OF 1/ CHARLES A. LEE, M. D., IN THE MATTER OF CARLTON GATES, deceased. NCTRTOMft* WILLIAM .J. READ, LAW AND JOB PRINTER, 116 Fulton St., (New Iron Building—bet. Dutch and Nassau Sts.) 1870. OPINION OF CHARLES A. LEE, M.D. A definition of insanity is usually considered an essential preliminary in the decision of questions like the present, al- though it is generally acknowledged, that a definition applica- ble to all cases, is quite an impossibility. The following, however, may be deemed sufficiently accurate for all practical purposes. Insanity is a chronic disease of the brain, pro hieing either derangement of the intellectual faculties, or a prolonged change of the feelings, affections, and. habits, or both,; its form depending on constitution, temperament and various accidental circumstances ; but, in all cases, perverting or destroying the free- dom of the will. The following “ opinion” has been deliberately and con- scientiously formed, from a knowledge of the entire testimony offered in this case, all of which has been either heard or carefull}' read ; also, from my own intimate acquaintance of over twenty years : I. Carlton Gates labored under confirmed insanity during the last year of his life at least, and probably for a much longer period. II. The form of his mental disease, was, what usually goes under the name of monomania, that is, a perversion of the un- derstanding limited to a single object, or a small number of objects, accompanied in the present instance, as it often is, with moved perversion, or disorder of the natural feelings, af- fections and habits. 2 III. A striking characteristic feature in the case, and one which was never absent during the last year of Carlton’s life, was the existence of delusions on a variety of subjects, but chiefly in regard to the hostility of his parents and relatives, and to poisoning. IY. The mental derangement was amply sufficient to im- pede and destroy the free and healthy exercise of the intel- lectual faculties, and the freedom of the will, so that the power of thinking and acting freely was annulled. Y. In consequence of this impairment of the mind and free- dom of the will by disease, Carlton was incapable of perform- ing a valid civil contract, as making a will ; and was also de- prived of all criminal respovisibility. YI. The proof of delusion in the mind of the testator, is amply proved by the testimony of almost every witness in the case, especially his physicians, parents, relatives, and such servants as were allowed to be about his person, and per- mitted to testify. It seems remarkable, that those who were with him the most during his last illness, as the Rev. Dr. Hulbert, his housekeeper, nurse, Ac., and knew best the state of his mind at that time, were not called upon the stand to testify. There is, however, abundant proof to the point with- out it. VII. This deponent is not called upon to discuss the sub- ject of undue influence any further than to say, that the mind of the testator was in such a diseased and perverted state, as to render him peculiarly liable to impositions and unreason- able prejudices of all kinds, especially to artful attempts to excite suspicions of his nearest and best friends, and to make him entertain a belief that the individual making such at- tempts was his very dear and “ particular friend.” VIII. That such attempts were persistently made, and that they proved successful in the present instance, is abundantly established by various witnesses, as well as by the wording of the will itself. The a priori improbability of such a wicked 3 effort being made, must yield before the evidence adduced in proof of the fact, which in this case cannot be disputed. IX. When it is considered that, just before his last visit to Europe, Carlton had made a will, restoring the whole of his property to his mother; and that it remained unaltered, until his weak and perverted mind had been thoroughly poisoned against her, and nearly up to the time of his death ; when a new will was executed, revoking his former bequests in favor of the very individual, who, it is proved, had caused the new will to be made, and who had- had sole charge of Carlton’s person for the last two weeks of his life ; such an instrument appears so unreasonable, so unnatural, and so unjust on its very face, and bears upon it such irresistible marks of in- trigue, dishone-ty and fraud, that it must necessarily be re- jected. X. rIhat the existence of (/elusion is the recognized legal test of insanity, is so well known and acknowledged, that the learned counsel, employed by the contestants of the will, will have no difficulty in establishing it by many well attested cases and decisions, both foreign and native. I shall there- fore only quote here, two legal authorities in point. XI. Setting aside cases of dementia or loss of mind and intellect, the true test of insanity is mental delusion. If a per- son persistently believes supposed facts, which have no real existence except in his fevered imagination, and against all evidence and probability, and conducts himself, however logically, upon the assumption of their existence, he is, so far as they are concerned, under a morbid delusion ; and delusion in that sense is insanity.—Abbott's N. Y. Digest, Vol. VII, 1SG3. XII. “What constitutes insanity of mind is a question which has been very much discussed, especially of late years ; and the opinions of learned judges seem at first view, to be conflicting ; but much of the apparent discrepancy may be reconciled by adverting to the nature of the cases respectively in judgment. The degree of uusoundness or imbecility of mind, sufficient to invalidate the acts.of the party in some 4 cases, may not suffice in others. Bat in regard to insanity, where there is no frenzy or raving madness, the legal and true character of the disease is delusion ; or as the physicians express it, illusion or hallucination ; and the insane delusion consists in a belief of facts, which no rational person would believe.” —Professor Greenleaf's Law of Evidence, Vol. I, p. 464. Numerous other legal authorities to the same point are omitted. XIII. There is perfect uniformity of opinion in regard to this test of insanity among all the medical authorities. They all agree with our distinguished countryman, Dr. Isaac Bay, who declares that11 delusions, if genuine, can only spring from in- sanity"—Med. Jurisprudence of Insanity, p. 142. Beference on this point may be made to Mandeley on the “ Physiology and Pathology of the Mind,” p. 327; also to Esquirol, Pritch- ard, Guy and Combe, on Insanity. In monomania proper, and in melancholia," says Mandeley, “ we have a partial ideational insanity, with fixed delusion or delusions upon one subject or a few subjects, apart from which the patient reasons tolerably correctly. Psychologically speaking, the existence of a delusion indicates fundamental disorder of mental action—radical insanity ; secondly, the de- lusion reacts injuriously upon other mental phenomena, in- terfering secondly with correct ratiocination, or due coordina- tion of functions, and predisposing to convulsivo mental phe- nomena; and thirdly, while it cannot be subordinated to reflection, the individual may at any moment be subordinated to it, and act under its instigation.” It is unnecessary to quote medical writers to any greater extent, to show that morbid- delusion is regarded as a true test of insanity. It must be recollected, however, that it is not maintained that such delusion exists in every case of insanity, but, that where it docs exist, there insanity exists. For instance, I have known of several cases of mania or general insanity and melancholia, and had charge of them, where there existed no delusion whatever. XIY. There is another test of insanity, which is regarded by medical men as very important in forming correct conclu- 5 sions in regard to the existence of mental derangement, and which I have always looked upon as an invaluable guide in forming a correct judgment in these cases ; madness, for ex- ample, is not often indicated so much by any particular ex- travagance of thought or feeling, as by a well marked change of character, or departure from the ordinary habits of thinking, feeling and acting, without any adequate cause. I believe it can- not be questioned that the testimony fully discloses such a change in the conduct and character of Carlton Gates during the last year of his life, without any adequate motive or cause, and therefore conclusively establishes the fact of his insanity (see the testimony of Dr. and Mrs. Gates, Mrs. and Miss Nesbit, (fee.,