"One diagnostic preliminary sign of abnormal cerebral action is Kephalalgia, or true cerebral headache; I mean persistent headache not accompanied by a furred tongue, or other indicia significant of abdominal or renal disorder as its origin."Jane sighed. "He has sad headaches.""The succeeding symptom is a morbid affection of sleep. Either the patient suffers from Insomnia, or else from Hypersomnia, which we subdivide into sopor, carus, and lethargus; or thirdly from Kakosomnia, or a propensity to mere dozing, and to all the morbid phenomena of dreams.""Papa," said Jane, "poor Alfred sleeps very badly: I hear him walking at all hours of the night.""I thought as much," said Dr. Wycherley; "Insomnia is the commonest feature. To resume; the insidious advance of morbid thought is next marked by high spirits, or else by low spirits; generally the latter. The patient begins by moping, then shows great lassitude and ennui, then becomes abstracted, moody, and occupied with a solitary idea."Jane clasped her hands and the tears stood in her eyes; so well did this description tally with poor Alfred's case.
"And at this period," continued Dr. Wycherley, "my experience leads me to believe that some latent delusion is generally germinating in the mind, though often concealed with consummate craft by the patient: the open development of this delusion is the next stage, and, with this last morbid phenomenon, Incubation ceases and Insanity begins. Sometimes, however, the illusion is physical rather than psychical, of the sense rather than of the intelligence. It commences at night: the incubator begins by seeing nocturnal visions, often of a photopsic* character, or hearing nocturnal sounds, neither of which have any material existence, being conveyed to his optic or auricular nerves not from without, but from within, by the agency of a disordered brain. These the reason, hitherto unimpaired, combats at first, especially when they are nocturnal only; but being reproduced, and becoming diurnal, the judgment succumbs under the morbid impression produced so repeatedly. These are the ordinary antecedent symptoms characteristic of the incubation of insanity; to which are frequently added somatic exaltation, or, in popular language, physical excitability--a disposition to knit the brows--great activity of the mental faculties--or else a well-marked decline of the powers of the understanding--an exaggeration of the normal conditions of thought--or a reversal of the mental habits and sentiments, such as a sudden aversion to some person hitherto beloved, or some study long relished and pursued."* Luminous.
Jane asked leave to note these all down in her note-book.
Mr. Hardie assented adroitly; for he was thinking whether he could not sift some grain out of all this chaff. Should Alfred blab his suspicions, here were two gentlemen who would at all events help him to throw ridicule on them.
Dr. Wycherley having politely aided Jane Hardie to note down the "preliminary process of the Incubation of disorders of the Intellect,"resumed: "Now, sir, your son appears to be in a very inchoate stage of the malady: he has cerebral Kephalalgia and Insomnia----""And, oh, doctor," said Jane, "he knits his brows often and has given up his studies; won't go back to Oxford this term.""Exactly; and seeks isolation, and is a prey to morbid distraction and reverie: but has no palpable illusions, has he?""Not that I know of," said Mr. Hardie.
"Well, but," objected Jane, "did not he say something to you very curious the other night about Captain Dodd and fourteen thousand pounds?"Mr. Hardie's blood ran cold. "No," he stammered, "not that I remember.""Oh, yes, he did, papa: you have forgotten it: but at the time you were quite puzzled what he could meant: and you did _so._" She put her finger to her forehead, and the doctors interchanged a meaning glance.
"I believe you are right, Jenny," said Mr. Hardie, taking the cue so unexpectedly offered him: "he did say some nonsense I could not make head nor tail of; but we all have our crotchets. There, run away, like a good girl, and let me explain all this to our good friends here: and mind, not a word about it to Alfred."When she was gone, he said, "Gentlemen, my son is over head and ears in love; that is all.""Ay, Erotic monomania is a very ordinary phase of insanity," said Dr.
Wycherley.
"His unreasonable passion for a girl he knows he can never marry makes him somewhat crotchety and cranky: that, and over-study, may have unhinged his mind a little. Suppose I send him abroad? My good brother will find the means; or we could advance it him, I and the other trustees; he comes into ten thousand pounds in a month or two."The doctors exchanged a meaning look. They then dissuaded him earnestly from the idea of Continental travel.
"Coelum non animam mutant qui trans mare currunt," said Wycherley, and Osmond explained that Alfred would brood abroad as well as at home, if he went alone; and Dr. Wycherley summed up thus: "The most advisable course is to give him the benefit of the personal superintendence of some skilful physician possessed of means and appliances of every sort for soothing and restraining the specific malady.
Mr. Hardie did not at first see the exact purport of this oleaginous periphrasis. Presently he caught a glimpse; but said he thought confinement was hardly the thing to drive away melancholy.
