENTAL UNSOUNDNESS. [book i. words and sentences italicized singly, doubly, or trebly—with parentheses, interlineations, notes of quotation—writings often very voluminous, swollen with citations of alleged laws?” In other cases of lunacy are noticed peculiar modes of construc- tion, words and expressions both original and incomprehen- sible, such as are familiar to every psychological physician. The first stages of paralysis are characterized by flightiness of writing, omission of w'ords and sentences, blots, etc. But here, again, cautions are to be interposed. There have been some literary men of eminence who have been unable to copy a page exactly, and others who constantly leave out words and misspell. Proof-readers, in fact, could supply on this topic an interesting chapter to the curiosities of litera- ture, showing what eccentricities of style and penmanship mark .even some of the soberest thinkers. On the other hand, lunatics have been known sometimes to write a sequence of letters in which no mark of eccentricity appears. But this can only be for a time. Familiar letters, written at periods when the patient conceives himself unwatched, will in the long run necessarily give marks by which the experienced observer will detect insanity where it exists. (f2) Prior history. § 388. This topic has already been referred to incidentally, and will be again noticed in another relation.(w) It is enough now to say that after some fluctuations, it is now the settled rule, that all events in the patient’s prior history, and all traits in his character, past or present, tending to show an in- sane taint in his constitution, are admissible in evidence. Ilis own declarations may be adduced for this purpose in his own defence, though when such declarations are recent, and are open to the suspicion of being manufactured for the purpose, they are to be severely scrutinized.^) (u) See infra, § 391. («) See Baxter v. Abbott, 7 Gray, 80; Andrews1 trial (Sup. Ct. Mass, 1868), Pamph. Rep. 124. 388 BOOK I.] INSENSIBILITY OF ACT. [§ 389a (y2) Nature of the act. (a3) Its insensibility. § 389. “In foro medico,” as is well remarked by Schiir- mayer,(w) “ a derangement of the mental faculties is generally to be presumed where the consciousness, imagination, or sen- sual apperception or impulse, when subjected to common and usual provocations, internal or external, respond in a manner different from what they would in a normal state. But whether a certain action, undergoing a criminal investigation, was the effect of a diseased mental activity of the subject, and com- mitted when he was not master of himself, is a question to be answered primarily from the indicia presented by the action itself, and then from the results of an examination of the accused, in reference to his physical, moral, and mental con- dition before, at, and after the deed in question. Illustrations of acts whose insensibility can be received to show their irre- sponsibility or incompetency of the actor, may be found in the old law cases of a legacy to the King of Siam, and of an ex- ecutory devise to all the children in a particular parish who should, in a specific year, be born with moles on their faces. The presumption of irresponsibility would, of course, attach with great force under similar circumstances, to criminal acts equally insensible, as in the case of the idiot who was found putting an infant brother into the pot to boil for dinner.” § 389a. Liman, in his (1871) edition of Casper,(x) gives the case of a peasant woman, who for years had been suffering from mental disorders, and who had determined to kill her three children with her husband’s razor. For this purpose she took the razor a week before the time she had selected, and hid it. But the razor was the only one her husband possessed; and that he would call for it the next morning after its abstraction was what his wife, if sane, could have expected. This actually took place. It turned out she had hid the razor in an old press, that was always open, and which for years had had no key. The husband naturally found the razor, and placed it (W) § 522. See infra, § 396. («) Berlin, 1871, p. 427. 389 § 390] MENTAL UNSOUNDNESS. [book i. on the shelf where it generally lay, and from which the un- happy woman took it the moment before the assault. § 3896. But two cautions are to he observed in regard to the weight of this kind of testimony. Maniacs (as distinguished from imbeciles) frequently construct, in furtherance of their insane schemes, plans of consistent ingenuity. As an illus- tration of this may he mentioned the case of Billman, an undoubted maniac, who contrived a noose, on the inside of the usual aperture at the top of the door of his cell through which the attendants were in the habit of looking or handing in food;—very ingeniously succeeded in inducing an attendant to put his head through, and then caught him in the noose; and then, finding this device unsuccessful, subsequently enticed the same attendant, on plea of sickness, into the cell, killed him, and then changed clothes with him ;—and after this so skil- fully adopted the manner proper for the purpose, that he walked away unsuspected, and was not arrested until he was out in the street. And cases are numberless in which persons laboring under insane delusions have executed plans based on these illusions with the most consummate adroitness and persistency. So the converse holds good, that sane persons, when working out even the coolest plans of mischief, almost invariably drop a stitch or expose a blot, by which discovery is afterwards caused.^1) Boynton, for instance, in a case hereafter men- tioned, prepared his plans of assassination with singular caution, but wadded his gun with a piece of paper, whose fragments were discovered at the place of the murder, and which led to his identification. If this is the case with de- liberate crimes, eminently is it so with crimes committed in passion. Such crimes are often as insensible in their mode of execution as any that the most raving maniac could perpetrate. (63) Its incongruity with antecedents. § 390. "When a man of uniformly mild character boldly and openly commits a deed of blood; when a woman of previous purity gives way to lasciviousness; when a long course of irre- proachable honesty and exactness is suddenly broken in by 390 (xl) See fully, infra, § 782. BOOK I.] INCONGRUITY OF ACT. [§ 392 profligacy; or domestic peace, by unprovoked ebullitions of violence, or by expressions of distrust to those formerly most loved or most trusted,(y) it is proper to consider how far un- soundness of mind may not be considered as the cause. § 391. It has already been that the examiner, in order to give a conscientious and correct report, must ac- quaint himself with the plaintiff’s history, so far as this is prac- ticable. In Prussia this is required by statute ;(a) and, however much a witness, in stating the sources of information, may be restricted by the Anglo-American rules of evidence, his testi- mony, by the same rules, will be shorn of much of its force if it does not rest on an adequate foundation of fact. Relations, friends, servants, above all, family medical advisers, may well be expected to render much information, upon which a forensic physician, charged with the solemn duty of giving an opinion as to sanity, may base just conclusions. Put at the same time much caution is necessary in securing such renditions. The family of a patient may have very strong reasons for either believing or disbelieving his sanity. And in particular is the evidence of mere occasional visitors to be jealously scrutinized. To hundreds of such the patient may have appeared sane; and yet the negative testimony derived from such is more than counterbalanced by proof of some positive insane act committed by the party in the privacy of his family, or in secret, when he believed himself to be unsuspected by human eye. Public or pre-notified examinations are entitled to little comparative weight. They always throw the patient on his guard. They produce in him at the best a non-natural psychological state, and they give both stimulus and opportunity to the sane to pretend to be insane, and to the insane to pretend to be sane. § 392. Eminently, therefore, is it necessary to have a know- ledge of a patient’s past history. That which is sanity in one man, and which is the state of mind which his antecedent necessitate, would be insanity in another. A man, for in- stance, is conscious of some secret guilt, and he shelters himself, (y) See Medecine Legale, par M. Orfila, tome i. p. 389. (s) Supra, § 388. (a) Liman’s Casper, ed. 1871, p. 411. 391 § 394] MENTAL UNSOUNDNESS. [book I. in contrition and self-loathing from the public eye in morbid seclusion; or he flies from shadows; or he resorts to violent action to cover up the traces of his crime. Or he is placed in a position in which eccentricity if not incoherence may seem essential to the maintenance of his rights. To penetrate the mask of Hamlet’s madness, for instance, it is necessary to un- derstand Hamlet’s history. To explain Cain’s wild flight it is necessary to understand Cain’s guilt. § 393. Was, then, the alleged insane act one that stood out in isolated insularity in the patient’s history, or was it one of a sequence of morbid though sane and therefore criminal trans- actions ? Here, indeed, if the question be one relating to the mere proof of guilt, insanity being disentangled from the issue, the Anglo-American practice differs essentially from that which obtains on the continent of Europe. By the former in criminal trials, it is not permitted for the prosecution to bring in evidence of the defendant’s prior character; and character only comes in when invoked by the defendant itself. By the latter, the defendant’s whole history, so far as it is supposed to throw light on the case, is introduced at the outset by the prosecution.(6) But when the issue is insanity, the rule, ac- cording to the Anglo-American practice, changes. The reasons are, first, because insanity is usually set up by the party himself, or his representatives, and from its nature drags into the issue the party’s whole life. Secondly, insanity is chiefly to be proved or disproved by facts collected from the party’s history. His counsel may put in evidence prior alleged acts of insanity, or may rely on the insulated or sporadic character of the par- ticular act to show its insane type. The contesting party may reply by showing that the alleged insane acts were not exceptional and abnormal, but were the consequences of vol- untary and intelligently indulged passions, or of sane design.(c) § 394. That there are such things as isolated and abnormal acts, which are even vehemently foreign and antagonistic to the perpetrator’s history and character, it needs but a slight acquaintance with the literature of this topic to show. Of such may be mentioned as an illustration, the case of an af- (b) Wharton’s Conf. of Laws, § 892. 392 (c) See supra, § 144. BOOK I.] INCONGRUITY OF ACT. [§ 396 fectionate and most exemplary father, hereafter to he more fully noticed, who suddenly, under the influence of a sharp but crushing attack of melancholia, accompanied by a delusion that there was impending on the household a ruin only to be escaped by death, killed one of his children and attempted the life of another. Two similar cases are reported by Dr. Liman.(d) Even when an alleged insane act is a part of a sequence of alleged acts of intelligent guilt, it is proper to inquire whether the whole sequence may not be attributed to a diseased brain. Here, however, come in the questions of motive, and of conse- quentially, which are elsewhere specially discussed.(e) § 395. It has been already observed that physical diseases, especially those of a nervous type, are particularly worthy of consideration in this repect; but it is at the same time always to be remembered that there are no physical conditions which necessitate a specific moral act. Valuable indeed are the contributions to this branch of psychology which have been made by Morel,(/) Maudesley, and Ray. But we must, nevertheless, accept as at present conclusive the assertion of Liman, in his late authoritative exposition of Casper,{g) that the weight of authority both psychological and psycho- pathical is that we have no grounds to assume that in insanity disease stereotypes itself in act. Diagnosis of physical disease may establish a •probability, but nothing more. It is always a matter of admissible evidence; but without positive proof of mental disturbance it is entitled to no controlling effect.(A) § 396. It should be noticed, also, that a man of unsound mind generally chooses the most injudicious time and place for the perpetration of the act, although the cunning and address with which an offence was committed do not exclude the sup- position of derangement,(i) and repels with indignation every intimation of his insanity; in many cases asserting that he committed the crime with perfect consciousness, and when en- (d) Liman’s Casper, ed. 1871, cases 287, 289. (e) See §§ 399-406. (/) Traits de la M6d. L6g. Paris, 1866. (g) Berlin, 1871, p. 420. (h) See supra, §§ 146-150. (t) See M6d. Leg. J. Briand, p. 553. Paris, ; and see supra, §§ 361, 389,390. 393 § 398] MENTAL UNSOUNDNESS. [book i. tirely in his senses, and disregarding all that is said to ex- tenuate it.(j) § 397. M. Falret thus speaks of the change of character, which is a prominent symptom of commencing insanity: Sometimes, instead of a simple exaggeration, it is a veritable transformation that the character undergoes. Avarice gives place to prodigality, piety to irreligion, modesty to obscenity, temperance to drunkenness, the love of truth to deceit, the most tender and tried affections to indifference and even hate.(s) § 398. A frequent result is the neglect of the duties due to family and society, disorder of conduct and derangement of affairs, and those ebullitions of irritation and violence which momentarily and sometimes forever destroy the harmony’ex- isting between relations and friends. The changes of conduct observable in the incubation of mental diseases are infinite; the deranged show a neglect or an unaccustomed zeal for their customary occupations, and for the cares and attentions or family, and for social customs and duties. Patients who were before sedentary in their habits, indulge in long absences from their dwellings. Some show an indifference and neglect for the persons and things they loved the most, and seek after objects which they did not like. Others overwhelm you with demonstrations of obligingness and devotedness. Generally those thus affected are absent and forgetful; they do not re- member what they have done or what they were about to do an instant before, and then seem much surprised when these frequent absences of mind are pointed out to them. Their conduct abounds in contrasts. Those who were orderly become dissipated ; those who were careful in business now enter upon the most dangerous speculations, and they addict themselves to play, drinking, and sexual excesses, and in fact to all the vices which were before unknown to them.(sx) (j) Compare Friedreich, Handbuclx der gerichtsaertztlichen Praxis. Yol. i. p. 370. (s) See supra, § 361. («*) Lecjons Cliniques sur l’Alienation Mentale, M. Falret. 8th Leqon, p. 215. Paris, 1854. Supra, § 378. 394 BOOK I.] MOTIVELESSNESS OF ACT. [§ 399 (c3) Its motivelessness.(t) § 399. “ It is assumed or implied,” says Dr. Taylor with great justice, “that sane men never commit a crime without an ap- parent motive, or one of delusive nature only in the perpetra- tion of a criminal act. If these positions were true, it would be very easy to distinguish a sane from an insane criminal, but the rule wholly fails in practice. In the first place, non-dis- covery is here taken as a proof of the non-existence of a motive; while it is undoubted that motives may exist for many atro- cious criminal acts without our being able to discover them— a fact proved by the numerous recorded confessions of criminals before execution, in cases of which, until these confessions were made, no motive for the perpetration of the crime had ap- peared to the acutest minds. In the case of Courvoisier, who was convicted of the murder of Lord William Russell, in June, 1840, it was the reliance upon this alleged criterion before the secret proofs of guilt accidentally came out, and led many to believe he could not have committed the crime; and the ab- sence ‘of motive’ was urged by his counsel as the strongest proof of the man’s innocence. It was ingeniously contended, ‘ that the most trifling action of human life had its spring from some motive or other.’ This is undoubtedly true, but it is not always in the power of man untainted with crime to detect and unravel the motives which influence criminals to the perpetration of murder. Ho reasonable motive was ever discovered for the atrocious murders and mutilations perpe- trated by Greenack and Good; yet these persons were very properly made responsible for their crimes. On the trial of Francis for shooting at the Queen, the main ground of the defence was, that the prisoner had no motive for the act, and therefore he was irresponsible ; but he was convicted. It is difficult to comprehend under what circumstances any motive for such an act as this could exist; and therefore the admission (t) See supi'a,% 302. Medecine Legale, J. Briand, p. 548-49. Paris, 1852. Pinel, Alienation Mentale, p. 157. Etudes Medico-Psychologiques sur ’1 Alie- nation Mentale, par L. F. E. Renaudin. Paris, 1854, chap. 18th, p. 779. See also Lemons Cliniques de Medecine Legale, M. Falret, 2d, pp. 55- 67. Paris, 1854. Also Medecine Legale, par Orfila, tome i. p. 304. Paris, 1840. 395 § 400] MENTAL UNSOUNDNESS. [book I. of such a defence would have been like laying down the rule, that the evidence of the perpetration of so henious a crime should, in all cases, be taken as a proof of the existence of an irresponsible state of mind. Crimes have been sometimes committed without any apparent motive, by sane individuals who were at the time perfectly aware of the criminality of their conduct. No mark of insanity or delusion could be dis- covered about them, and they had nothing to say in their defence. They have, however, been very properly held respon- sible. On the other hand, lunatics confined in a lunatic asylum have been known to be influenced by motives in the perpetra- tion of crimes. Thus they have often murdered their keepers in revenge for ill-treatment which they have experienced at their hands.(w) Thus Farmer was acquitted as insane, while the clear motive for homicide was revenge and ill-feeling. In another case the act of murder was perpetrated from jealousy.(v) On the whole, the conclusion with respect to this assumed cri- terion is, that an absence of motive may, when there are other strong evidences of insanity, favor the view of irresponsibility for crime; but the non-discovery of a motive for a criminal act cannot of itself be taken as any proof of the existence of homicidal monomania in the perpetrator. It is right to state, however, that the law invariably acts on the humane principle, that the absence of a sufficient motive forms a strong pre- sumption of innocence—the presence of one is no proof of guilt.’’(w) That apparent motivelessness is sometimes an accompaniment of sanity, will be noticed hereafter.^1) § 400. It has been already said,(i«2) that it is the duty of the psychological expert, before testifyingon the question of sanity, to explore the motives which led to the perpetration of the act or acts under examination. No act is committed without motive. This motive may be sane or insane. But so complex is human nature—so subtle are the influences which lead to (u) See tlie case of Queen v. Farmer. York Spring Assizes, 1837. (v) Reg. v. Goule. Durham Summer Assizes, 1845. (w) Taylor’s Med. Jurisprudence, pp. 578, 679. (w1) Infra, § 782. (ws) See supra, § 302, 396 BOOK I.] MOTIVELESSNESS OF ACT. [§ 401 human actions—that for the assignment of true motive it is requisite not only to have an experimental knowledge of the human heart in general in its manifold phases and possibilities, but to have a special acquaintance with the history of the person whose sanity is under investigation. In making such a study, the following suggestions will he of use. (a4) § 401. It is rare that the motive to an act is simple. There is generally a confluence of motives, for and against a parti- cular step; and the will may remain in equipoise until some trifle, such as a prejudice scarcely acknowledged even by self, or an omen, or a lot, turns the scale. So far, also, from parti- cular motives acting on men with uniform force, they vary in their effects as materially as do the characters of those on whom they operate. What on one man has an overwhelming force influences other men but slightly. What is rational to one man is highly irrational to another. Sir Robert Walpole, for instance, was a statesman of peace, and the war with Spain, which he was goaded to undertake, was revolting to his whole system of policy; it could not be fitted into that system of policy; and was to him irrational. Lord Chatham, on the other hand, was a statesman of war; a patient peace policy was to him so unnatural and incongruous that when he at- tempted it he was capricious, if not imbecile; while he carried on war with an adventurous and bold hand, and displayed in its conduct the highest gifts of genius. To him, therefore, it was as rational to flash forth immediate war on a supposed national affront, as to Walpole it would have been gravely to consider the issue, and, if it could be done honorably, to cause the removal of the offence by arts of peace. Yet, for unjust war, when it occurred, Walpole and Chatham would have been equally responsible to public opinion, though the first em- barked in such war from a weak concession to rivals, the second from personal passion and fire. So. to take a case that occurred in Philadelphia some years since, a young man named Alexander, from one of the southwestern States, educated in the most fantastic school of chivalry, received a supposed in- sult in a broker’s shop, and instantly shot the assailant dead. To him, the act, on his code, was rational; it was the natural result of his principles, which he had intelligently accepted; 397 § 402] MENTAL UNSOUNDNESS. [book i. he was as morally responsible to the law of the land, though it may be in a different shade of guilt, as would be the assassin who, on the principle that he will get what he can, kills the victim whom he plunders, or the duellist who from cowardice shivers into a duel. Insanity in neither case is to be presumed ; there is intelligent motive, though motive deriving its force from the character on which it acts. So also in a parallel drawn by Liman.(;r) A wretch named Markmann saw in the street an old woman carrying a basket, in which was a clean linen shirt. He wanted to have it; he followed the woman to rob her; he struck her; and from the blow she died. H., an educated and refined young officer, was struck on the face suddenly, in a public garden, in presence of his intended wife and a large crowd of spectators; and immediately shot the assailant to the heart. Yet Id. would not have been impelled to homicide by desire to rob, nor Markmann by a desire to avenge wounded honor. § 402. In each case, however, the motive that operated was one that was adequate according to the defendant’s own lights. It is necessary, therefore, in order to determine upon the mo- tivelessness of an act, for the expert to place himself at the point of vision occupied by the person whose act is under investiga- tion. We have no right to establish for the causa facinoris an arbitrary motive such as would in reference to dispassionate men be rational. There are no dispassionate men. Each man has his own idiosyncrasies which, though more or less oper&- tive on his judgment, are consistent with sanity. Eminently is this the case with wills. A man of high honor may be pe- peculiarly sensitive as to a child’s unworthiness, and from this disinheritance may spring. Another may disinherit a relation for an offence, trivial in grade, and perhaps imaginary; yet, if there be no fraud or insanity proved aliunde, the will is good.(y) So also as to the causa facinoris in criminal cases. There is no minimum below which a motive, in the eye of the law, ceases to exist. Murders have been committed by the abject and avaricious for coppers; while men almost stifled with wealth have been known to seek to augment such wealth (x) Liman’s Casper, ed. 1871, p. 422. (y) See supra, §§ 83-86. 398 BOOK I.] MOTIVELESSNESS OF ACT. [§ 404 by perjuries and frauds. Irivial motives, as they are some- times called, are, considered by themselves, proof rather of a mind familiar with crime than of lunacy. (64) § 403. Nor can ice dare, as is sometimes done, to withdraw instinctive passion from the range of responsible motives. As has been strikingly stated, in an argument elsewhere noticed,(2) the question is, is the motive, in respect to the individual under investigation, one that can be overbalanced by fear of punish- ment ? Is, for instance, a man who flies into transports of rage or lust capable of moderating these transports when the fear of punishment or disgrace is held steadily and conspicu- ously before his eye? If so, the law must threaten such punishment and disgrace as the necessary consequence of the indulgence of such passion; and, where it threatens, it must execute. (c4) § 404. Nor can we, with any safety to the community, or any judicial consistency, declare as motiveless those offences which are stimulated by no other apparent purpose than that of outraging law, or that of inflicting upon others pain or disgrace.{a) It is true we may connect such offences in their lighter phases with the desire to attract attention, or to excite surprise, or to gratify curiosity as to how others will behave in certain absurd rela- tions in which they may be placed. Under this head may be mentioned the police adventures which Cruikshank has re- corded as fashionable among men of the town in the days of the regency, and the practical jokes, sometimes very cruel, designed by Theodore Hook. But there is another class of offences, based simply on the love of malevolent action, and which, without having even the excuse of vanity or curiosity advanced for the last, are prompted by such malevolence pure and simple, and yet which the law regards as in the highest degree criminal, and the objects of its most signal penalties. In January, 1872, we hear of a prosecution instituted against some laborers in a Pennsylvania mining town who poured petroleum on a negro boy and then set fire to him; and with this may be grouped the case of a miscreant mentioned by Bottex, who threw a boy, a stranger to him, in the water, (2) See supra, §§ 146-153, 188, 189. (a) See supra, §§ 163-189. 399 400 MENTAL UNSOUNDNESS. [book i. simply to watch his drowning struggles; of Earl Ferrars, who, in cool malignity and with no imaginable other motive, killed his steward; of the Count of Charleroi (a Bourbon) who, among other atrocities, out of “ sport” shot one of his servants, from the roof of a house, as he would have shot a wild beast; of the widow Zwanziger who poisoned speculatively; of the fiendish mother told of by Pohlman, who, after a series of cruelties, shut up her child in a room with a nest of wasps. These cases, if we limit motives to lust, to avarice, to revenge, to passion, to desire to secure safety, are motiveless. They may, as has been well remarked, pass over a wide range, from the boy who malevolently tortures a kitten, to Tiberius who malevolently tortures a slave. They may spring simply from the desire, more or less powerful, to inflict pain. Yet they are peculiarly amenable to penal justice for two reasons. First, being what is commonly called “ motiveless,” they cannot be warded off by any amount of personal, voluntary precaution. We can defend ourselves by bolts from the burglar; we can, by prudence, keep out of the range of the predatory and deliberate assassin; we may cause the arrest of one by whom our life is threatened. No precaution, however, is a defence against the purely malevolent criminal, who fires a house, or shoots a stranger, simply to watch the pain he inflicts. The only hand that can intervene is that of the law. Secondly, such offenders are peculiarly open to the influences of fear. They are either thoughtless or cowardly. To check them, it is essential for the law to announce to them in terms unmis- takable, “ this thing will be signally punished.” This, in fact, is the only motive by which they can be restrained; and by this, when the motive is presented to them, and they believe in it, they are restrained. But what the law thus announces, it must execute. Nor can it speak, to such characters, except by the example of punishment inflicted upon others, and therefore by punishment imminent to self.(6) (5) Cases of homicide, where the motive was mere malevolence, and desire to inflict pain, and yet where this motive was one which fear was able to control and subdue, are given by Feuerbach, Aktenmiissige Darstellung Mer- kewiirdiger Verbreclien, Giessen, 1828, and by Liman, in his edition to Casper, Berlin, 1871, p. 425. 400 BOOK I.} NEGLECT TO ESCAPE. [§ 406 § 405. Yet, making all these deductions, there is such a thing as a legally motiveless act. When, without malevolence, and without any benefit or gratification to self, an act is done, the perpetrator cannot be regarded as intentionally and speci- fically criminal. (d3) Neglect to escape.{c) § 406. Exculpatory subterfuges, and attempts to escape, if designed before the commission of the offence, go a great way to show that the offender was conscious that the intended act was wrong. When, indeed, such preparations are intelligently and consistently made, very strong proof of insanity must exist to overthrow the presumption of sanity they supply.(eT) In the case of Christiana Edmunds, which is elsewhere fully noticed, this was the chief difficulty with which the counsel for the defence had to struggle. The charge was poisoning; and it was shown that she had taken peculiarly skilful means, both before and after the guilty act, to throw its burden upon others. Yet it must be remembered, that, when a mind other- wise intelligent is controlled by an insane delusion, prepara- tions the most rational may be made to gratify this delusion, and subsequently to defend its gratification. Several cases have just been cited to illustrate this; and the discipline of lunatic asylums is based upon the existence of such capacity, and upon the moral sensibility displayed by such devices to avoid detection. But, after all, it is rare that some insane freak does not ultimately, in cases of true insanity, exhibit itself after the consummation of the act. In a melancholy instance elsewhere noticed, a gentleman who had planned and executed, under an insane delusion, the killing of one of his children, made his escape, it is true, successfully, but dressed himself simply in his night-clothes, and was hence at once arrested. To this effect, also, is a case reported by Dr. Liman. An upholsterer named Schulze, who, under a similar delusion, killed his children whom he most tenderly loved, took the pains, before the act, to send out of the house, on an errand, a (c) See Wills on Circumst. Ev. 70; Best on Presump. 322; Wharton’s C. L. § 826. (d) §§ 168-170. vol. i.—26 401 402 MENTAL UNSOUNDNESS. [book i. woman who otherwise would have been a witness of the act. But the pretext on which he sent her was the delivery of a letter to a clergyman whom he did not even personally know. When the letter was opened, it was found to contain simply the words: “Eu. Wohlgeboren Schulze”—your honorable Schulze. § 407. In cases where the sanity of a testator or obligor is contested, and where the point is the existence of an insane delusion, little can be inferred from the skill and caution with which such delusion is indulged. A testator, for instance, under the delusion of infidelity or persecution from his nearest and most devoted relatives, has been known most artfully to conceal this delusion until, as in one or two reported cases, it is drawn from him by his legal adviser when he makes his will. So in the case of a gentleman against whom a com- mission of lunacy was taken out in Philadelphia some years since, and in which the evidence of insanity was incontestable, one of the delusions was that animals were intelligent, and capable of correspondence. He wrote letters to cows, for in- stance, which letters he showed the utmost adroitness in con- cealing, and which he afterwards attempted to excuse as a joke. Yet the precautions he displayed in mailing the letters, while they showed his sense of the risks to which such wild acts exposed him, showed also the reality of the delusion by which he was beset. § 408. Yet here also the converse, especially in criminal cases, fails. Prearranged subterfuges infer, no doubt, a con- sciousness that the act in question is reprehensible; but the absence of such subterfuges does not prove a consciousness that such act was innocent.^1) For the sane culprit is often not in a position in which such preparations can be made. Crimes committed in sudden passion, in particular, are from their very nature incapable of being thus antecedently shielded. § 409. Equally complex, though essentially dissimilar, are the questions that arise when the effort is to draw the pre- sumption of sanity from attempts at subterfuge or escape after the consummated offence. Men, sane and insane, innocent and guilty, instinctively seek to escape danger. Innocent men, (tf‘) Infra, § 782. 402 BOOK I.] FORGETFULNESS. [§ 410 charged with crime, have sometimes in quasi insanity fled their country, and resorted to frantic, but tortuous and even guilty efforts to turn upon others the impending shock. This, in several well-known cases in the United States, has been the result of the attempt to black-mail men who, as it transpired ultimately, were entirely innocent, but who were driven almost to delirium by the attack. On the other hand, persons who, either from revenge, or jealousy, or political enthusiasm, com- mit crimes whose consequences they know they cannot evade, and in whose character they glory, may resist this instinct, and boldly surrender themselves after the successful commission of the act. Numerous cases of this kind are found in trials for homicide through jealousy; and among those where the impulse was political fanaticism may be mentioned that of Ravaillac, who, after assassinating Henry IV., exultingly de- clared his guilt. Yet it must not be forgotten that in cases of imbeciles, and those acting under certain phases of insane de- lusion, indifference to personal safety would, in such cases, be a necessary incident of freedom of consciousness of wrong-doing. (e3) Forgetfulness as to act. § 410. Here we may notice another feature which accom- panies insane action, viz., subsequent obliviousness as to the entire occurrence.(e) Several curious instances are given in the books in which, after acts of marked and even atrocious lawlessness committed by the insane, there was an utter forgetfulness of the event, or a remembrance of it only as something dreadful that occurred in a dream. The sane man sometimes trembles on waking, lest something he had dreamed of doing, he had really done. The insane, after committing the act when awake, afterwards shivers at it as if it was only a dream, yet a dream which he shudders to recall. Such was the state of Mary Lamb, after killing her mother, of which she had only a blurred consciousness as of something she had dreamed of; and not rare are the cases in which maniacs, in lucid intervals, have asked with cries of terror, as their first inquiry, for one whom in their paroxysm they may have destroyed. This, we (e) See infra, § 449. 403 § 412] MENTAL UNSOUNDNESS. [book i. are told by Dr. Liman, is peculiarly the case after injuries of the brain, and after the transitory mania of persons affected with epilepsy, hysteria, uterine disease, acute intoxication, sleep-drunkenness, and unconsciousness produced by anemia of the brain. Of cases of such dreamy confusion and of misty terror at a vague but appalling recollection, we have illustra- tions in trials, of which several are reported in the United States, of mothers who, when in puerperal fever, killed their children. Several cases where this defence was psychologically investigated are given in Liman’s Casper.(/) § 411. Yet, even here, when such oblivion is set up, there are cautions to be interposed. It is always a matter of grave suspicion when the party under examination professes to have no recollection of the event.(f1) Psychologically, such a sup- position of two utterly distinct consciousnesses is only probable when there is a loss of memory as to the whole section of time in which the event in question is contained. There are there- fore grave reasons to believe the defence is feigned, when, before the examination is instituted, and when the patient thinks himself unobserved, he betrays a recollection of col- lateral incidents embraced in the same scope of time. C. From what mental unsoundness is to be distinguished. (a1) Emotions, (y) § 412. Briand says, that from the height of passion to mad- ness is but one step, but it is precisely this step which decides the quality of the act. It is important then to know exactly the precise characteristics of the passions and of insanity. But here science fails, for it must be admitted that we are unable to point out the place where passion ends or where madness commences.(/i) M. Orfila draws the following distinction between a man acting under the impulse of the passions and (/) Vol. ii. Cases 824, 325, 329. (/>) Infra, § 449. \g) See particularly Aristotle’s delineation of the Passions in the Second Book of his “Rhetoric;” and see also L. Krahmer, Handbuch der gericht. Med. Halle, C. A. Scliwetschke, 1851, § 126. Observe, also, an essay by Leigh Hunt, in his Miscellanies, p. 51. (7i) M<$d. Leg. p. 551. Paris, 1852. See also infra, § 816, on the psychical indications of crime. 404 BOOK I.] REMORSE. [§ 413 one urged on by insanity. The mind is always greatly troubled when it is agitated by anger, tormented by an unfortunate love, bewildered by jealousy, overcome by despair, humbled by terror, or corrupted by an unconquerable desire for ven- geance, etc. Then, as it is commonly said, a man is no longer master of himself, his reason is affected, his ideas are in dis- order, he is like a madman. But, in all these cases, a man does not lose his knowledge of the real relation of things; he may exaggerate his misfortune, but this misfortune is real, and, if it carries him to commit a criminal act, this act is perfectly well motived. Insanity is more or less independent of the cause that produced it, it exists of itself; the passions cease with their cause, jealousy disappears with the object that provoked it, anger lasts but a few moments in the absence of the one who by a grievous injury gave it birth, etc. Violent passions cloud the judgment, but they do not produce those illusions which are observable in insanity. They excite for a moment sentiments of cruelty, but they do not produce that deep moral perversion which influences the madman to sacrifice, without motive, the being he most cherishes, (i) (a2) Bemorse. § 413. “"When remorse,” says Cogan, “is blended with the fear of punishment, and rises to despair, it constitutes the su- preme wretchedness of the mind.”(y) And of all stages of passion, remorse is the one most liable, when the conscience is acute, to be mistaken for insanity itself. Of this we have a very melancholy case in our own local experience. A young gentleman of peculiarly nice sense of honor and keen sensi- bility, killed an intimate and beloved friend in a duel, hastily forced on by his own undue susceptibility. For twenty years he h.as never ceased to stride to and fro the chamber in which he has been confined, firing an imaginary pistol at intervals, and then throwing himself back with the acutest expression of misery. In this instance remorse has run into madness. In others it has made but a slight progress in that direction; in (t) Med. Leg. tome i. p. 407. Paris, 1848. This passage adopted in McFarland’s Case, 8 Abbott (N. Y.) Prac. C., N. S. 69. O') Cogan on the Passions, yol. i. chap. 2, sec. 3. 405 §414] MENTAL UNSOUNDNESS. [BOOK I. others entire sanity and responsibility remain. And yet in all instances it presents symptoms which it is well for the forensic physician to examine in relation to their moral as well as their psychical origin. § 414. Ilarpsfield, in his Ecclesiastical History, gives ns the following graphic report of the dying words of Cardinal Beau- fort, which is a powerful illustration of the effect of this passion: “ And must I then die! Will not all my riches save me ! I could purchase the kingdom, if it would save my life. What! is there no bribing of death ? When my nephew, the Duke of Bedford, died, I thought my happiness and my authority greatly increased: but the Duke of Gloucester’s death raised me in fancy to a level with kings, and I thought of nothing but accumulating still greater wealth, to purchase at last the triple crown. Alas! how are all my hopes disappointed! Wherefore, 0 my friends, let me earnestly beseech you to pray for me, and recommend my departing soul to God!” A few minutes before his death his mind appeared to be undergoing the tortures of the damned. He held up his two hands, and cried—“Away! away! why thus do you look at me ?” This same scene in the Cardinal’s chamber is thus still more vividly depicted by Shakspeare:— Enter King Henry, Salisbury, and Warwick. King lien. How fares my lord ? speak, Beaufort, to tliy sovereign. Cardinal. If thou be’st death, I’ll give thee England’s treasure, Enough to purchase such another island, So thou wilt let me live, and feel no pain. King Hen. Ah, what a sign it is of evil life. When death’s approach is seen so terrible ! Warwick. Beaufort, it is thy sovereign speaks to thee. Cardinal. Bring me unto my trial when you will; Died he(&) not in his bed ? where should he die ? Can I make men live, wlie’r they will or no ?— Oh ! torture me no more, I will confess.— Alive again ? then show me where he is; I’ll give a thousand pounds to look upon him. He hath no eyes, the dust hath blinded them. SCENE—The Cardinal's bed-chamber. (k) Meaning the Duke of Gloucester. 406 BOOK I.] REMORSE. [§ 415 Comb down liis hair; look ! look ! it stands upright, Like lime-twigs set to catch my winged soul!— Give me some drink ; and bid the apothecary Bring the strong poison I bought of him. King Hen. O thou eternal Moyer of the heavens, Look with a gentle eye upon this wretch ! Oh, beat away the busy meddling fiend That lays strong siege unto this wretch’s soul!— And from his bosom purge this black despair ! Warwick. See, how the pangs of death do make him grin. § 415. Schiirmayer’s (l) views on this point are of peculiar interest, as indicating the conservative jealousy which guards against that involuntary dissimulation on the patient’s part which makes real and yet at the same time responsible emotions so difficult to distinguish from irresponsible disease. “ Remorse,” he says, “ often affects the mind so powerfully as to assume the appearance of insanity. The smothered self-reproach of the criminal sometimes expresses itself in the shape of deep dejec- tion, and sometimes in that of petulance and irritability. Almost every defendant who is guilty will be seen to lapse at least periodically into a deep reverie, with the eyes staring into vacancy. The most consummate villains alone are exempt from such feelings. Criminals generally endeavor to suppress the voice of conscience, because they fear to be betrayed by it. But this very reaction is perfectly legible in their faces, gestures, and general bodily condition. Under these circumstances the qualms of conscience frequently assume the appearance of disease. The accused, particularly if in confinement, does not sleep at night for weeks, and consequently looks pale and hag- gard, loses his appetite, and speaks with hesitation, and some- times with trembling. "When this condition reaches a point of great intensity, the guilty is visited by visions and halluci- nations ; avenging angels appear to him, or evil spirits, phan- toms, or the shades of the dead and injured. Add to this a little superstition, and the victim is firmly convinced of the reality of these apparitions, and regards them as punishments sent from heaven. In the course of the trial itself, these symptoms are less perceptible; and generally the culprit (i) See Gericlit. Med., § 519. 407 §415] MENTAL UNSOUNDNESS. [book i. hesitates to tell an official person what he suffers in seclusion, but the struggle within frequently breaks out in spite of his efforts, or at least interferes with the coherence of his speech. In such cases a man, perfectly hale in mind and body, will frequently talk at random, or at least express himself in so confused and stupid a manner as to induce doubts of his sanity. It is remarkable, that those who confess their guilt are subject to these attacks equally with those who deny it. It might be supposed that the criminals who have made a public confession would experience a regenerating sense of re- lief in consequence of having removed a load from their minds; but the confession often precedes the first sensations of remorse, by directing the attention to the moral and religious aspects of the deed. “ This proves that even a confessed criminal should be treated with great circumspection. Instead of overwhelming him with reproaches, the victory gained by his integrity over his fears should be held up to himself as a restorer of self- respect. “ The more depraved order of culprits do not allow their consciences to drive them to despair, but only to 'petulance ; but even this frame of mind sometimes goes so far as to lead the subject to do the most incomprehensible things, such as asserting things against reason, refusing to answer, or causing constant trouble and vexation in the prison. Such persons are often greatly misunderstood, sometimes by ascribing their offensive conduct solely to malice and spite, and sometimes by regarding them as demented when, driven by their chagrin, they lose all reflection, and say or do things to their own injury. The consciousness of crime, coupled with the despair of expiation consequent upon having denied it, produce an internal schism which may result in the most singular and distracting phenomena. “ A tolerably sure criterion of an awakened conscience is often to be found in the desire of the culprits for some conso- latory assurance. Even those who deny their guilt are gene- rally anxious to know how they would be able to bear the condition of a criminal sentenced according to law. In many cases there is an exaggerated idea of the impending punish- 408 BOOK I.] REMORSE. [§ 417 ment, still further increased by the imaginings which haunt the prisoner’s solitude. When such erroneous notions come to the knowledge of the examining physician, it is perfectly right in him to correct them, and the information thus imparted will generally produce a change of feeling which at once dispels every idea of mental derangement. ”(m) § 416. Rem.orse as implying sanity.(m1)—Remorse, though sometimes adduced as a test of sanity, is an emotion which is often most keenly felt by those who, in a shock of transitory madness, have committed an illegal act. Nothing, for instance, could have been more acute than the anguish of Mary Lamb, as has been already noticed, when she awoke to the conscious- ness that her mother had died by her hand; and similar were Cowper’s expressions of misery when his reason was tempo- rarily restored and he had gleamings of the fact that he had attempted self-destruction when in a state of lunacy. An idiot or imbecile, it is true, does not experience remorse; and, in point of fact, remorse or any other intelligent emotion would be conclusive refutation of the allegation of idiocy or imbecility. And so, also, as to maniacs while their mania continues.(ft) But, in cases of transitory mania, remorse, or a feeling of distress very difficult to distinguish from it, is not prevented, after recovery, by a conviction that the act, being insane, was innocent. Persons of perfect reason often suffer acute pain and distress from injuries inflicted on others through their own mere misadventure, though there was on their part no moral blame. And such is peculiarly likely to be the case with those whose very susceptibility to mania rises from tem- peraments that are highly strung. It has been noticed that by such the intensity of their regret at insane misconduct is often in proportion to the intensity of their prior mania. § 417. On the other hand, absence of remorse is no proof of insanity. “Indifferent to the moral turpitude of the act,” is sometimes unfortunately brought forward by psychological experts as indicating insanity; but there are few hardened (m) Schurmayer, Gericht. Med., § 519. See infra, § 816. (?«,’) See infra, §§ 788-823. (ti) See on this point citations in pamp. Trial of Andrews, Boston, 1868, pp. 276-7. 409 § 419] MENTAL UNSOUNDNESS. [book i. criminals by whom this indifference is not displayed. Un- doubtedly our prison reports give instances of penitent and reformed prisoners; but, among those suffering second convic- tions, such instances are very rare. Repentance is frequently feigned in such cases, but is rarely proved by subsequent vol- untary reform. A chaplain in an English prison illustrates this by referring to a criminal who, having expressed great religious contrition, spending much time in poring over the Bible, was pardoned, and after his pardon returned the Bible to the chaplain, “ because I have no more use for it.” Dr. Liman tells us that he has observed a great number of murderers, whom he had watched during their period of pre- liminary arrest, and whom he had seen mount the scaffold or enter the penitentiary for life, whose remorseless apathy, in- difference, and even levity, produced on him the most painful impressions. Such torpor, though proving a depraved moral sense, is no distinctive evidence of lunacy. (If) Anger. § 418. Anger, as related to “ homicidal insanity” will be hereafter distinctively considered.(o) “Anger,” says Archbishop Tillotson,(p) an authority not distinguished for undue poignancy of description, “ is a short Jit of madness, and he that is passionate and furious de- prives himself of his reason, spoils his understanding, and helps to make himself a fool.” And Dr. Cogan, while more exact, is not much less emphatic: “ Anger is the strong passion or emotion, impressed or excited by a sense of injury received or in contemplation; that is, by the idea of something of a pernicious nature and tendency, being done or intended, in violation of some supposed obligation to a contrary conduct.”() Compare Friedreich, p. 165. 435 § 453] MENTAL UNSOUNDNESS. [book i. a. Patients, whose minds are unsound on one subject only, have the power of burying their madness in their own hearts, to such an extent as to betray no sign of derangement in the course of the examination ; because it is not necessary that the disturbance of one function should impair the apparent action of the others. There are many cases, which have been in part noticed, and some of which will appear in the course of the following pages, in which the sufferer is insane on one subject alone, while all the other operations of his mind proceed as if unimpaired, so that any one unacquainted with the fixed idea which controls him would pronounce him perfectly rational, (w) b. It is established by experience, that lunatics, even when their disease is not that of monomania, enjoy intervals in which their understanding has not only its normal vigor, but even displays uncommon powers.(:r) c. A genuine mental disease may be suspended or removed by the very circumstance which gives rise to the investigation, in analogy to the cases of madmen restored to health by great mental and moral shocks, as well as of persons attempting suicide from melancholy or despair, who are cured of their folly by the impressions received while making the attempt.(y) § 458. Another consideration which must never be lost sight of in investigations of the kind is this, that a pretended mental disease may turn into a real one.(£) A man who makes every effort to appear deranged may be so much af- fected by his efforts, that what he pretends may assume a reality in his mind, and he become in fact insane.(a) In con- clusion, there is also a class of cases in which genuine par- O) Compare Wagner, *Beitrage sur Philosopliisclien Antliropologie. Vienna, 1794. Vol. i. p. 114. Perfect, Annalen einer Anstalt fur Waliusin- nige. Hanover, 1804, p. 341. Esquirol, Note sur la monomanie homicide. Paris, 1837, p. 3. («) Muratori, Ueber die Einbildungs Kraft. Leipsic, 1785. Vol. ii. p. 8. Reil’s Rapsodien, p. 76. (y) Etudes Medico-Psychologiques sur l’Alienation Mentale, par L. F. E. Renaudin. Chap. ix. p. 522. Paris, 1854. (s) For an interesting essay on Monomania induced by Imitation, see 1 Am. Journ. of Insan. 116. (a) Ibid. 172. 436 BOOK I.] SIMULATION. [§ 454 oxysms of madness alternate with pretended ones, which calls for especial caution in pronouncing upon them.(6) (cl2) Tests. [See cases, infra, §§ 834, 835, and 'particularly § 836.] § 454. There are persons of unsound mind, who, in the in- cipient stages of the disease, retain sufficient consciousness to endeavor, for various reasons, to conceal their malady. A continued attentive observation of such individuals will, how- ever, suffice, in general, to furnish the data for a correct view of the case. But even in cases of confirmed insanity, an occult condition, so called, may occur, in which the madman tries and manages to conceal his ailment, or rather his impulses, fancies, and feelings. This is particularly frequent in lucid intervals and in partial insanity.(c) To interrogate the patient directly to the point is of very little avail, for, if he is anxious to con- ceal his madness, any questions will inspire him with a sus- picion of the questioner which must frustrate all such efforts. Under such circumstances, the following suggestions will be found useful. a. By bringing the patient into a succession of different relations of life, and regarding closely the effect produced upon him, some indications of his fixed ideas may be made to escape him. If the subject of his lunacy is thus brought into question, by contradicting his views in connection with it, the perversion of his intellect will be doubly apparent. b. It is, as has been heretofore shown,(d) important to fur- nish the party with pen, ink, and paper, and induce him, under some pretext or other, to write; he will not be able to refrain from setting down something which will throw more or less light on the nature of his derangement. (5) Compare Neumann, Die Krankheiten des Vorstellungsvermoegens. Leipsic, 1852, p. 397. And Pye, Aufsaetze, etc., aus der gericbtlichen Arz- neiwissenscliaft. Third series, p. 219. And see particularly Schiirmayer, § 535, whence the above observations are drawn. (c) Friedreich, Diagnostik, p. 38; and his Handbuch der gerichtlichen Psychologie, p. 175. (d) Supra, § 386. 437 438 MENTAL UNSOUNDNESS. [book i. c. Heindorf proposes that the physician should narrate the patient’s own history, or so much of it as he had learned or could surmise, to the patient, as the history of the physician ; this is to enlist the confidence of the patient and make him sup- pose a parallel between his own case and that of the examiner, so that the dulce habere socium malorum may elicit circumstances which he would otherwise have concealed. d. A similar proposal is to associate the individual with another, of equal rank, degree of education, social position, etc., with himself, as a confidant, as persons of this description generally display more frankness towards people of their own order, than towards those whom they regard as above them. This idea, however, it will be easily seen, is very difficult of practical application. The tests which may he applied at a medico-legal examina- tion have been noticed under a previous head.(e) Though patients of this kind may conceal, they can never deny their fixed ideas. Many persons, says Ileinroth, who, in a healthy state, had no scruples in telling a large series of falsehoods, whenever their interest required it or a confession of the truth would subject them to a disagreeable exposure, forget all this the moment they have a fixed idea to maintain. Then they overlook every advantage, and stand at no absurdity and no disgrace. To hold fast the fancy which enchains them, Js their only aim. If the physician can discover this fancy, he has hut to ply the party with questions in reference to it, to make him betray himself, and in many cases disclose more than the inquirer had ever thought of investigating. § 455. Artificial instrumentalities, though sometimes of doubt- ful propriety, have been not infrequently used to test simula- tion. The consequence may he at least to relieve the question of doubt. Thus Dr. Stoltz, in an essay in the Wiener Med. Wochenschrift for 1870, mentions an instance where chloroform was employed in such a way as to show that the plea of irre- sponsibility was well-founded. The patient purported to be deaf and dumb, and he was narcotized, with the expectation that, if he was really capable of speech, this capacity would (e) Supra, §§ 345-382. 438 BOOK I.] SIMULATION. 439 exhibit itself, either when he was in the condition of trance, or in the process of recovery of consciousness. He was placed under the influence not only of alcohol, hut of chloroform, without an articulate sound being produced. The conclusion was that his disease was not feigned. In cases of simulated insanity, Dr. Stoltz is strongly of opinion that chloroform and ether may he successfully used as detectives. Dr. Hicholson, in the Journal of Mental Science for January, 1870, expresses the same opinion as to the use of electricity; though as a general rule, he considers the use of artificial agencies in such cases as objectionable on moral and humane grounds. In the Appendix Ho. IV. will be narrated a case where chloroform was used as a test. § 456. Periodicity is a necessary condition, as has been seen, of certain phases of insanity, and when this periodicity fails; when, in other words, the symptoms which should be periodical and intermittent are exhibited in unintermitting constancy, then there is serious ground for suspicion. § 457. By counsel who are charged with examining alleged lunatics, the following points may be kept in mind:— a. Silence or evasion of questions, on the plea of weakness of memory, or confusion of thought, is always suspicious. It is, as is well known, and as was conspicuously illustrated in the case of the Italian witnesses produced to criminate Queen Caroline, the usual resort of a witness who fabricates a case, and who has skill enough to know that full and free replies will involve him in contradictions. To the idiot, it is true, or the maniac whose phase is silence, silence is natural; but cases such as these are capable of abundant proof aliunde. The im- becile, however, and the person laboring under the ordinary phases of amentia, is talkative enough, and answers where he can, whether coherently or incoherently. Suspicion should be peculiarly aroused when the examinant, on the plea of weak- ness of mind, avoids answering, not merely those questions concerning which such weakness might naturally be pleaded, but those which concern facts which must be indelibly im- posed on the memory, such as parents, place of education, pro- minent places of abode. The tendency of true imbeciles to vague and rambling conversation is unmistakable. Their 439 § 459] MENTAL UNSOUNDNESS. [book i. attention is not to be fixed on the examiner; their eyes wander around the room, and, if they see a relative or friend, they look to such dependently to help them to a reply; they often repeat feebly to themselves the question, as if to lead them in their reply. b. § 458. The allegation of “delusion,” or “ hallucination” is one which the real lunatic rarely advances. Just because he be- lieves in these fancies, he is loath to speak of them when under examination, because he is loath to have them the subjects of criticism. The difficulty, indeed, of extracting from the real lunatic a confession of such beliefs, is well known ; some- times the most experienced examiner is baffled for hours, and the secret is at last only elicited by a On the other hand, simulants are apt to push such alleged delusion, especially that of “ persecution,” prominently forward, forgetting that for a person to declare that he suffers under a delusion that he is persecuted, is to admit that he knows that he is not persecuted at all.(^) c. § 459. Most difficult is it for the simulant to play con- sistently for any length of time his feigned part. He has, in the first place, to select intelligently some one particular phase of insanity, for such phases are several, with very distinct cha- racteristics. He must then, when he writes, or when he speaks, in the court room, and in his chamber when he believes himself unobserved, in periods of lassitude as well as in periods of excite- ment, preserve these characteristics. In this even the most consummate actors would fail; and simulants of insanity are not often consummate actors. They generally seize upon de- lirium, and in this, if they are long watched, they are betrayed by their over-acting when they think themselves watched, and their repose when watching appears to them to have ceased. The real maniac, also, is laboring under a nervous excitement which makes him sleepless, and invests him with singular and persistent muscular vehemence. The simulant has no such abnormal frenzies; he must sleep and rest, as a recruiting process for his very simulation. This, however, is but a single type. The simulant may select some other; often some of which (/) See supra, § 378. Cg) See supra, § 385. 440 BOOK I.] DEAF AND DUMB. [§ 461 he may have had opportunity of personal observation. But in the long run similar discrepancies will be betrayed. And again, there are some signs which it is very difficult to imitate. Muscular twitching; vague simpering and self-talking both when alone and in company; the eye, whether lack-lustre or wild; these no mimic can persistently feign. d. § 460. Yet it must not be forgotten that simulation does not exclude insanity. Epileptics, and persons subject to hysteria, are apt to exaggerate some symptoms, and simulate others. But this kind of simulation confines itself to those symptoms which are likely to attract sympathy, such as delu- sions and nervous or physical disease. Simulated mania or idiocy rarely is attempted except by the responsible or sane. D. Mental unsoundness as connected with derangement of THE SENSES, AND DISEASE. (a1) Deaf and dumb.(A) (a2) Psychologically. § 461. The deaf and dumb, where their infirmity is con- genital, or contracted in early infancy, are always in an ab- normal mental and moral condition, owing to the absence of hearing and speech, the two main faculties for the culture of the mental and moral man.(i) For this reason, only this de- scription of the deaf and dumb comes now under consideration, and in every case the point of inquiry will be the degree of development of the mental and moral powers; that is to say, of the power of understanding the consequences and the wrongfulness of the act committed. What will always exert great influence, is the question whether the deaf and dumb person has received any, and what instruction; where no in- struction has been efficient, there is always great reason to conclude that the psychological conditions are wanting upon (A) See an interesting treatise on this point, 8 Am. Journ. of Ins. 17. L. Krahmer, Handbuch der Gericht. Med. Halle, C. A. Schwetschke, 1851, §122. (£) Friedreich Handbuch der Gerichtlichen Psycliologie, p. 659. 441 § 462] MENTAL UNSOUNDNESS. [book i. which moral responsibility depends.(J) The most difficult part of the task is always the examination of the individual, which, to lead to a reliable result, requires the assistance of an adept—that is to say, a teacher of the deaf and dumb. In pronouncing upon such cases, it must not be forgotten that the deaf and dumb have a peculiarly irascible disposition, and that many of them, especially those whose features are marked by fro ward, morose, gloomy, and sinister expression, and more or less resemble those of the cretins, are born with a tendency to deceit, malice, cunning, duplicity, and cruelty.(Z:) § 462. In regard to the form and manner in which the in- tellectual condition of the deaf and dumb should be examined and probed, Iloff bauer and, after him, Freidreich, have given a series of directions, substantially as follows: "Where the deaf and dumb person is able to understand spoken words by following the motions of the lips, the inquirer must speak dis- tinctly and with marked articulation, so as to enable the patient to see what he says. Where oral examinations are impracticable or unsatisfactory, the scrutiny, if possible, must be made in writing, when it becomes especially important to propound simple questions, intelligible to every one. But they must not be such merely as the patient is likely to expect be- forehand, for these might be answered promptly and correctly; not, however, because he has properly examined into and un- derstood their meaning, and properly concentrated in his own thoughts the answer he returns, but because he considers the question as written down, without thinking further about it, as a request to commit to paper that which may be a mere mechanical form. And yet so long as these answers are correct or, if not correct, at least congruous, there is room to believe that the questions were understood by the patient, and that he is able, to a certain extent, to make himself intelligible to others by means of writing. But the contrary does not appear if his answers are incongruous. But if several answers (j) See J. Briand, Med. L6g., article sur la surdi-mutit<$, p. 569, Paris, 1852. See also M. Orfila, Med. Leg. sur la surdi-mutite, tome. i. p. 460. Paris. 1848. Also, Traite des maladies de l’oreille et de l’audition, par Itard, yol. xi. (k) Sckiirmayer, Gericht. Med., § 562. 442 BOOK I.] DEAF AND DUMB. [§ 463 are incongruous, and particularly if it is found that a certain number of answers are constantly repeated, no doubt remains that the individual, however capable of tracing written cha- racters, is not able, in the proper sense of the word, either to read or write. Where it is necessary to converse with the deaf and dumb person by means of signs, and for this purpose to call in the assistance of an expert, the capacity of the latter must be so far taken into account as to obtain the assurance that he will speak and interpret according to the intention of the judicial purpose had in view; for which reason, it will be important to instruct the interpreter fully on this subject. It may also be necessary, and is declared indispensable by some,(?) to employ two interpreters at the hearing. Itard is of opinion that the intellectual capacity of a deaf and dumb person should be tested by a written colloquy, and that, if incapable of taking part in such communications, he is to be looked upon as lacking the necessary instruction, and idiotic. The same high authority further remarks, that, if a deaf and dumb man denies having received any instruction, in the hope of escaping punishment on the score of ignorance, the proper course is to accuse him of a graver crime, and one of another character from that imputed to him,(m) and that, on the whole, a deaf and dumb man who understands the questions asked of him in writing is much the same as a man entirely compos mentis. Marc says, that, when the responsibility of a deaf and dumb person who has been taught to converse is in question, a hearing should be had, without any judicial pre- paration, under the form of a conversation on general subjects entirely foreign to the offence committed, from which, by an association of ideas, a transition should be effected to general questions of morals and social order. § 463. “ There is but little difference,” says Orfila, “between the uninstructed deaf and dumb and the idiot, and such is the affinity existing between these two conditions of the intelli- (!) Kleinsclirod. (m) If he knows how to write, he will have immediate recourse to this method, in order to justify himself, and will thus show the whole range ot his intelligence. 443 § 464] MENTAL UNSOUNDNESS. [BOOK I. gence, that more than the fortieth part of the deaf and dumb are afflicted with idiocy. It may be that this mental inca- pacity is the result of inaudition, or it may depend upon the same cause that paralyzed the auditive sense. It should be observed, however, that the idiot is incapable of learning, whilst the deaf and dumb, on the contrary, can receive an almost complete education. Even if the uninstructed deaf and dumb do not know all the consequences of certain criminal actions, still they are not slow in learning that these actions are censurable, and even that they are the subject of punish- Legally, however, though a party seeking to charge an uneducated deaf-mute has the burden on him of proving some degree of intelligence on the part of the defendant, yet, when this is shown, the defendant can no longer plead his disa- bility as a bar. (b2) Legally. § 464. In addition to the former remarks on this point,(w1) it may now he stated:— a. The deaf and dumb can exercise control over property. In 1754, a woman born deaf and dumb, upon arriving at the age of twenty-one years, applied to the English Court of Chancery for the possession of her real estate, and for the enjoyment of her personal estate (it is presumed that she had been pre- viously under the control of a guardian). Upon her appear- ing before the Chancellor, Lord Hardwicke, he put questions to her in writing, and, receiving suitable written answers, her application was granted. b. They can take by descent, a point which we believe has never been disputed. c. When otherwise of disposing capacity, they can make a valid will. d. Even though uneducated, if capable of intelligently bargaining (though it seems the burden of proving this is on the party seeking to charge them), they may make a valid con- tract, or convey real and personal estate.(o) (ft) Med L6g., tome i. p. 4C0. Paris, 1848. (ft1) § 95. (o) See supra, §§ 95-98. 444 BOOK I.] DEAF AND DUMB. [§ 464a e. If compos mentis they can contract matrimony.(p) /. They can be examined as witnesses in courts of justice; and for this purpose it is proper that their testimony should be interpreted through media which they best understand.(g) g. They are legally responsible for crimes in the same way as other persons, though, in determining the question of sanity, their disability, when not removed by education, should throw on the prosecution the burden of proving them to have some degree of intelligence.(r) § 464a. “The favor of courts and jurists may also be justly invoked for a deaf person in cases where he has acted under erroneous impressions natural to one in his circumstances. Deaf-mutes, and deaf persons who are not quite dumb, are often suspicious and irritable, from their inability to hear and take part in what is going on around them. They sometimes take as intentional annoyance and insult gestures of practical jests, unskilfully made, which were merely intended as friendly pleasantry. Piroux records the case of Jean-Baptist Villemin, a deaf-mute of twenty-nine years, very imperfectly educated, and of feeble capacity. Placed by the wealth of his family above the necessity of manual labor, and incapable of intellect- ual labor, he fell into dissolute habits, wandering idly about the fields and frequenting public houses. One night, in a tavern, he met a man named Marchand, who attempted to amuse himself and the company by making signs to the deaf- mute which the latter did not understand. Villemin indicated by a gesture that he desired to be let alone; but Marchand continued to annoy him, seizing his head, making a bite at his nose, and brandishing round his head a cane, which he then held in the attitude of firing a gun, saying to the company that he wished to invite Villemin to go a hunting. Villemin naturally lost his patience; unable to understand what was meant by Marchand, or to express his own sentiments, except by actions, he seized the aggressor, flung him on the floor, and gave him a kick on the head. Marchand was only slightly (p) Swinburne on Sponsals, cited 13 Am. Journ. Ins. 127. (q) Wh. Cr. Law, § 754; 13 Am. Journ. Ins. 155. (r) See supra, §§ 95-98. 445 § 465] MENTAL UNSOUNDNESS. [BOOK I. hurt. The company declared, and he admitted, that he was himself to blame; and he said he harbored no ill-will to Vil- lemin for what had passed. Returning home, a distance of several leagues, on foot, he fell sick and died of a disease of the chest, which his family chose to ascribe to the blows which he had received fromVillemin—which, however, was disproved by the medical witnesses. The deaf-mute was, in the first in- stance, sentenced to two months’ imprisonment; but, on an appeal to the Cour lloyale of Nancy, in consideration of the un- fortunate condition of Villemin, and of the brutal and incon- siderate conduct of Marchand, the term was reduced to six days.(s) § 465. “Other cases may easily be supposed in which a deaf person may be led to violent conduct by his inability to hear, and to understand what is meant by others. An impatient man, for instance, requests a deaf-mute to get out of his way, and, not knowing that the latter could not hear' his request, attempts to shove him aside, thus provoking a manual retort. A deaf-mute may also erroneously conceive himself wronged in making change, or in price, weight, or measure, and break out into violence. In such cases, we are confident, there are very few who would undertake a prosecution for violence by a deaf-mute, after becoming aware of his peculiar circumstances. “ The disposition of courts and juries to mitigate the punish- ment of an uneducated deaf-mute criminal has been shown in France and Germany in several cases of murder, some of them of an aggravated character; for it is notorious that deaf-mutes who have grown to maturity without instruction are too often passionate and vindictive. Bebian relates the case of Pierre Sauron, an uneducated deaf-mute of the department of Cantal, who had formed an illicit connection with the daughter of a neighbor. The father, scandalized by such a connection with a dumb man, undertook to put a stop to it by sending his daughter out of the country. For this Sauron manifested the most implacable resentment, and finally waylaid and murdered him. The sentence was hard labor for life: for the like crime one not deaf and dumb would have been sent to the guillotine. 446 (s) Piroux’s Journal, i. 46, 59. BOOK I.] DEAF AND DUMB. [§ 466 When the sentence was explained to the deaf-mute, he declared he would rather be put to death. “ Another case we find thus related in the Ninth Report of the Deaf and Dumb Institution of Hamburg, Germany. “ At Cologne, on the 14th and 15th of August, 1829, the royal Court of Assizes was occupied by an accusation against a deaf and dumb journeyman shoemaker, Johann Schmit, of Kreuznach, wTho, enraged at being upbraided for the defects of his work, had stabbed his master with a knife. The prin- cipal question discussed was whether the early instruction and moral and intellectual state of the deaf-mute made for or against his accountability. The jury found that the unfortu- nate murderer was not accountable; and he was therefore acquitted of the charge, and dismissed free into the street. This (adds the editor of the Hamburg Report), it is to be hoped, was not without that solicitude that might secure a better education to the unfortuate man, then twenty-three years old, and sufficient precautions lest he should become possessed with the idea that he could do such acts with impunity.” § 466. “A much more aggravated case than either of the foregoing was that of Michael Boyer, an uneducated and vagabond deaf-mute, of about twenty-seven or twenty-eight years, who was brought before the Court of Assizes of Cantal (France), under the triple charge of rape, murder, and robbery, committed on a girl of 11 years, whom he met in a lonely place on Christmas-day, 1843, on her way to the residence of of an aunt in a distant village, with whom she was to spend the winter in order to attend school. Boyer was proved to have pursued other females with evident intentions of violence, and had been, some years before, condemned to three years’ imprisonment for theft. The evidence, though circumstantial, was conclusive. It is not to our purpose to detail it. We observe, however, that the prisoner, being interrogated through M. Riviere, director of the school for the deaf and dumb at Rodey, denied, energetically, the principal facts imputed to him, and succeeded in making it understood that he main, tained that the blood observed on his garments came from a wound in the head, occasioned by a fall while in liquor. 447 § 467] MENTAL UNSOUNDNESS. [book i. "What plea was by liis counsel set up in defence we are not in- formed. The jury found him guilty of the triple charge, but admitted extenuating circumstances—a verdict the effect of which was to save the prisoner’s life. He was condemned to hard labor for life, and to the exposition publique (pillory, or stocks).(0 It should be observed that the only extenuating circumstances that appear in the narrative of this fearful crime were the total deprivation of instruction, and neglected, vaga- bond state of the criminal. “ A similar verdict and sentence were given in the case of the deaf-mute Emmanueli, of Corsica, who had waylaid and murdered the two sisters Ristori, provoked to frenzy by the obstinate refusal of one of them to listen to his prolonged suit. He had, some years before, killed her brother in a quarrel on the same account; and, it being considered that he had acted with great provocation, was only condemned to five years’ im- prisonment—a lenity which the commission of the second and far more aggravated murder showed to have been misplaced.(w) ' “ The details of another French case of murder by an uneducated mute, Louis Chavanon, may be read in Beck’s Medical Jurisprudence. This deaf-mute was of such a covetous and grasping disposition that he harbored the most violent enmity against any one who purchased property of his father. The deceased, Treille, having become possessed, by purchase, of the half of the house in which Chavanon lived, the latter, after repeated menaces in gestures, meeting him on the common stairs, an affray ensued which ended in the death of the un- fortunate Treille. The sentence was ten years’ imprisonment and a fine of one thousand francs to the widow and children of Treille. § 467. “Another deplorable instance of the ungovernable passions of too many uneducated mutes is furnished by the case of Pierre Lafond, who, having been repeatedly detected in thefts of the property of his uncle and aunt, by whom he had been adopted and brought up, his aunt was at length pro- voked to the degree of following and reproaching him in the presence of a young neighbor, of whom Lafond was enamored. (<) Morel’s Annales, ii. 166-170. (u) Piroux’s Journal, iv. 144. 448 BOOK I.] DEAF AND DUMB. [§ 468 Watching an opportunity to execute the vengeance that rankled in his heart, he availed himself of the absence of his uncle to attack his aunt at night, in her bed, with several of the shoes-knives used by him in his trade. Her daughters, coming to her assistance, were also grievously wounded, but, providentially, none of the victims were mortally touched. Taken, a day or two afterwards, wandering in the fields, La- fond alleged, by the aid of an interpreter conversant with his signs, that he committed the act under the influence of a sudden fright and hallucination. However, neither this adroit defence nor his unfortunate position could make the jury forget the aggravating circumstances of the case. He was found guilty, and condemned to ten years at hard labor.(V) “ In the several French cases that have been cited (and we might have cited other similar cases from Bebian’s, Piroux’s, and Morel’s Journals), no difficulty appears to have been ex- perienced in relation to the formalities of a trial; the questions that were raised related to the degree of moral accountability of the deaf and dumb. But the few English and Scotch cases we have are mostly of a different character. In these cases the defence set up for deaf-mutes accused of crime has generally turned on legal forms and technicalities. As this paper has already extended to an unexpected length, and as the cases to which we refer can be consulted at large in standard works, we shall restrict ourselves to brief outlines. § 468. “In July, 1817,(w) Jean Campbell, an uneducated deaf and dumb woman, the mother of three children by three different fathers, was charged before the Court of Justiciary, in Edinburgh, with murdering her child by throwing it over the old bridge at Glasgow. Mr. Robert Kinniburgh, an eminent teacher of the deaf and dumb, was called in as an expert. He understood, from her signs, that she maintained that, having the child at her back, held up by her cloak, which she held across her breast with her hands, and being partially intoxi- cated, she had loosened her hold to see to the safety of some (®) Ibid. i. 56. (w) Beck gives this date 1807, which is a manifest error, as Mr. Kinni- burgh, of the Edinburgh Institution for the Deaf and Dumb, which was first open in 1810, was called in the case, and referred to it in his report for 1815. vol. i.—29 449 § 468] MENTAL UNSOUNDNESS. [book I. money in her bosom, thus allowing the child to fall over the parapet of the bridge, against which she was resting. She indignantly denied having intended to throw it in the river. “ Mr. Kinniburgh, being asked whether he thought she could understand the question, whether she was guilty or not guilty of the crime of which she was accused, answered, that in the way in which he put the question, asking her by signs whether she threw the child over the bridge or not, he thought she could plead not guilty by signs, and this is the only way in which he could put the question to her; but that he had no idea, abstractly speaking, that she knew what a trial was, but she knew she was brought into court about her child. “ John Wood, Esq., auditor of excise (who is deaf and par- tially dumb), gave in a written statement upon oath, mention- ing that he had visited the prisoner in prison, and was of opinion that she was altogether incapable of pleading guilty or not guilty; that she stated the circumstances by signs, in the same manner she had done to the court when questioned be- fore the court by Mr. Kinniburgh, and seemed to be sensible that punishment would follow the commission of a crime. “ The court were unanimously of opinion that this novel and important question, of which no precedent appeared in the law of this country [Scotland], deserves great consideration, and every information that the counsel on each side could pro- cure and furnish. “ At a subsequent period the judges delivered their opinion as follows:— “ Lord Hennand was of opinion that the panel (prisoner) was not a fit object of trial. She was deaf and dumb from her infancy; had had no instruction whatever; was unable to give information to her counsel, to communicate the names of her exculpatory witnesses, if she had any, and was unable to plead to the indictment in any way whatever, except by cer- tain signs which he considered no pleading whatever. “The four other judges, however, overruled this opinion, re- ferring especially to a case (already mentioned in a former part of this paper) that had occurred in England, in 1773, in which one Jones, who had stolen five guineas, appearing to be deaf and dumb, and being found by the jury impanelled on that point 450 BOOK i.] DEAF, DUMB, AND BLIND. [§ 469 to be mute ‘ from the visitation of God,’ tvas arraigned by the means of a woman accustomed to converse with him by signs, found guilty, and transported. And it was also observed that it might be for the prisoner’s own good to have a trial; for, if the jury found that her declaration, that she did not intend to throw her child in the river, was true, she would be acquitted and set free ; whereas, if not found capable of being tried for a crime, she must be confined for life. The woman Campbell was accordingly placed at the bar, and, when the question was put, Guilty or not ? 4 her counsel, Mr. McNeil, rose, and stated that he could not allow his client to plead to the indictment, until it was explained to her that she was at liberty to plead guilty or not. Upon it being found that this could not be done, the case was dropped, and she was dismissed from the bar simpliciter. Thus, though it is" established that a deaf- mute is doll capax, no means have yet been discovered of bringing him to trial.’ “ Certainly the system of laws of Scotland must be defective, under which important leading cases are decided, not on broad, general principles, but on mere formalities and technicali- ties.”^1) The manner in which deaf and dumb persons are to be ar- raigned has been noticed in another work.(;r) (61) Blind. § 469. Blindness {y) can only come in question here when it is congenital or has originated in early infancy, for then only can it exercise decisive influence on the mental and moral development. In general, however, blindness is no reason to suspend the personal responsibility of an agent; the defects of the mental and moral nature consequent upon it are not diseases; and the bearing which they have upon the degree of culpability ascribable to an act committed in violation of law must be referred to the discretion of the court, as guided by the circumstances of each case, (z) (w1) Essay by Dr. Peet; see supra, § 96. (x) Wli. C. L. § 532. (;y) Sckiirmayer, Gerickt. Med. 563 ; and see L. Krakmer, Handbuck de Gerickt. Med. Halle, C. A. Sckwetsckke, 1851, § 122; supra, § 95. (s) Compare Friedreick, 676, where tke learning on tkis subject is collected. 451 § 472] MENTAL UNSOUNDNESS. [book i. § 470. Epileptics, from their nervous susceptibility and tlieir tendency to mental alienation, should be regarded with pecu- liar tenderness by those to whom is committed the adminis- tration of public justice. Nor should the idea of a recent recovery ever exclude one who has been so afflicted from that protection which would secure at least a patient investigation of the question of moral responsibility. Recent investigations, conducted by men of eminent sagacity and great opportunities of observation, have led to the conclusion that epilepsy pro- duces not only general mental prostration, but anomalies in the entire moral and intellectual system. And although the malady sometimes coexists with great intelligence, yet the patient retains, not only during the attack, but for an indefi- nite period afterwards, but an imperfect use of his faculties.(^) § 471. Epilepsy proper consists in periodical attacks of in- sensibility, accompanied with involuntary, convulsive, and more or less violent motions of the limbs. That persons com- mitting a violation of law, while in this condition, are entitled to the full benefit of all the considerations which affect the responsibility of the agent, needs no argument after what has been already said on the subject of unsoundness of mind. The case, however, admits of more difficulty when the question is whether, in the interval between the attacks, a state of mind does or does not exist calculated to destroy or diminish respon- sibility.^) § 472. It will be peculiarly necessary, here, to make a division between the several classes of epileptic diseases. The infirmity is well known to appear in very different degrees of intensity, under different circumstances, and as it arises from (c1) EPILEPTICS.(a) (a) See L. Krahmer, Handbuch Gericht. Med. Halle. C. A. Scliwetsckke, 1851, § 122; see J. Briand, Med. Leg. p. 568, Paris, 1852; Mr. Orfila, Med. Leg. tome i. p. 332, Paris, 1848; M. Falret, Cliniques de Medecine Mentale, p. 521, Paris, 1854. (5) Boileau de Castlenau: De l’epilepsie dans ses rapports avec l’alienation mentale, consideres au point de vue medico-judiciare. Annales d’Hygeine publ. et de Medecine Leg., Avril, 1842, No. 94. Erliardt-Ueber Zurech- nungsfiihigkeit der Epileptiscben. (c) Scbiirmayer, Gericlit. Med. § 565. 452 BOOK I.] EPILEPSY. [§ 474 different physical causes, it may be considered as exerting dif- ferent retroactive influences on the mind and the body. It may affect the intellectual faculties in a very subordinate degree, as the cases of men like Ctesar, Napoleon, and Moham- med sufficiently prove. The doctrine therefore results, that, in general epilepsy, the usual presumption of responsibility applies to acts committed in the intervals between one attack and another.{d) § 473. Obscure epilepsy, as to the existence of which there can be no doubt, since the explorations of Morel,(e) may be confined in its symptoms to dimly periodic epileptoid conditions, to twitching of particular muscles, to occasional fixity of the eye, temporary stiffening or stoppage of the organs of speech, and to parenthetical loss of memory, vertigo epileptica. It is main- tained still further by this acute observer—and this with the concurrence of Liman, an author whose conservative tendencies in this respect we have already noticed—that these periodic attacks may exhibit themselves exclusively in mental dis- turbance, in extraordinary excitability, in impulses to homi- cide and suicide, in sudden losses of memory, ultimately, though perhaps not till a long progress, culminating in epi- lepsy proper. These cases, however, are rare, and credence should be suspended until the full development of the disease is reached. § 474- In particular cases the responsibility of the agent may be destroyed, where real symptoms of derangement present themselves, and where it is possible or probable that the offence was brought on by such abnormal state of the faculties. The higher grades of the disease, where it is of long standing, and where the attacks recur at brief intervals, cast a doubt upon the psychical requirements of responsibility, even where nothing is observed which expressly characterizes an aberration of the mental faculties. The stage which immediately precedes an attack, the premonitory symptoms of heaviness in the head, dizziness, loss of consciousness, etc., as well as that which im- (d) According to Briand, moral liberty is entirely suspended during the attacks. An epileptic, be argues, who commits a homicide during the height of his disease, has had no criminal intention, and therefore cannot incur responsibility. (e) Traite des malades mentales, Paris, 1866, p. 480. 453 § 477] [BOOK I. MENTAL UNSOUNDNESS. mediately succeeds an attack, and consists in a manifest dis- order of tlie bodily and mental functions of the subject, is to be treated as connected with the immediate attack.(/) § 475. The moral requirements of responsibility are satisfied when the disease is not of great intensity, and where the intervals show no trace of an alteration of the intellectual functions produced by it, and the excitement to the act com- plained of is found not in the obtuseness or ebullition generally peculiar to such patient, but in a selfish motive, and where the execution of the act betrays forethought, reflection, and wil- fulness. § 476. Persons truly epileptic are easily excited to anger and revenge on the slightest provocation, in the intervals between their attacks. Although these attacks do not always attain to such a degree as to deserve the name of mental derangement, yet it should never be forgotten that there is always a morbid predisposition to insane ebullitions, and in general a morbid irritability, which must impair, if not destroy, the moral responsibility of actions growing out of them. And, even where a sentence of punishment is pronounced, it must not be overlooked that its execution may possibly exercise a most deleterious influence on the health of the individual, by ag- gravating the disease, and perhaps in forcing it into real in- sanity. It is not advisable, therefore, to execute a sentence of pun- ishment upon an epileptic, without having submitted the case to the examination of a duly authorized forensic physician.(g) § 477. Different views, however, have existed on this point. Platner(A) denies the responsibility of any epileptic whatever. Clarus If) takes a view more in harmony with those we have just advanced, maintaining the following propositions :— 1. All actions and omissions which take place during the paroxysm of epilepsy are neither valid nor the subjects of responsibility. 2. When the attack of habitual epilepsy is succeeded by, or (/) Scliurmayer, Gericlit. Med. § 567. (g) Ibid. § 568. (7t) Quaest. Med. For. p. vi. (0 Beitrage zur Erkenntniss und Beurtlieilung zweifelliaften Seelenzusta- endu, Leipsic, 1828, p. 96. 454 BOOK I.] EPILEPSY. L§ 477 alternates with, a state of mania or imbecility, all responsi- bility is at an end, even where this latter state is but transitory, because no human insight or experience can decide with cer- tainty whether the patient, at that particular instant, was in an entirely sane condition. On the other hand, there are no reasons against the validity of civil acts done under such circumstances. 3. Swooning, heaviness of the head, weakness of memory, fever, enhanced irritability, etc., which precede or follow the attack, destroy as well the responsibility as the validity of acts committed during their continuance. 4. Where it is capable of proof, that the epileptics, in the intervals of their attacks, betray symptoms of malice and ob- tuseness, justice demands that their faults should be regarded as effects of the disease, and that they should he held irre- sponsible for acts committed in an ebullition of rage or other passion, while such condition should operate in mitigation where the crime presupposes forecast and reflection. 5. Where the signs of an altered state of mind are wanting both before and after the attacks, the possibility still remains that these signs continue undetected because of their minute- ness, and that patients of this description are less able to resist sudden impulses than persons in good health; which would suggest a mitigation of punishment for actions of violent passion, but not for those involving reflection. 6. All these propositions apply only to idiopathic and ha- bitual epilepsy ; not to isolated attacks which ensue upon other diseases, and where no trace remains after their cessation. 7. The diseases connected with epileptic symptoms, par- ticularly hysterical spasms, accompanied with insensibility, and diseases of the generic character of St. Vitus’s dance, are subject to the rules above laid down, under the restrictions mentioned in the last head, because the presumption of a latent propensity to ebullitions of passion is not, in such cases, vouched by experience.^') (j) Compare, on the responsibility of epileptics, Friedreich, Handbucli der gerichtlichen Psycliologie, p. G37, and Henke, Abhandlungen aus deni Gebiete der gerichtlichen Medizin, yol. iy. p. 1. The Am. Journal of Insanity, vol. 455 § 478] MENTAL UNSOUNDNESS. [book I. § 478. The difficulties, in cases of pronounced epilepsy, con- fine themselves to the question of moral agency during the xii. p. 122, gives us a translation from Delasiaure on Epilepsy. From this translation we extract the following passages :— “Independently of a full appreciation of the disease in itself, and its mental consequences, the expert cannot examine too carefully the circumstances which attend the crime, the form under which it is accomplished, the motives which may have governed the epileptic, his subsequent conduct, his own plan of defence, etc. We notice, in almost all the cases reported in the public papers and judiciary debates, singularities of expression, and strange details, which make us doubt, from the first, if they emanate from a sane intelligence. “ With regard to the execution of the deed, ordinary criminals use all due precautions against discovery. It may be the same with some individuals who have acted under the impulse of an epileptic attack. More frequently, however, regardless of the effects and the morality of their actions, they make but feeble efforts at concealment. There are those who abandon themselves openly to their fury, multiplying their victims without hesitation, gloating over their bodies, and, far from being intimidated by the presence of witnesses, seem often to find in them a new cause for excitement. “ This disregard of every feeling of self-preservation, this contempt of dan- ger, are, when found united, the best proofs of the absence of moral liberty. ‘All epilepsy,’ says Marc, ‘warrants, upon the event of a criminal act, the suspicion of mental disorderand he adds, ‘ this suspicion is increased in absence of any strong personal motive. ’ With this view other authors, and in the number Orfila, with more apparent sagacity, perhaps, than actual ob- servation, considered, on the other hand, as an evidence of culpability the intentional secrecy by which the acts were characterized. “ However, some reflections suggested by the case of the patient H , to whom a feeling of jealousy could not have been foreign, make it obvious that it is necessary to modify this doctrine ; since, in developing a peculiar irrita- bility, ungovernable and fatal propensities, the mortal influence does not ab- solutely prevent the association and arrangement of ideas. Such an indi- vidual, who, in his intervals of reason and calm, would be able to control his impulses, runs the chance of yielding to them during intellectual excitement; as a man who would accomplish, under the influence of intoxication, a deed from which in cooler blood he might have recoiled. Epilepsy, judiciously remarks M. Boileau de Castelnau, destroys the power of justly estimating these prejudices, of duly appreciating their foundation, or resisting the ex- travagances to which they tend. “ This epileptic susceptibility does not serve as a medium only for evil pro- pensities : it can of itself call them directly into play, excite and foster the idea of misdeed, and lead to its fatal realization. “ A meningeal congestion, the result of numerous paroxysms, has recently carried off one of our most interesting patients. With a quick intelligence, a mild and benevolent disposition, none was more ready than he to recognize the least mark of solicitude of which he might be the object; but in the way 456 BOOK I.] EPILEPSY. [§ 478 intervals between tlie attacks. "While the attack lasts, the epileptic cannot be viewed as a free agent; and the inquiries of retaliation he was utterly ungovernable towards those who opposed his wishes. Nothing could induce him to renounce such prejudices ; and, even with a disposition less yielding, the burning threats to which he abandoned himself could have been easily carried into culpable execution. “ Scenes of vindictiveness and brutality, otherwise inexplicable, arise from 'this cause in our asylums. We had, during the past year, in our department, a poor Italian, the victim of the blind malevolence of some of his companions in misfortune, who combined to entrap him and overcome him with blows. None of the accomplices betrayed the plot. Such wanton cruelty could evi- dently be attributed only to morbid perversion, and a lethargic condition of moral liberty. “ The situation and conduct of epileptics after the perpetration of a crime has been justly insisted upon as a matter of importance. They generally ex- hibit evident indications of moral agitation. A dull expression, and a sinister lighting up of the countenance, reveal in them a vague and gloomy inqui- etude. The co-ordination of ideas is usually slow and difficult. They con- fess, moreover, the crime with the less reserve, as they see in it only the effect of a justifiable defence, or of an involuntary impulse, and feel grief rather than remorse, regret rather than fear. If ignorant of the fatal consequences of their madness, they receive intelligence of it with strange impassibility, and, indifferent to the perils which threaten either their existence or their liberty, they neglect either to destroy the traces of their guilt, or to elude pur- suit. When they fly, it is less to escape justice than the imaginary danger with which their persistent hallucinations surround them ; and, finally, they make no resistance to the confinement to which they are subjected. “ Nevertheless, here, as in all opinions relative to epileptics, we must admit certain exceptions. Of those who, among others, appear to have been governed by a voluntary tendency, many appreciating the extent of the crime, not con- sidering the influence exercised by the disease, and believing in an evil inten- tion and in the existence of moral liberty, feel themselves under a serious responsibility. In this situation, and as epilepsy tends to exaggerate the instinct of cunning and of self-preservation, they have recourse, generally, to the artifices and subterfuges usually practised by ordinary criminals. Should the crime be evident, they appeal to their malady as an excuse. In the other case, they endeavor to obscure the truth, contradict the testimony, establish an alibi, and willingly conform to the plea of their counsel. “ These circumstances do not necessarily imply to the criminal action an origin absolutely independent of a morbid impulse. It does not follow that, from the apparent consciousness which the criminal may have of his fault, and the manner in which he may repel the charges of the accusation, the magistrates should infer the freedom of will, and responsibility in the com- mission of the act. “There are, at times, certain accessory considerations, in reference to epi- lepsy, which may arise during the progress of a judicial trial. Dr. Jahn has 457 § 478] [book i. MENTAL UNSOUNDNESS. which the forensic psychologist has to answer concern, there- fore, the intermediate conditions of the patient. Is he, in such periods, responsible for obligations entered into, or offences committed? Of course, in replying to this, we must put aside those cases where mental disease, as it frequently does in the type of dementia, positively exhibits itself in the patient in very wisely observed, that certain sensorial impressions are of a nature, owing to the bias which they impart to the mind, to suggest pernicious fancies. For example, the sight of bloodshed is sufficient to create in a patient, either the apprehension of criminal designs upon himself, or the imagined necessity of killing others. A young man, under the influence of his epileptic fears, saw a hatchet in an unaccustomed place, and supposed it designed for his destruction ; thus showing that this instrument, to which is attached a sinister impression, had been capable of awakening a series of analogous conceptions. Who is ignorant of the strange effects of the imagi- nation—the singularities of the imitative faculty ? Who has not seen that the simple reading of a notorious criminal affair—the recital of a murder, of an incendiarism, or of a suicide—leads, in a predisposed organization, to the perpetration of the identical deed ? “ Certain atmospherical conditions have also an influence. We know, espe- cially, that intense heat, in creating a flow of blood to the brain, often pro- duces mental disturbance. Admissions to our insane hospitals are never more frequent than during the dog-days. It would, therefore, be advisable to take into consideration such an influence, if, by its coincidence with the period of the crime, it would seem to have acted upon the moral disposition of the accused. “ There would be, above all, strong reasons for believing in the absence of moral liberty, if it were proven that the epileptic had lately abandoned him- self to the use of alcoholic drinks; nothing, we repeat with M. Renaudin, being more capable, not only of aggravating the attacks, but, still more, of giving rise to sinister hallucinations. “We have now examined the principal elements of epileptic responsibility which are calculated to enlighten the judgment of magistrates. The necessity of more extended information on this subject becomes more pressing when we reflect that instances are not wanting where justice has visited with un- merited punishment those who have unhappily yielded only to a pathological instigation. In some cases the proofs are sufficiently evident to admit of an easy demonstration ; in others, on the contrary, the known quantities of the problem are much more uncertain. It is here that wisdom in the judge should be united with a lively solicitude. Therefore, with the purpose of promoting the success of his examinations, upon a subject comparatively new, and which has excited but little attention, we think we are responding to an absolute ne- cessity when we support the preceding rules hy a brief exposition of several judicial causes, capable of serving as a guide in cases under analogous circumstances.” 458 BOOK I.] EPILEPSY. [§ 840 such intervals. This condition as such destroys his responsi- bility. We have to meet what may be called an intermediate condition—a condition, it may be, of abnormal excitability, of melancholy in its less settled phases, of intellectual debility more or less marked. Or we are presented with cases in which the epileptic convulsions are but rare, slight, and tremulous ; and in which the preponderating and far more conspicuous symptoms are hypochondria, irritability, dislike and even animosity to associates and relatives, suspiciousness, or sense of injury from others resulting in overt acts of defence or retaliation. Or a still more advanced phase of disease may exhibit itself in a sort of temporary dreaminess, producing inco- herent and insensible acts, of which there is subsequently but a confused In itself this loss of memory is, as has been seen, an important proof of suspension of responsi- bility. But the difficulty of proving such loss of memory is much complicated by the well-known tendency of epileptics to simulate symptoms, or to exaggerate those which really exist. § 479. Liman (l) suggests, as to this point, that the patient should be examined as to loss of memory on other topics than that which is the subject of judicial investigation. He also argues that such intermediate loss of consciousness is not to be assumed when the litigated transaction required for its con- summation complicated intellectual activity, and was elabo- rated through weeks or months, and when for collateral points the patient’s memory is shown to have been good. Certainly any less stringent test would work great injury, both to epi- leptics, by their business disfranchisement, and to the com- munity, which would be obliged to thus recognize them as a privileged class of outlaws emancipated from the restraints of the penal law. § 480. The moral effects of epilepsy have been nowhere more emphatically recorded than by Hr. Maudsley, in his re- markable lectures,published in 1870, under the title of “Body and Mind.” He reminds us that a single epileptic fit has been (ft) These states are delineated by Morel, in bis work already referred to, and also by Griesinger, Archiv i. 319. (?) Liman’s Casper, 1871, p. 443. 459 § 481] MENTAL UNSOUNDNESS. [book I. known to result in an entire transformation of character in the patient, causing one who had formerly been gentle, ami- able, and tractable, to appear rude, vicious, and perverse. Among confirmed epileptics, the periods preceding convulsions are marked by moodiness, irritability, and sometimes by a sullen fierceness; while in the intervals the patient may be amiable and tractable. Sometimes epileptic neurosis may exist for a long period in a masked and suppressed state, exhibited, not by convulsions, but by moral or mental perversion. § 481. “We have had opportunities,” says Mr. Browne (1871), in his work on the Medical Jurisprudence of Insanity,(m) “ of inquiring into the case of George Lawton, who was an inmate of the West Riding Lunatic Asylum up to the 24th of March last, when he was committed by the coroner to take his trial for the wilful murder of attendant Lomas, at the assizes then being held at Leeds. Upon Monday, the 27th instant, George Lawton was placed at the dock to take his trial. Mr. Baron Cleasby was the presiding judge. Upon the evi- dence of Dr. Crichton Browne, Medical Director of the West Riding Asylum, being taken, the jury were asked to return a verdict as to the capability of the prisoner to plead, and re- turned a verdict that he was incapable. The circumstances of this case, as gathered from the depositions, are these. Lawton was admitted into the asylum in 1863, and suffered from epi- leptic fits of a severe character. During his residence in the institution he several times attempted to commit suicide, and, shortly before the murder of the attendant, he had struck a fellow-patient in the face with a dinner-knife. The deceased (Lomas) was principal attendant in Ho. 14 ward, in which Lawton had been placed. Upon the afternoon of Friday, the 24th instant, Lomas remained in the ward in charge of Lawton and three other patients, while the other attendants and their charges went out for a walk. About three o’clock an attend- ant in the airing court heard a cry, and, looking up at the second story, saw Lawton striking violently at something on the ground, with what appeared to be a stick. He hastened to the ward, and met a patient on the step, who said, ‘ He’s (m) p. 229. 460 BOOK I.] EPILEPSY. [§ 481 killed, and he’s killed,’ and, upon entering the padded-room, he found Lomas lying in a corner, with his skull fractured in many places. The room was spattered with brains and blood. Lawton was in the day-room of the ward when he was first seen. He had a poker in his hand, and he said to the attend- ant, as he was about to enter, ‘I’ll serve you the same if you come in here.’ That is the whole story. The attendant died ten minutes after the medical assistant was in attendance. The notes of the post-mortem examination upon the body of Lomas indicate that he must have been struck repeatedly with the utmost violence. The condition of the walls and roof of the room in which the murder was committed points to the same conclusion. During the whole of the Friday night suc- ceeding the murder, Lawton was restless and maniacal. He sprang out of bed whenever the attendants, who were in charge of him, turned their heads. The same excitement and restlessness continued during the forenoon of Saturday. To- wards evening he became calmer, and could talk rationally concerning the crime he had committed. We had a long con- versation with the patient upon the afternoon of Sunday, and came to the conclusion that at the time we observed him he was to all intents and purposes a sane man. He certainly was weak-minded. But he described the whole circumstances of the murder with intelligent accuracy. He maintained that he had no ill-will to the deceased, that he did not know why he had done it, and that the deceased had always been very kind to him. When pressed, he said that he had seen ships and railways on the ceiling of his room before going to sleep; but we did not come to the conclusion that these were insane illusions. He confessed to having done many things to get rid of his fits; to have held his head under the cold-water tap, to have gone without butter or beer for months past, to have drunk his urine, and all with a view to cure himself of epi- leptic seizures. He described his condition during the day previous to the murder. He had known that a fit was com- ing on, and had deposited his money and tobacco with the store-keeper, lest they should be taken from him by some other patient during the unconsciousness which was incident to the attack. He had felt a stiffening of the muscles of his limbs, 461 § 481] MENTAL UNSOUNDNESS. [book I. and had, according to his own account, had a severe seizure in the day-room upon that day. “ Ilis memory with regard to the occurrences of the morning of the Friday was not perfect. lie sometimes said he remembered being spoken to while at dinner by the medical superintendent, and at other times he did not remember it. He said that he had refrained from taking meat that day, be- cause he thought it would do his soul good. He said that he himself was a Methodist, but that he did feel better upon the Saturday morning for the abstinence. "With regard to the crime itself he knew it was wrong. He knew that persons who were in their right mind, and who committed murder, were hanged, but he seemed to regard himself as exempted from punishment because he had fits, and because he some- times did not know what he was doing. He said he knew swearing was wrong; he thought it more heinous than murder. He imagined that if Lomas was good, he must have gone to Heaven, and he said he hoped he had not done him any harm. He repeatedly asserted that he liked Lomas, the murdered man, and that he did not know why he had done what he had done. lie spoke of having on a former occasion tried to jump through a glass door, and having, before he was admitted to the asylum, laid himself down on the rails that he might be run over. He seemed to connect these acts, or the conditions existing when they were done, with the murder of his attend- ant, or the conditions which were present at the time of the commission of the crime. From the whole interview—from what he said, from his manner of saying it, from the muscular tremors which every now and then were observable in his limbs—we came to the conclusion that the crime for which he was to be tried was due to a simple suggestion, arising during the stupid condition which succeeds an attack of epilepsy, and that the temporary imbecility was succeeded by epileptic mania, which was in its turn followed by a gradual restoration to the normal condition of health. In our presence the patient showed that he was able to read, that he understood the simple rules of arithmetic, and that he was cognizant of the ordinary doctrines of religion in much the same way as other people of the same class and with the same amount of education are. 462 BOOK I.] SLEEP. [§ 483 There was considerable mental weakness, but it seemed to us to be of such a kind as would not have incapacitated the pa- tient in any way, civil or criminal, had he been free from epilepsy.” E. Mental unsoundness as connected with sleep.(w) § 482. Under this general head may be grouped Somnolentia, or Sleep-drunkenness (Schlaftrunkenheit), Somnambulism, and Nightmare, the two last of which may be considered together. In the forensic treatment of such maladies, it is important for the court to consider whether the person subject to such a dis- order was properly aware of it, and of the possible conse- quences, and able to take the precautions by which those consequences might have been averted. § 483. Sleep would seem to be only a peculiar form of cerebral life, and not a negation of the life of the brain producing consequent fatigue, exhaustion, or weakness; it is not to be supposed that the state of sleep issues out of the intellect itself, but the intellect is diverted by the peculiar change of the action of the brain into that state of existence which we call sleep. But the intellect does not sleep; nor can it ever be said that its activity diminishes during sleep; we merely cease to perceive its activity. On the other hand we cannot doubt that the activity which involves sleep may also be morbid— abnormal—and connected with cramps or convulsive symptoms. Sleep is interrupted by whatever terminates the peculiar con- dition of the brain upon which sleep depends; by the natural expiration of this peculiar state of the brain; by vivid and sudden impressions on the senses, and by disagreeable sensa- tions. Uow, in a certain morbid condition of the brain this awaking is not complete, and does not restore the waking state with a full and correct perception of surrounding things; but an intermediate state between sleeping and waking is produced, which resembles intoxication, and is called the in- (n) See Med. Leg. M. Orfila, tome i. p. 456. Paris, 1848; Med. Leg. M. Briand, p. 563. Paris, 1852; Kenaudin sur 1’ Alienation Mentale, Cliap. 6tli, p. 255. Paris, 1854; Leqon’s Cliniques de M. Falret. Leqon 4th, p. 117. Paris, 1854. 463 § 484] MENTAL UNSOUNDNESS. [book i. toxication of sleep (schlaftrunkenheit). This state admits of action which is directed by the phantoms of the dream; talking in sleep being very nearly allied to waking, and dreams them- selves being midway between sleep and waking, for in the depths of sleep we no longer become conscious of dreams. Nightmare and somnambulism, on the other hand, are, as will be seen, distinct abnormal conditions of continuous sleep, and, under certain external circumstances, may lead to acts of violence. In examining such cases it is important to inquire into the existence of abnormal physical conditions, such as plethora, predisposition to congestions in the head or breast, actual congestions, diseases of the heart, abnormal plethora, suppressed haemorrhoids, eruptions of the skin, or other habitual secretions which have been driven in, nervous affections of various kinds, impure air in the bedroom, a hearty meal, or indulgence in ardent spirits immediately or shortly before going to sleep. Somnambulism is not a mere intensified dream, but in foro medico must be treated as a morbid independent state, and, in a legal point of view, every act shown to have been committed under its influence is to be disconnected with voluntary moral agency.(o) (a1) Somnolentia, or sleep-drunkenness. § 484. Sleep-drunkenness may be defined to be the lapping over of a profound sleep on the domains of apparent wakeful- ness, producing an involuntary intoxication on the part of the patient, which destroys at the time his moral agency. Under the name of Somnolentia, which was given to it by Ploucquet and the consequent French writers, and of Schlaftrunkenheit, which it was styled by the German school, it became the subject of general discussion at the beginning of the present century. The first case in which the symptoms were unmis- takably reported was that of Euchner.(p) A sentry, who had fallen asleep during his watch, being suddenly aroused by the officer in command, fell upon the latter with his drawn sword, with an attack so furious that the most serious conse- (o) Schiirmayer, Gericlit. Med. § 561. (p) See Henke’s Zeitsclir. 10 B. p. 39. 464 BOOK I.] SLEEP-DRUNKENNESS. [§ 485 quences were only averted by the interposition of bystanders. The result of the medical examination was, that the act was involuntary and irresponsible, being the result of a violent confusion of mind consequent upon the sudden involuntary waking from a profound sleep. § 485. Shortly afterwards occurred the case of a day-laborer, who killed his wife with a wagon-tire, the blow being struck immediately upon his starting up from a deep sleep, from which he was forcibly awakened. In this case, there was evidence aliunde that the defendant was seized when waking with a delusion that a “ woman in white” had snatched his wife from his side and was carrying her away, and that his agony of mind was so great that his whole body was wet with perspiration. There was no doubt of the defendant’s In this country, the case properly would fall under the head of excusable homicide by misadventure.(r) In practical result, these cases vary little from an early English case, already noticed, in which, though there was no psychological defence made, there was proof of the same delusions as to danger heightened by the same disturbances of mind as are produced by a sudden waking up from a deep sleep. The defendant, being in bed and asleep in his house, his maid-servant, who had hired the deceased to help her to do her work, as she was going to let her out about midnight, thought she heard thieves breaking open the door, upon which she ran up stairs to the defendant, her master, and informed him thereof. Suddenly aroused, he sprang from his bed, and, running down stairs with his sword drawn, the deceased hid herself in the butlery, lest she should be discovered. The defendant’s wife, observing some person there, and not knowing her, but conceiving she was a thief, cried out, “ Here are they who would undo usand the defendant, in the paroxysm of the moment, dashing into the butlery, thrust his sword at the deceased and killed herds) The defendant was acquitted under the express instructions of the court, and the case has stood the test of the common law courts for over two hundred years, during which it has never (?) Wildberg’s Jalirbuch, 2 Bd. p. 32. (r) See Wharton on Horn. 210. (s) Levet’s case, Cro. Car. 438; 1 Hale, 42, 474. 465 vol. i.—30 § 486] MENTAL UNSOUNDNESS. [book i. been questioned. It is important to observe, however, that, if it differs from the two cases already noticed under this head, in the increased naturalness of the delusion under which the defendant was laboring, it differs from them in the compara- tively longer interval in which his perceptive faculties had the opportunity to arrange themselves. Let it be supposed that it was the wife, and not the husband, who had slain the de- ceased. Under the circumstances, the result would hardly have been different, and yet in this case the distinction between her responsibility and that of the laborer who killed his wife on the waking spasm is simply in the degree of probability of delusions which in both cases were unfounded. If in the one case this improbability was more glaring, let it be recol- lected that there was much less time afforded to the patient to compose himself to a reasoning state of mind. § 486. Much more recently, a case occurred which has led to the whole question being re-examined and discussed. A young man, named A.. F., about twenty years of age, was living with his parents in great apparent harmony, his father and himself being alike distinguished for their extravagant devo- tion to hunting. In consequence of the danger of nocturnal attacks, they were in the habit of taking their arms with them into their chamber. On the afternoon of September 1st, 1839, the father and son having just returned from hunting, their danger became the subject of particular conversation. The next day the hunting was repeated, and on their return, after taking supper with the usual appearance of harmony, the family retired at about ten o’clock, the father and mother occupying one apartment, and the son the next, both father and son taking their loaded arms with them to bed. At one o’clock, the father got up to go into the entry, and on his return jarred against the door opening into the entry, upon which the son instantly sprang up, and, discharging his gun at the father, gave the latter a fatal wound in the breast, crying at the same time, “ Dog, what do you want here?” The father fell immediately to the ground, and the son, then first recog- nizing him, sank oh the floor crying, “0! Jesus, it is my father.” The evidence was, that the whole family were sub- iect to great restlessness in their sleep, and that the defendant 466 BOOK I.] SLEEP-DRUNKENNESS. [§ 487 in particular was affected by a tendency to be easily distressed by dreams, which lasted for about five minutes on waking, before their effect was entirely dissipated. His own version of the affair was, “I must have fired the gun in my sleep; it was moonshine, and we were accustomed to talk and walk in our sleep. I recollect hearing something jar; I jumped up, seized my gun, and shot where I heard the noise. I recollect seeing nothing, nor am I conscious of having spoken. The night was so bright that everything could have been seen. I must have been under the delusion that thieves had broken in.” The concurrent opinions of the medical experts examined on the trial were, that the act was committed in a state of Somnolentia or sleep-drunkenness, and that it was not that of a free and responsible agent.(f) § 487. It is important to distinguish somnolentia, or sleep- drunkenness, which is a state that to a greater or less extent is incidental to every individual, from somnambulism, which is an abnormal condition incident to a very few. The expe- rience of every-day life demonstrates how much the former enters into almost every relation. Children, particularly, sometimes struggle convulsively in the effort to wake up, which often is continued for several minutes. The very ex- clamations, “Wake up”—“Come to”—which are so common in addressing persons in the waking condition, are scarcely necessary to bring to the mind many recollections of cases where the waking struggle has been peculiarly protracted. Of course there are constitutions where this struggle is peculiarly distressing, just as there are constitutions in which the ten- dency to sleeplessness is equally marked. Dr. Krugelstein tells us of a merchant of distinction who had an irrepressible tendency to sleep in the afternoons, and yet who, whenever he was wakened up, was for a few moments overcome with a paroxysm, over which he had no control. Dr. Meister himself (u) relates the following phenomenon: “ I was obliged to take a (t) Henke’s Zeitschrift, 1853, vol. lxv. pp. 190-1; and see also a case of inucli greater doubt in Klein’s Annalen der Gesetzgebung, etc., viii. B. Berlin, 1798 ; and Hollers gericktliche Arzneiwissen-schaft, vol. i. 302. (u) Henke’s Zeitscbrift, vol. lxv. 456. See Krafft-Ebing, Transitoriscke Irresein, 1868. 467 468 MENTAL UNSOUNDNESS. [BOOK I. journey of eight miles on a very hot summer’s day, my seat being with my back to the horses, and the sun directly in my face. On reaching the place of destination, and being very weary and with a slight headache, I laid myself down, with my clothes on, on a couch. I fell at once asleep, my head having slipped under the back of the settee. My sleep was deep, and, as far as I can recollect, without dreams. When it became dark, the lady of the house came with a light into the room. I suddenly awoke, but, for the first time in my life, without collecting myself. I was seized with a sudden agony of mind, and, picturing the object which was entering the room as a spectre, I sprang up and seized a stool, which, in my terror, I would have thrown at the supposed shade. For- tunately, I was recalled to consciousness by the firmness and tact of the lady herself, who, with the greatest presence of mind, succeeded in composing my attention until I wTas entirely awakened.” § 488. The existence of this intermediate state between sleep- ing and waking, and of the “ drunkenness” by which it is sometimes accompanied, is recognized by even the older ele- mentary writers. Thus ‘Wendler(v) says: “Discerni autem possit expergefactio naturalis a praeternaturali. Etenim somno sensim reficitur sensibilitas animi, quae, cum in eum evehitur gradum, ut solemnibus pistoque non fortioribus excitamentis ad cogitandum excitetur, naturalis expergefactio est; contra ubi facultate ilia parum aucta, insolita incitamentorum vis animum cogit ad statum vigiliae, praeternaturalem lianc dici- mus expergefactionem.” The following tests it is important to apply in order to de- termine the question of responsibility:— a. A general tendency to deep and heavy sleep must be shown, out of which the patient could only be awakened by violent and convulsive effort. L Before falling asleep, circumstances must be shown pro- ducing disquiet which sleep itself does not entirely compose. c. The act under examination must have occurred at the (») Dissertatio de Somno. Lipsise, 1805, p. 23. Krafft-Ebing gives a similar case in his Trans. Irresein, 1868, p. 8. 468 BOOK I.] SLEEP-DRUNKENNESS. [§ 490 time when the defendant was usually accustomed to have been asleep. d. The cause of the sudden awakening: must be shown. It © it true that this cannot always happen, as sometimes the start may have come from a violent dream. e. The act must bear throughout the character of uncon- sciousness. /. The actor himself, when he awakes, is generally amazed at his own deed, and it seems to him almost incredible. Gene- rally speaking, he does not seek to evade responsibility, though there are some unfortunate cases in which the wretchedness of the sudden discovery overcomes the party himself, who seeks to shelter himself from the consequences of a crime of which he was technically, though not morally, guilty. § 489. A very intelligent observer, Dr. Kriigelstein, has given us a critical and extended observation of those cases in which crimes have been committed in the supposed somnolen- tial state, in which he draws the inferences that this species of mania occurs chiefly, if not entirely, with persons who are sound sleepers, and are suddenly startled, by some violent exterior cause, from a sleep which, from indigestion or other causes, has been already disturbed and excited by dreams of peculiar vivacity. Such cases are universally marked with a want of consciousness in the actor, and followed when he awakes by entire astonishment and then violent remorse.(w?) § 490. Dr. Taylor, in his admirable treatise,(a?) gives us the following cases on the same point:— A peddler, who was in the habit of walking about the country armed with a sword-stick, was awakened one evening, while lying asleep on the high-road, by a man who was acci- dentally passing seizing him and shaking him by the shoul- ders. The peddler suddenly awoke, drew his sword and stabbed the man, who afterwards died. lie was tried for manslaughter. Ills irresponsibility was strongly urged by his counsel, on the ground that he could not have been conscious of an act perpe- (w) Kriigelstein, Ueber die in Zustande der Sclilaftrunkenheit veriibten Gewaltthatigkeiten in gericbtsarztlicher Bezieliung. (*) Med. Jur. 599, COO. 469 § 491] MENTAL UNSOUNDNESS. [book i. trated in a half-waking state. This was strengthened by the opinion of the medical witness. The prisoner was, however, found guilty. Under such circumstances it was not unlikely that an idea had arisen in the prisoner’s mind that he had been attacked by robbers, and therefore stabbed the man in self-defence.(y) Dr. Ilartshorne, in a note, tells us that a somewhat similar case occurred in Philadelphia, a few years back, in which a man was shot with a pistol by an acquaintance whom he had suddenly aroused from sleep, late at night, in an open market- house. The plea was, that the deceased was mistaken for a robber when the pistol was fired; but the jury found a verdict of manslaughter. § 491. Two persons, in a case cited by Mr. Best, who had been hunting during the day, slept together at night. One of them was renewing the chase in a dream, and, imagining him- self present at the death of the stag, cried out “ I’ll kill him! I’ll kill him!” The other, awakened by the noise, got out of bed, and by the light of the moon beheld the sleeper give several deadly stabs with a knife, in that part of the bed which his companion had just quitted. Suppose a blow, given in this way, had proved fatal, and the two men had been shown to have quarrelled previously to retiring to rest! But a defence of this kind, as is well remarked by Dr. Taylor, may be unduly strained. Thus, where there is an enmity, with a motive for the act of homicide, the murderer while sleeping in the same room may select the night for an assault, and per- petrate the act in darkness in order the more effectually to screen himself. In the case of Reg. v. Jackson,(2) it was urged in defence that the prisoner, who slept in the same room with the prosecutor, had stabbed him in the throat, owing to some sudden impulse during sleep; and the case of Milligan, above given, was quoted by the learned counsel, in support of the view that the prisoner was irresponsible for the act. It was proved, however, that the prisoner had shown malicious feel- ing against the prosecutor, and that she wished him dead. (y) The Queen v. Milligan. Lincoln Aut. Assizes, 1830. (z) Liverpool Autumn Ass. 1847. 470 BOOK I.] SOMNAMBULISM. [§ 492 The knife with which the wound had been inflicted bore the appearance of having been recently sharpened, and the pris- oner must have reached over her daughter (the prosecutor’s wife), who was sleeping in the same bed with him, in order to produce the wound. These facts are quite adverse to the sup- position of the crime having been perpetrated under an im- pulse from sleep, and the prisoner was convicted. In another case, Reg. v. French,(a) it was proved that the prisoner while sleeping in the same room had killed the deceased, who was a stranger to him, under some delusion. There was, however, clear evidence that the prisoner was insane, and on this ground he was acquitted under the direction of the judge.(6) In a subsequent case in Ireland, where the same defence could with much justice have been presented, the defendant, though under circumstances throwing much doubt on the verdict, was con- victed.^) (bl) Somnambulism. § 492. Somnambulism, according to the usual acceptation, involves, (1) continuousness, not being merely a transition momentary state between sleeping and waking ; (2) a sort of supersensual or ecstatic consciousness, which enables the patient to find his way with his eyes closed, or with his vision so abnormally excited as to fail to present to him anything more than a certain path, or certain objects on which his at- tention is absorbed. Perhaps the latter condition may be more correctly defined as that of a state of dreamy abstraction, in which the objects of a dream are exclusively observed and pursued. In a limited degree this is frequently observable in children, who at night, especially when the room is lighted by the moon, will rise from their bed and wander into their mother’s room, apparently in a dreamy state, incapable of giving clear answers, and without subsequent waking recollec- tion of having made such a move. But as to adults, it is to be observed that the condition is easily simulated, and that as the cases of adult somnambulism reported in recent years are (a) Dorset Autumn Ass. 1846. (5) Taylor’s Med. Jurisprudence, pp. 599, GOO. (c) See 22 Am. Journ. of Ins. 25. 471 § 494] MENTAL UNSOUNDNESS. [book i. very rare and are sustained by meagre proof, we may indulge in a reasonable doubt whether most of the earlier cases are not to be solved by the hypothesis of simulation, or of mythical exaggeration. Certainly, when an act is intelligently done by an adult, and for an intelligible purpose, the defence of som- nambulism is one of the wildest that can be offered. § 493. “Dreaming,” says Dr. Rush, “is a transient paroxysm of delirium. Somnambulism is nothing but a higher grade of the same disease. It is a transient paroxysm of madness. Like madness, it is accompanied with muscular action, with incoherent or coherent conduct, and with that complete obli- vion of both which takes place in the worst grade of madness. Coherence of conduct discovers itself in persons who are af- fected with it undertaking or resuming certain habitual ex- ercises or employments. Thus we read of the scholar resuming his studies, the poet his pen, and the artisan his labors, while under its influence, with their usual industry, taste, and cor- rectness. It extended still further in the late Dr. Blacklock, of Edinburgh, who rose from his bed, to which he had retired at an early hour, came into the room where his family were assembled, conversed with them, and afterwards entertained them with a pleasant song, without any of them suspecting he was asleep, and without his retaining after he awoke the least recollection of what he had done.”(rf) § 494. A German psychologist(e) gives us, in great minute- ness, a narrative of a young woman, a somnambulist, who, when twenty-three years old, having been previously in good health and regular in her menstruation, was seized with epi- lepsy in consequence of a fright produced by an attack of robbers. She soon became the victim of somnambulism, which manifested itself in all its ordinary incidents, such as deep sleep, want of memory and firmness in her movements when under its influence. While in the somnambulic condition she (d) Rush, on the Mind, pp. 302, 303. See E. L. Heim, vermischte med. Schriften, herausg. von A. Paetsch. Leipsic, 183G, § 336. L. Kralimer, Handbuch der Gericht. Med. Halle, C. A. Schwetsclike, 1851, § 115. Siebold, Lehrbucli der Gericht. Med. Berlin, 1847, § 196. (e) Dornbllith, Geschichte einer Nachtwandlerin, Henke’s Zeitsclirift, xxxii. 2. 472 BOOK I.] SOMNAMBULISM. [§ 495 had the habit of concealing articles of various kinds, the result of which was that she was charged with theft. Under the advice of Dr. Dornbliith she was finally acquitted, and under his care was gradually restored to health. § 495. Dr. Upham gives us the following American illus- tration : “ A farmer in one of the counties of Massachusetts, according to the account of the matter which was published at the time, had employed himself for some weeks in the winter thrashing his grain. One night, as he was about clos- ing his labors, he ascended a ladder to the top of the great beams in the barn, where the rye which he was thrashing was deposited, to ascertain what number of bundles remained un- thrashed, which he determined to finish the next day. The ensuing night, about two o’clock, he was heard by one of the family to arise and go out. He repaired to his barn, being sound asleep and unconscious of what he was doing, set open his barn doors, ascended the great beams of the barn where his rye was deposited, threw down a flooring, and commenced thrashing it. When he had completed it, he raked off the straw and shoved the rye to one side of the floor, and again ascended the ladder with the straw, and deposited it on some rails that lay across the great beams. He then threw down another flooring of rye, which he thrashed and finished as before. Thus he continued his labors until he thrashed five floorings, and on returning from throwing down the sixth and last, and in passing over part of the haymow, he fell off, where the hay had been cut down about six feet, to the lower part of it, which awoke him. He at first imagined himself in his neighbor’s barn, but, after groping about in the dark for a long time, ascertained that he wras in his own, and at length found the ladder, on which he descended to the floor, closed his barn- doors, which he found open, and returned to his house. On coming to the light he found himself in such a profuse perspi- ration that his clothes were literally wet through. The next morning, on going to his barn, he found that he had thrashed during the night five bushels of rye, had raked the straw off in good order and deposited it on the great beams, and care- fully shoved the grain to one side of the floor, without the 473 § 496] MENTAL UNSOUNDNESS. [book i. least consciousness of what he was doing, until he fell from the hay.”(/) “ A man in this state,” says Falret, “ has no longer the same relations with the exterior world. He enters into movements which seem the result of the will, since he avoids blows and falls with the greatest nicety; and yet he does not seem to see, or at least his sight appears very confused. The mind is evi- dently in action, since somnambulists often write things which they were unable to do when awake, maintain conversation, and perform actions implying regular ideas. And yet after the attack they preserve no remembrance of their thoughts, feelings, or actions, as if consciousness had been entirely obli- terated whilst it lasted.”(y) § 496. The views of Abercrombie have been so long ap- pealed to on this point that we cannot refrain from giving them here in full: “Somnambulism,” he says, “appears to differ from dreaming chiefly in the degree in which the bodily func- tions are affected. The mind is fixed, in the same manner as in dreaming, upon its own impressions as possessing a real and present existence in external things; but the bodily organs are more under the control of the will, so that the individual acts under the influence of erroneous conceptions, and holds conversation in regard to them. He is also, to a certain degree, susceptible of impressions from without, through his organs of sense; not, however, so as to correct his erroneous im- pressions, but rather to be mixed up with them. A variety of remarkable phenomena arise out of these peculiarities, which will be illustrated by a slight outline of this singular affection. The first degree of somnambulism generally shows itself by a propensity to talk during sleep—the person giving a full and connected account of what passes before him in dreams, and often revealing his own secrets or those of his friends. Walking during sleep is the next degree, and that from which the affection derives its name. The phenomena connected with this form are familiar to every one. The Individual gets out (/) Upliam on Mental Action, pp. 182,183. See also article by M. Alfred de Maury, 18 Am. Journ. of Ins. 236. (y) Leqons Cliniques de 1’ Alienation Mentale, par. M. Falret, Leqon 4, p. 121. Paris, 1854. 474 BOOK I.] SOMNAMBULISM. [§ 496 of bed; dresses himself; if not prevented, goes out of doors; walks frequently over dangerous places in safety; sometimes escapes by a window and gets to the roof of a house ; after a considerable interval, returns and goes to bed; and all that has passed conveys to his mind merely the impression of a dream. A young nobleman mentioned by Hortensius, living in the citadel of Breslau, was observed by his brother, who occupied the same room, to rise in his sleep, wrap himself in a cloak, and escape by a window to the roof of the building. He there tore in pieces a magpie’s nest, wrapped the young birds in his cloak, returned to his apartment, and went to bed. In the morning he mentioned the circumstance as having occurred in a dream, and could not be persuaded that there had been any- thing more than a dream, till he was shown the magpies in his cloak. Dr. Prichard mentions a man who rose in his sleep, dressed himself, saddled his horse, and rode to the place of a market which he was in the habit of attending once every week; and Martinet mentions a man who was accustomed to rise in his sleep and pursue his business as a saddler. There are many instances on record of persons composing, during the state of somnambulism: as of boys rising in their sleep and finishing their tasks which they had left incomplete. A gen- tleman at one of the English universities had been very intent during the day in composition of some verses, which he had not been able to complete: during the following night he arose in his sleep and finished his composition, then expressed great exultation, and returned to bed. In these common cases, the affection occurs during ordinary sleep; but a condition very analogous is met with, coming on in the daytime, in paroxysms, during which the person is affected in the same manner as in the state of somnambulism, particularly with an insensibility to external impressions: this presents some singular phenomena. These attacks in some cases come on without any warning; in others, they arc preceded by a noise or sense of confusion in the head. The individuals then become more or less abstracted, and are either unconscious of any external impressions, or very confused in their notions of external things. They are fre- quently able to talk in an intelligible and consistent manner, but always in reference to the impression which is present in 475 476 MENTAL UNSOUNDNESS. [book i. their own minds. They in some cases repeat long pieces of poetry, often more correctly than they can do in their waking state, and not nnfreqnently things which they could not repeat in their state of health, or of which they were supposed to be entirely ignorant. In other cases they hold conversations with imaginary beings, or relate circumstances or conversations which occurred at remote periods, and which they were sup- posed to have forgotten. Some have been known to sing in a style far superior to anything they could do in their waking state; and there are some well-authenticated instances of per- sons in this condition expressing themselves correctly in lan- guages with which they were imperfectly acquainted. I had lately under my care a young lady who is liable to an affection of this kind, which comes on repeatedly during the day, and continues from ten minutes to an hour at a time. "Without any warning, her body became motionless, her eyes open, fixed, and entirely insensible, and she became totally unconscious of any external impression. She has been frequently seized wdiile playing on the piano, and has continued to play, over and over, part of a tune with perfect correctness, but without advancing beyond a certain point. On one occasion she was seized after she had begun to play from the book a piece of music which was new to her. During the paroxysm she continued the part which she had played, and repeated it five or six times with perfect correctness; but on coming out of the attack she could not play it without the book. During the paroxysms the indi- viduals are, in some instances, totally insensible to anything that is said to them; but in others they are capable of holding conversation with another person with a tolerable degree of consistency, though they are influenced to a certain degree by these mental visions, and are very confused in their notions of external things. In many cases, again, they are capable of going on with the manual occupations in which they had been engaged before the attack. This occurred remarkably in a watchmaker’s apprentice mentioned by Martinet. The pa- roxysms on him appeared once in fourteen days, and com- menced with a feeling of heat extending from the epigastrium to the head. This was followed by confusion of thought, and this by complete insensibility; his eyes were open, but fixed 476 BOOK I.j SOMNAMBULISM. 477 and vacant, and he was totally insensible to anything that was said to him, or to any external impression. But he continued his usual employment, and was always much astonished, on his recovery, to find the change that had taken place in his work since the commencement of his paroxysm. This case afterwards passed into epilepsy. Some remarkable phenomena are presented by this singular affection, especially in regard to exercises of memory and the manner in which old associa- tions are recalled into the mind: also, in the distinct manner in which the individuals sometimes express themselves on subjects with which they had formerly shown but an imperfect acquaintance. In some of the French cases of epidemic ‘extase,’ this had been magnified into speaking unknown languages, predicting future events, and describing occurrences of which the persons could not have possessed any knowledge. These stories seem, in some cases, to resolve themselves merely into embellishment of what really occurred, but in others there can be no doubt of connivance and imposture. Some facts, however, appear to be authentic, and are sufficiently remarkable. Two females, mentioned by Bertrand, expressed themselves during the paroxysm very distinctly in Latin. They afterward admitted that they had some acquaintance with the language, though it was imperfect. An ignorant servant-girl, mentioned by Dr. Dewar, during paroxysms of this kind showed an astonishing knowledge of geography and astronomy; and expressed herself in her own language in a manner which, though often ludicrous, showed an under- standing of the subject. The alternations of the seasons, for example, she explained by saying that the world was set a-gee. It was afterwards discovered that her notions on this subject had been derived from hearing a tutor giving instructions to the young people of the family. A woman who was some time ago in the Infirmary of Edinburgh on account of an affection of this kind, during her paroxysms mimicked the manner of the physicians, and repeated correctly some of their prescriptions in the Latin language. Another very singular phenomenon presented by some instances of this affection is what has been called, rather incorrectly, a state of double con- sciousness. It consists in the individual recollecting, durino- 477 478 MENTAL UNSOUNDNESS. [book i. a paroxysm, circumstances which occurred in a former attack, though there was no remembrance of them during the interval. This, as well as various other phenomena connected with the affection, is strikingly illustrated in a case described by Dr. Dyce, of Aberdeen, in the Edinburgh Philosophic Transactions. The patient was a servant-girl, and the affection began with fits of somnolency, which came upon her suddenly during the day, and from which she could, at first, be aroused by shaking, or by being taken out in the open air. She soon began to talk a great deal during the attacks, regarding things which seemed to be passing before her, as a dream; and she was not, at this time, sensible of anything that was said to her. On one occasion she repeated distinctly the baptismal service of the Church of England, and concluded with an extemporary prayer. In her subsequent paroxysm she began to understand what was said to her, and to answer with a considerable degree of consistency, though the answers were generally, to a certain degree, influenced by her hallucinations. She also became capable of following her usual employments during the pa- roxysm ; and at one time she laid out the table correctly for breakfast, and repeatedly dressed herself and the children of the family, her eyes remaining shut the whole time. The remarkable circumstance was now discovered, that during the paroxysm she had a distinct recollection of what took place in her former paroxysms, though she had no remembrance of it during the intervals. At one time she was taken to church while under the attack, and there behaved with propriety, evidently attending to the preacher; and she was at one time so much affected as to shed tears. In the interval she had no recollection of having been at church; but in the next pa- roxysm she gave a most distinct account of the sermon, and mentioned particularly the part of it by which she had been so affected. This woman described the paroxysm as coming on with a cloudiness before her eyes, and a noise in the head. During the attack her eyelids were generally half-shut; her eyes sometimes resembled those of a person afflicted with amaurosis—that is, with a dilated and insensible state of the pupil, but sometimes they were quite natural. She had a dull, 478 BOOK I.] SOMNAMBULISM. [§ 497 vacant look; but, when excited, knew what was said to lier, though she often mistook the person who was speaking; and it was observed that she seemed to discern objects best which were faintly illuminated. The paroxysms generally continued about an hour, but she could often be roused out of them; she then yawned and stretched herself, like a person awaking out of a sleep, and instantly knew those about her. At one time, during the attack, she read distinctly a portion of a book which was presented to her; and she often sung, both sacred and common pieces, incomparably better, Dr. Dyce affirms, than she could do in a waking state. The affection continued to recur for about six months, and ceased when a particular change took place in her constitution.” § 497. “We have another very remarkable modification of this affection, referred to by Mr. Combe, as described by Major Elliot, Professor of Mathematics in the United States Military Academy at West Point. The patient was a young lady of cultivated mind, and the affection began with an attack of somnolency, which was protracted several hours beyond the usual time. When she came out of it, she was found to have lost every kind of acquired knowledge. She immediately began to apply herself to the first elements of education, and was making considerable progress, when, after several months, she was seized with a second fit of somnolency. She was now at once restored to all the knowledge which she had possessed before the first attack, but without the least recollection of anything that had taken place during the interval. After another interval she had a third attack of somnolency, which left her in the same state as after the first. In this manner she suffered these alternate conditions for a period of four years, with the very remarkable circumstance that during one state she retained all her original knowledge, but during the other, that only which she had acquired since the first attack. During the healthy interval, for example, she was remarkable for the beauty of her penmanship; but during the paroxysm, wrote a poor, awkward hand. Persons introduced to her during the paroxysm, she recognized only in a subsequent paroxysm, but not in the interval; and persons whom she had 479 480 MENTAL UNSOUNDNESS. [book i. seen for the first time during the healthy interval, she did not recognize under the attack. ”(A) § 498. Carus tells us in his lectures (Leipsic, 1881) of a clergyman who was a somnambulist, who would get up in his sleep, take paper, and write out a sermon. If a passage did not please him, he would strike it out, and correct it with great accuracy. We are told by Steltzer of a somnambulist who clambered out of a garret window, descended into the next house, and killed a young girl who was asleep there.(z) As a set-off to these, we have the case of a preassumed somnam- bulism for the purpose of cloaking an intended crime.(j ) § 499. A curious example of somnambulism, observed in a monk, is mentioned by M. de Savarin, as related to him by the Prior of the convent where it happened, who was an eye-wit- ness of the occurrence. “Very late one evening the patient somnambulist entered the chamber of the Prior, his eyes were open but fixed, the light of two lamps made no impression upon him, his features were contracted, and he carried in his hand a large knife. Going straight to the bed, he had first the appearance of examining if the Prior was there. He then struck three blows, which pierced the coverings, and even a mat which served the purpose of a mattress. In returning, his countenance was unbent, and was marked by an air of satisfac- tion. The next day the Prior asked the somnambulist what he had dreamed of the preceding night, and the latter answered that he had dreamed that his mother had been killed by the Prior, and that her ghost had appeared to him demanding vengeance, that at this sight he was so transported by rage, that he had immediately run to stab the assassin of his mother; that, a little while after, he awoke bathed in perspiration, and very content to find he had only dreamed.” M. de Savarin adds, that, if under these circumstances the Prior had been killed, the monk somnambulist could not have been punished, because it would have been upon his part an involuntary murder. (A:) (7i) Abercrombie on the Intellectual Powers, p. 238, etc. (t) Steltzer, uber den Willen, Leips., 1817-8, p. 273. (j) Fahner, System der Ger. Arznei. 1 Bd. p. 43. (k) Pbysiologie du gout, tome ii. p. 3. Paris, 1834. 480 BOOK I.] SOMNAMBULISM. 481 § 500. “Yon have all heard,” said Sir William Hamilton, in one of his lectures on metaphysics, “ of the phenomenon of somnambulism. In this remarkable state the various mental faculties are usually in a higher degree of power than in the natural. The patient has recollections of what he has wholly forgotten. lie speaks languages of which, when awake, he remembers not a word. If he uses a vulgar dialect when out of this state, in it he employs only a correct and elegant phraseology. The imagination, the sense of propriety, and the faculty of reasoning, are all in general exalted. The bodily powers are in high activity, and under the complete control of the will; and, it is well known, persons in this state have fre- quently performed feats, of which, when out of it, they would not even have imagined the possibility. And, what is even more remarkable, the difference of the faculties in the two states seems not confined merely to a difference in degree. For it happens, for example, that a person who has no ear for music when awake shall, in his somnambulic crisis, sing with the utmost correctness and with full enjoyment of his performance. Under this affection persons sometimes lie half their lifetime, alternating between the normal and abnormal states, and per- forming the ordinary functions of life indifferently in both, with this distinction, that if the patient be dull and doltish when he is said to be awake, he is comparatively alert and in- telligent when nominally asleep. I am in possession of three works, written during the crisis by three different somnambu- lists. Yow it is evident that consciousness, and an exalted con- sciousness, must be allowed in somnambulism. This cannot possibly be denied; but mark what follows. It is the peculiarity of somnambulism—it is the differential quality by which that state is contradistinguished from the state of dreaming—that we have no recollection, when we awake, of what has occurred, during its continuance. Consciousness is thus cut in two; memory does not connect the train of consciousness in one state with the train of consciousness in the other. When the patient again relapses into the state of somnambulism, he again remem- bers all that had occurred during every former alternation of that state; but he not only remembers this, he recalls also the events of his normal existence; so that, whereas the patient VOL. I.—31 481 482 MENTAL UNSOUNDNESS. [book i. in his somnambulic crisis has a memory of his whole life, in his waking interval he has a memory only of half his life. At the time of Locke, the phenomena of somnambulism had been very little studied; nay, so great is the ignorance that prevails in this country in regard to its nature even now, that you will find this, its distinctive character, wholly unnoticed in the best works upon the subject. But this distinction you observe is incompetent always to discriminate the state of dreaming and somnambulism. It may be true that if we recollect our visions during sleep, this recollection excludes somnambulism, but the want of memory by no means proves that the visions we are known by others to have had were not common dreams. The phenomena, indeed, do not always enable us to discriminate the two states. Somnambulism may exist in many different degrees; the sleep-walking from which it takes its name is only one of its higher phenomena, and one comparatively rare. In general, the subject of this affection does not leave his bed, and it is then frequently impossible to say whether the mani- festations exhibited are the phenomena of somnambulism or of dreaming. Talking during sleep, for example, may be a symp- tom of either, and it is often only from our general knowledge of the habits and predispositions of the sleeper, that we are warranted in referring this effect to the one and not the other class of phenomena. We have, however, abundant evidence to prove that forgetfulness is not a decisive criterion of somnam- bulism. Persons whom there is no reason to suspect of this affection, often manifest during sleep the strongest indications of dreaming, and yet, when they awaken in the morning, re- tain no memory of what they may have done or said during the night. Locke’s argument, that, because we do not always remember our consciousness during sleep, we have not, there- fore, been always conscious, is thus on the ground of fact and analogy disproved. ”(7) § 501. Prof. Jessen, of Ilomheim, near Kiel, a distinguished practical alienist, gives the following:— “ On a wintry morning, between five and six o’clock, I was aroused, as I thought, by the head nurse, who reported to me 482 (l) Lectures on Metaphysics, p. 282. BOOK I.] DEPRESSION. 483 that some people had come for one of the male patients, and who at the same time asked me whether I had any particular orders to give. I replied that the patient might depart, and after he had left the room I turned around to go to sleep again. All at once i t struck me that I had previously not heard any- thing regarding the intended departure of this patient, but that only the prospective departure of a woman of the same name had been reported to me. This compelled me to inquire more particularly after the circumstances, and accordingly I lighted a candle, rose, dressed myself, and went to the room of the head nurse. To my surprise I found him only half dressed, and, in reply to my inquiry after the people who had called for the patient, he said, with an expression of astonish- ment, that he did not know anything of it, as he had but just left his bed, and no one had called on him. This answer did not arouse my consciousness, but I rejoined that then the steward must have been in my room, and that I should accordingly go to see and ask him regarding the matter. When descend- ing a few steps in the middle of the corridor which led to the room of the steward, I suddenly became conscious of having dreamed only what until that moment I had believed to be an experience whose reality I had not doubted in the least.” F. Mental unsoundness as affecting the temperament.(wi) (a1) DEPRESSION.(n) § 502. By this term may be designated a condition of des- pondency which continues for a long time, even for years, without assuming the form of real aberration of mind, but which derives peculiar importance and significance in matters of penal jurisprudence, from the fact that in such cases a criminal act often introduces the transition to patent insanity, inasmuch as it makes its appearance as the first decisive symp- tom, which is rapidly followed by others. § 503. To Morel we are indebted for the following sketch of (m) See Etudes Medico-Psycliologiques sur P Alienation Mentale, par L. F. E. Renaudin, Chapter II. p. 36. Paris, 1854. (n) See Kralimer, Handbuch der Gericht. Med. Halle, C. A. Schwetschke, 1851, § 109 ; Siebold Lehrbuch der Gericht. Med. Berlin, 1847, § 200. 483 484 MENTAL UNSOUNDNESS. [book i. primitive or simple depression.^1) As there exists a mania which shows itself rather in insanity of action than of mind (manie instinctive), so likewise there exists a state of melan- choly without delirium. Without our often being able to instance other causes than those phenomena which accom- pany the change from adolescence to puberty, from puberty to age, and from mature age to the critical period; at the happiest periods of life, we feel a vague weariness, a motive- less fear, an indefinable sadness, which sometimes is only transitory, and at others is the starting point of the most serious disturbances. It is, says Guislain, a state of sadness, of dejection accompanied with or without the shedding of tears, without any notable aberration of imagination, intel- ligence, or feeling. It is the heart which exclusively suffers, but soon this suffering of the heart shows itself in a prostra- tion of all the intellectual powers, a state which absorbs all individual energy, and appears only to leave the capacity of suffering. Where is the man who has not experienced these painful feelings ? and if by an effort of reasoning we are able to affix the form of continuity to these sensations, which are only sometimes fugitive, we will have a perfect idea of this intolera- ble state. Madame de Stael vividly touches on this in Corinne. “ She (Corinne) had taken such a horror for all the common pursuits of life that to take the least resolution, to give the least order, caused her an increase of pain. She was unable to live except in perfect inactivity. She arose, laid down, arose again, opened a book without being able to understand a line; often she remained for hours at her window, and then would walk with rapidity in her garden. At another time she would take a bouquet of flowers and try to make herself dizzy with their perfume. Time, a never ceasing pain, the feeling of existence pursued her, and she sought relief in a thousand ways from that devouring faculty of thought which did not now yield, as formerly, a variety of reflections, but one single idea, one single image, armed with cruel points that tore her heart. Every word was formed wfith difficulty, and (ji1) Trait6 theorique et pratique des Maladies Mentales, par M. Morel, tome i. p. 386. Paris, 1852. 484 BOOK I.] DEPRESSION. [§ 504 often she traced words conveying no sense, words that even frightened her, when she attempted to re-read them, as if the pain of the fever was there written. Feeling herself then inca- pable of turning her thoughts from her own condition, she painted all that she had suffered, but it was no longer in those general ideas, those universal feelings that find a response in every heart; hut it was the cry of anguish, a long monotonous cry, it was misfortune, but it was no longer genius.” § 504. When a like condition,says Guislain, is accompanied with anxieties, groaning, sobs, a desire to commit suicide, or any other determination, it is no longer in its simplest state. * * I, on the contrary, think that a like condition can continue in connection with the above-mentioned ten- dencies. How else could we explain those suicides without name, those irregular actions of which we see so many ex- amples in instinctive mania, the affection which, above all others, has the closest relation to melancholy ? In the greater number of cases, these forms are distinguishable less perhaps by the diversity of the acts than by the nature of the depres- sive principles. We may readily admit that instinctive maniacs generally betray themselves by more froward deeds, and by more sudden and more cruelly energetic and destructive de- terminations, than the simple hypomaniacs, who rather turn against themselves their fatal homicidal impulses. In the first case also the depravity of the instincts is more often connected with the organic affections, a vicious education, or a prior state of immorality, whilst in the latter class the impulse which they themselves deplore is the harder to be understood, because (1) the individual is generally placed in the most favorable social condition ; (2) his education has left nothing to be wished for, and (3) his delicate sensibility would never cause the actions to which he is irresistibly forced in this un- fortunate unhealthy state to be suspected. This mental condition, which I have often had opportunity of observing, was strikingly illustrated in the general state of a deranged female, who, in 1842, was placed under the care of M. Falret, at la Salpetri5re hospital. The patient showed no insanity in her language. Gifted with high intelligence and great tenderness of heart, belonging to a family that had 485 § 504] MENTAL UNSOUNDNESS. [book i. suffered misfortune, but who in the time of their prosperity had neglected nothing for her education, Virginia Mac A e, who had courageously suffered the reverses of fortune, and created for herself a new position, was unable to explain the loss of her moral sensibility and the causes of an inex- pressible sadness which left her no other resource but tears. “ The future,” she writes, “ which presents hope to every reasonable being, offers to my mind an abyss of evils which it is impossible for me to bear. I want nothing; the beings that I most cherish, I wish their death, because I have always seen that that which forms the happiness of others is my affliction. I, the eldest, who should have been the consolation of the mother whom I so much loved, have caused her nothing but miseiy. When I experienced the incomprehensible disgust for life, then, lying beside her, I dared propose to her to set fire to the bed, in order that we might die together; she whom I have seen lose her consciousness at the idea only of seeing one of her children die, she who would still sacrifice herself if she could return to me the force and energy that are wanting, I have only the more discouraged, by constantly telling her that we were entirely without hope. The child, also, who was for- merly my delight, has become an object of indifference. The night is for me more sad than for a criminal whom the laws have condemned to die, because he knows that his life will soon end; whilst, in spite of the despair of my soul, in spite of my disturbed sleep, I find myself every day in sound health, and yet without force and without courage. The beautiful sky, that God created to delight his children, serves only to sadden still more my thoughts. I would wish to again become a child, to recover the innocence of childhood; why cannot I feel that calm which is sometimes felt in the spring imme- diately after the winter. I compare myself to a poor woman who has for a long time had nothing but the produce of her hands whereby to raise up her children, and who, in spite of fatigue and watching, does not abandon them as I abandoned my Marie—I, who am only thirty-four, who am in full posses- sion of strength and health, and who have not power of direct- ing to any useful end the faculties imparted me by Heaven.” Such was the position of a patient who now presents us the 486 BOOK I.] DEPRESSION. [§ 505 example of simple melancholy without delirium. In such cases we will observe that this state, so full of agony, is often nothing but a period of transition to systematic delirium; and we will also remark the differences existing between this pri- mitive depression and the incubation of mania, which may, it is true, commence with depression and finish with exaltation, but which, in the greater number of cases, betrays itself in an abnormal activity, and in the development of intellectual apti- tudes, which have not been before remarked in the patient. Here, on the contrary, all the faculties appear overwhelmed by the depressive principle. The occupations they most cherished are insupportable to them, and the intellectual labors in which they most excelled, they are unable to perform. The poet loses his art, and the author his skill, the mathematician notes down false numbers, and the artist and the workman no longer possess their aptness for the performance of the mechanical parts or'manual of their profession. Nor can it be otherwise. Without doubt, to write and think wrell we must be under the influence of some emotion, but this emotion should be true and not morbid. Contentment is necessary to everything, and the most gloomy poetry must be inspired by a kind of spirit, which presupposes both energy and intellectual possessions. True grief has no natural fecundity, that which it produces is nothing but a gloomy agitation which constantly brings back the same thoughts.(o) § 505. “Depression of mind,” says Reid, “may be owing to melancholy, a distemper of the mind which proceeds from the state of the body, which throws a dismal gloom upon every object of thought, cuts all the sinews of action, and often gives rise to strange and absurd opinions in religion, or in other interesting matters. Yet, where there is real worth at the bottom, some rays of it will break forth even in this de- pressed state of mind. A remarkable instance of this was exhibited in Mr. Simon Brown, a dissenting clergyman in England, who, by melancholy, was led into the belief that his rational soul had gradually decayed within him, and at last (o) See Traite theorique et pratique des Maladies Ment. de M. Morel, tome i. p. 336. Paris, 1852. 487 488 MENTAL UNSOUNDNESS. [book i. was totally extinct. From this belief he gave np his minis- terial function, and would not join with others in any act of worship, conceiving it to be a profanation to worship God without a soul. In this dismal state of mind he wrote an excellent defence of the Christian religion against Tindal’s ‘ Christianity as Old as the Creation.’ To the book he pre- fixed an epistle, dedicatory to Queen Caroline, wherein he mentions, ‘ that he was once a man, but, by the immediate hand of God for his sins, his very thinking substance has, for more than seven years, been continually wasting away, till it is wholly perished out of him, if it be not utterly come to nothingand, having heard of her Majesty’s eminent piety, he begs the aid of her prayers. The book was published after his death without the dedication, which, however, having been preserved in manuscript, was afterwards printed in the 4 Ad- venturer.’ Thus this good man, when he believed that he had no soul, showed a most generous and disinterested concern for those who had souls. As depression of mind may produce strange opinions, especially in the case of melancholy, so our opinions may have a very considerable influence either to elevate or depress the mind, even where there is no melan- choly. Suppose, on one hand, a man who believes that he is destined to an eternal existence; that lie who made and who governs the -world maketh an account of him, and hath fur- nished him with the means of attaining a high degree of per- fection and glory. With this man compare, on the other hand, the man who believes nothing at all, or who believes that his existence is only the play of atoms, and that after he has been tossed about by blind fortune for a few years, he shall again return to nothing. Can it be doubted that the former opinion leads to elevation and greatness of mind, and the latter to meanness and depression !”(p) § 506. “ A pleasant season,” says Dr. Rush, “ a fine day, or even the morning sun, often suspends the disease. Mr. Cowper, who knew all its symptoms by sad experience, bears witness to the truth of this remark, in one of his letters to Mr. Ilaly. ‘I rise,’ says he, ‘cheerless and distressed, and brighten as the (p) Reid on the Active Powers of Opinion, p. 576. 488 BOOK I.] HYPOCHONDRIA. [§ 508 sun goes on.’ Its paroxysms are sometimes denoted ‘ low spirits.’ They continue from a day, a week, a month, a season, to a year, and sometimes longer. The intervals differ—1, in being accompanied with preternatural high spirits; 2, in being attended with remissions only; and 3, with intermissions, or, in other words, in correctness and equanimity of mind. The extremes of high and low spirits, which occur in the same person at different times, are happily illustrated by the follow- ing case: A physician in one of the cities of Italy was once consulted by a gentleman who was much distressed with a paroxysm of this intermitting state of hypochondriacism. He advised him to seek relief in a convivial manner, and recom- mended him in particular to find out a gentleman of the name of Cardini, who kept all the tables in the city, to which he was occasionally invited, in a roar of laughter. ‘Alas! sir,’ said the patient, with a heavy sigh, ‘ I am that Cardini.’ Many such characters, alternately marked by high and low spirits, are to be found in all the cities in the world.”(g) § 507. In cases of settled depression, the patient on the one hand is fully convinced that his notions and wishes ought to be realized; but on the other he feels the impossibility of effecting their realization. He therefore makes no effort to render possible the impossible; yet he cannot resign the ideal, which he bears in his bosom; he loves his fictions, or the objects of his wishes so much, that he cannot part with them. Thus he consumes his existence in a monotonous grief; he can- not take interest in anything except the object of his sadness.(r) (b1) Hypochondria.(s) § 508. When the morbid despondency noticed under the last head extends to the general tone of bodily sensations, a (q) Rush, on the Mind, pp. 82, 83. (r) Rauch’s Psychology, 151. (s) See Krahmer, Handbuch der Gericht. Med. Halle, C. A. Schwetschke, 1851, § 109 ; Siebold, Lehrbuch der Gericht. Med. Berlin, 1747, § 208. See De l’Hypochondrie et du Suicide. Par J. P. Palfret. Paris, 1822 ; Renau- din sur l’Alienation Mentale, p. 99. Paris, 1854. See also on this point the following w'orks: Confessions of a Hypochondriac, or the Adventures of a Hypochondriac in search of Health. Saunders & Otley, London, 1849 ; Re- view of same, Journ. of Psychol. Med. vol. iii. p. 1. 489 MENTAL UNSOUNDNESS. [book i. condition is produced which we commonly call hypochondria. In the inferior stages the patient retains sufficient self-control to conceal if not forget his condition, and proceed unhindered in his occupations; but in the higher degrees he becomes so absorbed in his bodily sensations as to exhibit it in his appear- ance and conduct, disregarding every effort made to raise his spirits, and reducing all his reflections to the common machi- nery of personal questions and answers.(i) As this sort of selfishness increases, the mind is often filled with envy, hatred, bitterness, suspicion, and revenge towards others, and parti- cularly towards those in whom the patient believes himself to detect a want of sympathy, or even of respect, or whom he regards as the authors of his distress. The result of this is too apt to he a series of unjust surmises and accusations, personal ill-treatment of others, and even murderous threats and assaults against the supposed wrong-doers, as well as the commission of suicide. In the judicial scrutiny and consider- ation of such a case, it is essential to inquire how far and for what length of time the attention of the patient can be directed from his bodily feelings to other objects; what is his personal opinion of his own condition ; whether any, and if any what, insane ideas possess his mind, and what is his gene- ral demeanor. Where the perceptive faculty was not so far involved in the progress of the disease as to falsify the im- pressions of the senses, and deprive the consciousness of the power of correcting them, the reasons are wanting for deciding against the responsibility of the agent; but the judge in pass- ing sentence will nevertheless take into account the morbid impulse which was a subsidiary cause in the commission of the crime.(w) § 509. The following description of the hypochondriacal character is to be found in the Medecine Legale de M. Orfila.(y) Hypochondriacs are above all remarkable for their exagge- rated fears upon the state of their health—and the foolish (0 Ellinger, p. 105. («) See the above views in Schiirmayer, Gericlit. Med., § 542. (v) Tome i. p. 41G. Paris, 1848. 490 BOOK I.] HYPOCHONDRIA. [§ 510 ideas they give utterance to in expressing their sufferings. Their temper is very unequal, they pass almost without motive from hope to despair, from grief to gayety—from bursts of passion to gentleness, from laughter to tears; many are timid, pusillanimous, fearful, morose, irascible, restless, hard to please, a torment and fatigue to every body. They are easily moved, a trifle vexes and agitates them, producing fears, torments, and attacks of despair. The greater number show a marked change in their affections, they are egotistical, the slightest motives cause them to pass from attachment to indifference or to hate. They are often susceptible of an exaltation or depres- sion of spirits, of a rapid succession of the most opposite ideas and emotions, without the will being able to control the thought. But those thus affected have a very good judgment in what- ever relates to their own interests, and generally in everything which is foreign to their health, unless the disease should finish in a total loss of reason, a thing which is of very rare occurrence. It is only the character above described which renders hypochondriacs more likely to yield to fear, and more easily moved to contract engagements; suggestive and inveig- ling measures exercise considerable influence upon their mind. Finally, the jealous, suspicious, irritable, headstrong character of hypochondriacs would be an extenuating circumstance, if, under a first impulse, they should commit a reprehensible act. § 510. “The hypochondriac, constantly preoccupied with his afflictions, seeks by every possible means to penetrate them. He often feels his pulse, examines his.tongue and his excretions, and frequently discovers in these investigations causes for fear or hope, which he sometimes, though the details may be very disgusting, takes a sort of pleasure in communicating to every body. The great desire to be cured induces him fre- quently to change his physician and his treatment. He seeks for instruction by reading medical books, and often changes his opinion regarding the nature of his malady, inasmuch as he applies to his own case all which he reads or hears of. The mere mention of a disease is sufficient to start the notion that he himself labors under it; and, influenced by this idea, he now discovers in the corresponding organs phenomena which he had never before experienced. 491 §511] MENTAL UNSOUNDNESS. [book I. “ But not always is it the fear simply of ordinary bodily diseases -which occupies the attention of the hypochondriac and is the object of his anxiety. Frequently the mental ele- ment in his malady does not escape his notice, and the com- plete change of his personality, the possession by morbid sensations and ideas, especially, however, a certain anomaly particularly in the mental sphere, in the sensorial sensations, whereby these, although perceived as formerly, no longer pro- duce the same impressions, frequently form the great subject of his complaint. This last and very remarkable state, which the patients themselves have much difficulty in describing, which we also have ourselves observed in several cases as the predominant and most lasting symptom, is as well as possible described in the following letter of one of Esquirol’s patients. “ I still continue to suffer constantly; I have not a moment of comfort, and no human sensations. Surrounded by all that can render life happy and agreeable, still to me the faculty of enjoyment and of sensation is wanting—both have become phy- sical impossibilities. In everything, even in the most tender caresses of my children, I find only bitterness. I cover them with kisses, but there is something between their lips and mine; and this horrid something is between me and all the en- joyment of life. My existence is incomplete. The functions and acts of ordinary life, it is true, still remain to me; but in every one of them there is something wanting—to wit, the sensation which is proper to them, and the pleasure which follows them. * * * Each of my senses, each part of my proper self is as it were separated from me and can no longer afford me any sensa- tion ; this impossibility seems to depend upon a void which I feel in the front of my head, and to be due to the diminution of the sensibility over the whole surface of my body, for it seems to me that 1 never actually reach the objects which I touch. I feel well enough the changes of temperature on my skin, but I no longer experience the internal feeling of the air when I breathe * * * my eyes see and my spirit perceives, but the sensation of that which I see is completely wanting,” etc.(w) § 511. That hypochondria, in its simple and primary forms, (w) Griesinger’s Mental Pathol. Syden. ed. (1867), § 114. 492 BOOK I.] HYPOCHONDRIA. [§ 512 does not juridically divest the sufferer of responsibility, will be admitted when we recall the long number of patients, some of them among the most active and useful members of society, whom, if this position be accepted, it would be necessary to sequestrate at once in a lunatic asylum. But there are cases of aggravated and complex hypochondria when the patient can be no longer considered a moral agent, and when hence it is necessary to strip him of his business capacity, and to place him under restraint. Leurot mentions, for instance, a hypo- chondriac who sold his farm, placing the produce in the funds, so as to be relieved from care—whose incessant attention was bestowed on his health—whose sole occupations were “ennui” and sleep—who at last would not make the effort of undressing himself, sat constantly in a half-darkened room, and who, in his absorbing sense of misery seemed to lose taste, smell, and motion. A still more acute case is given by Morel, where the patient’s intrusive misery was such that his demands for sym- pathy from his mother and sisters, and the nervous vehemence with which he forced his griefs upon them, operated to destroy their health. Of course, when hypochondria reaches such a pitch as this, sequestration is necessary to the welfare both of the patient and of his friends. § 512. Nor should it be forgotten that hypochondria often is complicated with other forms of psychical disease by which responsibility is suspended. Thus with hypochondriacs illu- sions of personal danger often intervene; and these illusions are complex and occasionally overwhelming. Sometimes the sufferer is watched by an evil eye. Sometimes he is the victim of witchery, magnetism, or poison. Sometimes honor, reputa- tion, liberty, are imperilled by a hostile conspiracy. An Orange Irishman, for instance, some years back, in Philadel- phia, conceived himself to be in danger of his life from a conspiracy of Roman Catholics. He in consequence killed one of his supposed assailants; and, though there was too strong evidence of design on his part, and too clear proof of his con- sciousness of the illegality of the act, to permit his acquittal, yet the penal sentence imposed by the court wTas commuted by the governor to banishment. And it is possible to conceive cases of hypochondriacal delusions of such a nature that a 493 494 MENTAL UNSOUNDNESS. [book i. person committing an offence under their influence may think he is doing not wrong but right. In such case responsibility for the particular act does not juridically exist.(x) § 513. Sometimes, as we are told by Dr. Rush, the pain of a bodily disease suspends, for a short time, the mental distress. Mr. Boswell, in his life of Dr. Johnson, relates a story of a London tradesman who, after making a large fortune, retired into the country to enjoy it. Here he became deranged with hypochondriasis, from the want of employment. His existence became finally a burden to him. At length he was afflicted with the stone. In a severe paroxysm of this disease a friend sympathized with him. “Ho, no,” said he, “don’t pity me, for what I now feel is ease compared with the torture of mind from which it relieves me.” A woman in this city bore a child while she was afflicted with this disease. She declared imme- diately afterwards that she felt no more pain from parturition than from a trifling fit of the colic. Where counteracting pains of the body are not induced by nature or accident to relieve anguish of mind, patients often inflict them upon themselves. Walking barefooted over ground covered with frost and snow was resorted to by a clergyman of great worth in England for this purpose. Carden, an eminent physician of the fifteenth century, made it a practice to bite his lip and one of his arms, in order to ease the distress of his mind. Ivempfer tells us that prisoners in Japan, who often became partially deranged from distress, used to divert their mental anguish by burning their bodies with moxa; the same degree of pain, and for the same purpose, is often inflicted upon the body, by cutting and mangling it in parts not intimately connected with life. But bodily pain, whether from an accidental disease, or inflicted by patients upon themselves, is sometimes insufficient to pre- dominate over the distress of their minds. Dr. Herberden mentions an instance of a man, who was naturally so afraid of pain that he dreaded even being bled, who in a fit of low spirits cut off his penis and scrotum with a razor, and declared, after he recovered the natural and healthy state of mind, that he felt not the least pain from that severe operation. A similar 494 (x) Supra, § 125. book I.] HYPOCHONDRIA. [§ 515 instance of insensibility to bodily pain is related by Dr Rug- gieri, an Italian physician, of a hypochondriac madman, of the name of Louvel, who fixed himself on a cross and inflicted the same wounds upon himself, as far as he was able, that had been inflicted on our Saviour. lie was discovered in this situation and taken down alive. During the paroxysms of his madness he felt no pain from dressing his wounds, but complained as soon as they were touched in the intervals of his disease. § 514. Dr. Haindorft, in his German translation of Dr. Reid’s “ Essay on Hypochondriasis,” in alluding to the possi- bility of a patient laboring under hypochondriasis being able, by an exercise of the power of volition, to control his morbid sensations, justly observes, “We should have fewer disorders of the mind if we could acquire more power of volition, and endeavored by our own energy to disperse the clouds which occasionally arise within our own horizon; if we resolutely tore the first threads of the net which gloom and ill-humor may cast around us, and made an effort to drive away the melancholy images of a morbid imagination by incessant occupation. How beneficial would it be to mankind if this truth were universally acknowledged and acted upon, viz., that our state of health, mental as well as bodily, principally depends upon ourselves!” “By seeming gay we grow to what we seem.” It was the remark of a man of great observation and knowledge of the world, “ Only wear a mask for a fortnight, and you will not know it from your own face.”(y) § 515. A French writer mentions the case of a rich peasant who was possessed with the idea that he was bewitched, and who complained to his medical attendant that seven devils had taken up their abode in his body. “Seven, not more? ” was the physician’s inquiry. “ Only seven,” was the reply. The physician promised him to rid him of the visitors, one each day, upon condition that for the first six he was paid twenty francs, but for the seventh, who was the chief of the band, forty. The patient agreed, and was subjected by the physician, (y) Winslow on Suicide, pp. 169, 170. 495 §516] MENTAL UNSOUNDNESS. [book i. who set apart the fee for charity, to a series of daily shocks from the Leyden jars, the seventh and last of which was so powerful as to produce a fainting fit in the supposed demoniac, who, however, awoke from it entirely freed from his § 516. Burns suffered much from indigestion, producing hypochondria. Writing to his friend, Mr. Cunningham, he says: “Canst thou not minister to a mind diseased? Canst thou speak peace and rest to a soul tossed on a sea troubles, without one friendly star to guide her course, and dreading that the next surge may overwhelm her? Canst thou give to a frame, tremblingly alive to the tortures of suspense, the sta- bility and hardihood of a rock that braves the blast ? If thou canst not do the least of these, why wouldst thou disturb me in my miseries with thy inquiries after me?” From early life, the poet was subject to a disorded stomach, a disposition to headache, and an irregular action of the heart. He describes, in one of his letters, the horrors of his complaint: “ I have been for some time pining under secret wretchedness. The pang of disappointment, the sting of pride, and some wander- ing stabs of remorse, settle on my life like vultures, when my attention is not called away by the claims of society, or the vagaries of the music. Even in the hour of social mirth, my gayety is the madness of an intoxicated criminal under the hands of an executioner. My constitution was blasted, ab origine, with a deep, incurable taint of melancholy that poisoned my existence.”(a) (s) Annales Med. Psyc., 1847. (