oJbt \J\t\S\J W VA/W W VA/WIA/ l/V VA/W W WyV/^, LECTURE !§ ON I X) I O C Y: BY | JOHN M. GALT, M _ 3D. Snpnintcntomt nnlr |*|in$i 9 . \% , S LECTURE ON IDIOC Y: BY / JOHlsr IsK. GALT, IMI . ID. OF THE EASTEBN LUNATIC ASYLUM OF VIRGINIA AT WILLIAMSBURG RICHMOND, VA. ENQUIRER BOOK AND JOB OFFICE. 1859. VUc| 7(5-/3 Xtem3 NOTE. The following effort is one of a Course of Lectures, which has been recently introduced by the writer, as a means of treatment in the Eastern Lunatic Asylum. Touching the utility of Lectures in Asylums for the Insane, it would be out of place to say more at this time, than that they have been delivered to the pa- tients of several of the best institutions for the insane in Scotland and America; and where so adopted, that they have been very favorably spoken of by those having the supervision of the charities referred to in such relation. Williamsburg, May 1859. A LECTURE ON IDIOCY. " Rome is yet a city of palaces and temples, and of ruins still more glorious and divine than they." Such is the commencement of one of Shelley's prose para- graphs—a style of writing in prose, as elegant and eloquent, as his poetry is refined an'd exquisite. After speaking of the sublime ruins of Rome in other as- pects, he proceeds to allude to their moral bearing. And he concludes, that these gigantic relics, though only calling to mind sad recollections of gladiatorial shows, of reckless power, and barbarous rites, still are grand and glorious, when the reflection is hence evolved as to the capabilities of man in working out mighty results—and the hope of future noble efforts in a better direction is thus educed from works, which in themselves are only the dreary tokens of man's errors. There is truly something in the general aspect of Rome, which at once reveals to the traveler from our new country, evidence of the vast power dis- played by the human race in erecting structures which time itself has not prevailed against; and at the same moment the entire absence of the better feelings of 6 LECTURE ON IDIOCY. the heart, to the latter of which the present age offers a picture directly the reverse. The last of the conquering empires, Rome concen- trated all that was proud and mighty, and glorious of the great nations, over whose wide realms her victo- rious eagles flew. We turn to the Piazza del Popolo, the Piazza di Monte Citorio and the Piazza di San Giovanni Laterano, and we see piercing the sunny air and mounting to the azure sky of Italy, three obelisks hither conveyed from the far-away sands of Egypt, and taken from the once proud temple of the sun at Heliopolis—which was merely a heap of ruins in the reign of Augustus, but was a splendid city when the dynasty of the Pharaohs ruled over the Valley of the Nile. Again you enter the magnificent collections from the antique in the Vatican, the Capitol, and the Villa Albani. And you view before you the mira- cles of Grecian art; Niobe, weeping for her lost off- spring ; the marvelous Laocoon, the noblest group of statuary that genius has ever produced; and the im- mortal beauty which shines forth in the Apollo Bel- videre, as bright and effulgent an embodiment of all the perfections of sculpture, as is the sun, of which Apollo was the deity, of the most vivid light which gushes forth from Heaven's broad dome. But further, as relics in relation to another conquered people, on the Via Sacra, stand^the graceful arch, along the frieze of whichris represented the triumphal proces- sion of Titus, on the occasion of his victories over the Jews—the ornaments of the temple at Jerusalem, the table of the show bread, the seven-branched golden LECTURE ON IDIOCY. candlestick, the silver trumpets, and other spoils from the holy city being still visible, as wrought by the chisel of the cunning artificer in the olden days. But again, in the chaste Pantheon, we find a type of Rome's multitudinous conquests; for having adopted the dei- ties of all the lands which she overcame, a place of worship was here provided for the whole of them. Lastly, as a specimen of the intrinsic majesty and grandeur of Rome herself, we have, besides other gigantic remains, the sublime and imposing extent of the wonderful Coliseum. " A ruin—yet what a ruin! from its mass Walls, palaces, half-cities, have been rear'd. While stands the Coliseum, Eome shall stand; When falls the Coliseum, Koine shall fall; And when Eome falls—the world." Yet in the very pride of the unsurpassable grandeur, which Rome here exhibits, lie the depths of her weak- ness in character, when compared with the nations of the present day. For in this colossal structure what do we see?—A structure that arises at the close of ancient civilization, of Roman conquests, of Roman adaptation to the civilization of anterior empires. What do we behold? Naught alas! that appeals to any of the best feelings of the heart, naught that re- dounds to man's government of himself, or sacrifice of himself to the welfare of others. The voice of the dead ages answers us! Let the truthf be told, in the words of a poet, whose superb genius was as essen- tially grand as this wondrous erection: 8 LECTURE ON IDIOCY. " I Bee before me the gladiator lie; He leans upon his hand—his manly brow Consents to death, but conquers agony, And his droop'd head sinks gradually low— And through his side the last drops, ebbing slow From the red gash, fall heavy, one by one, Like the first of a thunder-shower; and now The arena swims around him—he is gone Ere ceased the inhuman sliout which hailed the wretch who won." Let us now turn to the present: like Rome, we Americans can also boast of god-like men in our an- nals, and illustrious deeds on the historic page; as she had, we likewise are perhaps characterized by promi- nent faults, and by some compensating virtues. Our eagles too have flown over a space equal to that which was traversed by those of Rome. To the obelisks, and especially to the Cyclopean coliseum, we can show nothing equal or analogous. But we possess a class of institutions scattered through the country, to which Rome was a stranger, and through which we have attained an exalted position, that she never reached, or even had the soul to aspire unto. Each state of the Union either has or will soon have some suitable provision for their mentally afflicted children— and truly the stars, emblazoning our radiant standard, are in this relation fit types of what they designate, since here at least we are under benign and heavenly influences. Fcf three orders of suffering in behalf of which public aid is especially demanded, aid has been extensively provided in America. First, there are the LECTURE ON IDIOCY. 9 insane: and then come the blind, and the deaf mute— unfortunates whose mental manifestations appear in a measure clouded, rendering them very suitable reci- pients of public assistance—because owing to the close connection between the senses and various psychical phenomena, the absence of any sense seems to involve a mental condition of a peculiar nature. Placed in asylums where scientific experience can systematically act, the deaf and dumb and the blind become new creatures, alike as to action and enjoyment, when com- pared with their previous condition, or with what they would be elsewhere. If in Rome the traveler witnesses to the utmost the sublime in art, both in architecture, in painting and in sculpture; if, as to the past, he realizes in the relics of antiquity, objects which powerfully excite the as- sociations of classic lore; he finds in a neighboring territory an analogous source of interest, as appealing to his feelings, by offering to view the finest scenery that the earth can afford; and modern remembrances which thrill the spirit equally as much as the most marked examples in ancient times! In Switzerland, indeed, the American tourist must feel a coequal inte- rest with that excited in the sunny plains of Italy. In visiting Switzerland, the advice is given by those acquainted with its matchless landscapes, to take a route along the foot of the higher Bernese Alps in Oberland, as exhibiting the most impressive mountain views in the land of Tell and Winkelried. Here rise the majestic, towering summits of Finsteraahorn, of Moneh, of Jungfrau and the Schrechhorn, of Aaahorn, 2 10 LECTURE OX IDIOCY. Eigher and Wetterhorn. From natural causes, the snow on these elevated peaks is of a more continu- ous and of a more lustrous purity than elsewhere. They glisten in the sun of noon; and at morn and eve they are arrayed in dazzling mists, and bathed with the rosy hues of the rising and setting sun, so that they often assume an ethereal radiance that seems rather like a land of magic than plain reality. South- western Virginia and Eastern Tennessee have been called the Switzerland of America. They doubtless present much imposing scenery; and are by far the finest region of country that I myself have ever visited. But, after all, they lack the essential attri- butes of the Swiss mountains. In the first place, there is the absence of water, without which element no prospect can claim to be of the highest character; and we have secondly, in Switzerland, altitudes far more lofty than any in Virginia; and moreover, the bright crown of eternal snow is also wanting in the latter. In the midst of the glorious Alpine heights to which we have referred above, is found Mount Abendberg. At an open space, three thousand five hundred feet above the level of the sea, we have below us the beau- tiful, clear lakes of Thun and Brienz, as pellucid mirrors repeating again the noble views which tower above them, and form a grand monument to God's power and majesty. Below we see a thick forest of green pines; but on the opposite side rises the highest of these soaring mountains, the incomparable Jung- frau, sovereign of the mighty Alps. Far down below LECTURE ON IDIOCY. 11 lies the fair town of Interlachen, on the narrow strip dividing the sparkling lakes of Thun and Brienz, with its lively stream, its white dwellings and twin rows of trees. At the open space above mentioned, has been erected a plain but convenient hospice. And we find in this an example of a provision which is now being made for a fourth class of those afflicted men- tally—thus offering an additional contrast between ancient and modern times. This class is the unfortu- nate one of idiots and cretins. Here in the pure atmosphere of these aerial heights, a Swiss physician (with a most extraordinary name, but most praise- worthy exertions) has during some years labored ear- nestly for the ill-fated cretin. Cretins are idiotic from birth, and their wretched appearance betokens their hapless mentafc condition. The forehead is low, the top of the head comes to a point, the lower part of the face is prominent, the look is dull and stupid; and they have thick lips, a large, flat nose, and coarse hair. A characteristic complication is bronchocele or goitre, that is a swelling of the thyroid gland, one of the glands of the neck; imparting to these melancholy objects a still more un- pleasant aspect. Wherever there are cretins, goitres are met with, but goitres exist in some places where there are no cretins. In approaching the countries where cretinism exists, one meets with but few goi- tres ; these are afterwards found more frequently, and at length cretins are to be seen. Cretins often how- ever do not exhibit this symptom. Mr. J. Hutchinson, in a recent article in the "Medical Times and Gazette/' 12 LECTURE ON IDIOCY. says of those whom he saw in a late visit to Abend- berg, " none of the patients were affected with enlarge- ment of the thyroid gland to any noticeable extent." The cretins however are usually the children of goi- trous persons. Cretinism springs up not necessarily, in mountainous regions, but in the low, narrow valleys of elevated localities. Dr. Guggenbuhl believes that there are at present not fewer than 10,000 cretins in the Swiss Cantons, and at least an equal Dumber in Piedmont. And in Savoy, and the three departments of France—Isere, Basses and Haute Alps, or Lower and Upper Alps, M. Niepce enumerated in 1S50, no less than 54,000 cretins, or about five per cent, of the whole population, estimated at nearly a million. Es- quirol states that they occur among the Alps, the Pyrenees, the Asturias, the Carpathian mountains, the Cordilleras,