DR. SCUDDER'S CLINICAL LECTURE

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I lectured last upon the morbus sacer,
Or falling sickness, epilepsy, of old
In Palestine and Greece so much ascribed
To deities or devils. To resume
We find it caused by morphological
Changes of the cortex cells. Sometimes,
More times, indeed, the anatomical
Basis, if one be, escapes detection.
For many functions of the cortex are
Unknown, as I have said.

And now remember
Mercier's analysis of heredity:
Besides direct transmission of unstable
Nervous systems, there remains the law
Hereditary of sanguinity.
Then here's another matter: Parents may
Have normal nervous systems, yet produce
Children of abnormal nerves and minds,
Caused by unsuitable sexual germs.
Let me repeat before I leave the matter
The factors in a perfect organization:
First quality in the germ producing matter;
Then quality in the sperm producing force,
And lastly relative fitness of the two.
We are but plants, however high we rise,
Whatever thoughts we have, or dreams we dream
We are but plants, and all we are and do
Depends upon the seed and on the soil.
What Mendel found in raising peas may lead
To perfect knowledge of the human mind.
There is one law for men and peas, the law
Makes peas of certain matter, and makes men
And mind of certain matter, all depends
Not on a varying law, but on a law
Varied in its course by matter, as
The arm, which is a lever and which works
By lever principle cannot make use
And form cement with trowel to the forms
It makes of paint or marble.

To resume:
A child may take the qualities of one parent
In some respects, and of the other parent
In some respects. A child may have the traits
Of father at one period of his life,
The mother at one period of his life.
And if the parents' traits are similar
Their traits may be prepotent in a child,
Thus giving rise to qualities convergent.
So if you take a circle and draw off
A line which would become another circle
If drawn enough, completed, but is left
Half drawn or less, that illustrates a mind
Of cumulative heredity. Take John,
My gardener, John, within his sphere is perfect,
John has a mind which is a perfect circle.
A perfect circle can be small, you know.
And so John has good sense within his sphere.
But if some force began to work like yeast
In brain cells, and his mind shot forth a line
To make a larger thinking circle, say
About a great invention, heaven or God,
Then John would be abnormal, till this line
Shot round and joined, became a larger circle.
This is the secret of eccentric genius,
The man is half a sphere, sticks out in space
Does not enclose co-ordinated thought.
He's like a plant mutating, half himself
Half something new and greater. If we looked
To John's heredity we'd find this change
Was manifest in mother or in father
About the self-same period of life,
Most likely in his father. Attributes
Of fathers are inherited by sons,
Of mothers by the daughters.

Now this morning
I take up paranoia. Paranoics
Are often noted for great gifts of mind.
Mahomet, Swedenborg were paranoics,
Joan of Arc, and Ossawatomie Brown,
Cellini, many others. All who think
Themselves inspired of God, and all who see
Themselves appointed to a work, the subjects
Of prophecies are paranoics. All
Who visions have of God or archangels,
Hear voices or celestial music, these
Are paranoics. And whether it be they rise
Enough above the earth to look along
A longer arc and see realities,
Or see strange things through atmospheric strata
Which build up or distort the things they see
Remains the question. Let us wait the proof.

Last week I told you I would have to-day
The skull and brain of Jacob Groesbell here,
And lecture on his case. Here is the brain:
Weight sixteen hundred grammes. Students may look
After the lecture at the brain and skull.
There's nothing anatomical at fault
With this fine brain, so far as I can find.
You'll note how deep the convolutions are,
Arrangement quite symmetrical. The skull
Is well formed too. The jaws are long you'll note,
The palate roof somewhat asymmetrical.
But this is scarce significant. Let me tell
How Jacob Groesbell looked:

The man was tall,
Had shapely hands and feet, but awkward limbs.
His hair was brown and fine, his forehead high,
And ran back at an angle, temples full.
His nose was long and fleshy at the point,
Was tilted to one side. His eyes were gray,
The iris flecked. They looked as if a light
As of a sun-set shone behind them. Ears
Were very large, projected at right angles.
His neck was slender, womanish. His skin
Of finest texture, white and very smooth.
His voice was quiet, musical. His manner
Patient and gentle, modest, reasonable.
His parents, as I learned through inquiry,
Were Methodists, devout and greatly loved.
The mother healthy both in mind and body.
The father was eccentric, perhaps insane.
They were first cousins.

I knew Jacob Groesbell
Ten years before he died. I knew him first
When he was sent to mend my porch. A workman
With saw and hammer never excelled him. Then
As time went on I saw him when he came
At my request to do my carpentry.
I grew to know him, and by slow degrees
He told me of his readings in the Bible,
And gave me his interpretations. At last
Aged forty-six, had ulcers of the stomach,
Which took him off. He sent for me, and said
He wished me to attend him, which I did.
He told me I could have his body and brain
To lecture on, dissect, since some had said
He was insane, he told me, and if so
I should find something wrong with brain or body.
And if I found a wrong then all his visions
Of God and archangels were just the fancies
That come to madmen. So he made provision
To give his brain and body for this cause,
And here's his brain and skull, and I am lecturing
On Jacob Groesbell as a paranoic.

As I have said before, in making tests
And observations of the patient, have
His conversation taken stenographically,
In order to preserve his speech exactly,
And catch the flow if he becomes excited.
So we determine if he makes new words,
If he be incoherent, or repeats.
I took my secretary once to make
A stenographic record. Strange enough
He would not talk while she was writing down.
And when I asked him why, he would not tell.
So I devised a scheme: I took a satchel,
And put in it a dictaphone, and when
A cylinder was full I'd stoop and put
My hand among my bottles in the satchel,
As if I was compounding medicine,
Instead I'd put another cylinder on.
And thus I got his story in his voice,
Just as he talked, with nothing lost at all,
Which you shall hear. For with this megaphone
The students in the farthest gallery
Can hear what Jacob Groesbell said to me,
And weigh the thought that stirred within the brain
Here in this jar beside me. Listen now
To Jacob Groesbell's voice:

"Will you repeat
From the beginning connectedly the story
Of your religious life, illumination,
Vhat you have called your soul's escape?"

"I will,
Since I shall never tell it again."

"I grew up
Timid and sensitive, not very strong,
Not understood of father or of mother.
They did not love me, and I never felt
A tenderness for them. I used to quote:
'Who is my mother and who are my brothers?'
At school I was not liked. I had a chum
From time to time, that's all. And I remember
My mother on a day put with my luncheon
A bottle of milk, and when the noon hour came
I missed it, found some boys had taken it,
And when I asked for it, they made the cry:
'Bottle of milk, bottle of milk,' and I
Flushed through with shame, and cried, and to this hour
It hurts me to remember it. Such days,
All misery! For all my clothes were patched.
They hooted at me. So I lived alone.
At twelve years old I had great fears of death,
And hell, heard devils in my room. One night
During a thunderstorm heard clanking chains,
And hid beneath the pillows. One spring day
As I was walking on the village street
Close to the church I heard a voice which said
'Behold, my son'—and falling on my knees
I prayed in ecstacy—


                                                                                                                                                                                                                                                                                                           

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