Chapter II: Introduction: v

CHAPTER I.

THE NERVOUS SYSTEM AND SOME OF ITS MORE IMPORTANT FUNCTIONS 1

Nerve Centres.--Brain and Spinal Cord.--The Nerves.--Nerve
Cells and Fibres.--Motor and Sensory Nerves.--The Five
Organs of Special Sense.--Nerve Impulses.--The Brain and
Nervous System Always Busy.--Need of Rest.

CHAPTER II.

THE MIND AND SOME OF ITS FACULTIES 7

Mind and Matter.--Life.--Relation of Mind and Brain.--
Faculties of the Mind.--Intellectual Faculties.--Will.--
Emotions.--Instincts.--Moral Faculties.

CHAPTER III.

INSANITY; OR, DISEASE OF THE MIND 13

Insanity a Change.--Involves Disease of the Brain.--
Delusions.--Hallucinations.--Illusions.--Incoherence.--
Mental States.--Mania.--Melancholia.--Dementia.--
Monomania.--Emotional Insanity.--Dipsomania.--Moral
Insanity.

CHAPTER IV.

THE DUTIES OF AN ATTENDANT 22

What an Attendant Should First Learn.--The Relation of
Attendants to Patients.--The Character of an Attendant.--
Relation to the Institution.--How and What to Observe.--
Systematized Plan of Observation.--Control and Influence
of Attendants over Patients.--Care and Study of the
Individual.--Liberty to be Allowed Patients.--Self-Control
of Patients to be Encouraged.

CHAPTER V.

GENERAL CARE OF THE INSANE 33

Reception of New Patients.--Work and Employment.--Patients'
Care of Themselves.--Walking.--Clothing.--Bathing.--Serving
of Food.--Bed and Rising Time.--Night Care.

CHAPTER VI.

CARE OF THE VIOLENT INSANE 45

Need of Studying Each Case.--Constant Attention and
Oversight.--Value of Employment and Out-Door Exercise.--
Restriction and Idleness.--Paroxysms of Violence; How Cared
For.--How to Hold or Carry a Patient.--Danger of Injury.--
Struggles to be Avoided.--Care of Destructive Patients.--
Use of Restraint, Seclusion, and Covered Bed.

CHAPTER VII.

CARE OF THE HOMICIDAL AND SUICIDAL INSANE, AND OF THOSE
INCLINED TO ACTS OF VIOLENCE 53

Delusions of Suspicion.--Homicidal Patients.--Suicidal
Patients.--Self-Mutilation.--Incendiary Patients.

CHAPTER VIII.

CARE OF SOME OF THE COMMON MENTAL STATES AND THE ACCOMPANYING
BODILY CONDITIONS 60

Care in the Earlier Stages.--Insanity with Exhaustion.--
Symptoms of Danger.--Care of Dementia, Early Dementia,
Chronic or Terminal Dementia.--Convalescence.--Relapse.--
Epilepsy.--Paresis.--Care of Paralytics, the Helpless, the
Bed-ridden.--Bed-Sores.

CHAPTER IX.

SOME OF THE COMMON ACCIDENTS AMONG THE INSANE, AND THE
TREATMENT OF EMERGENCIES 71

Certain Classes of Insane Liable to Injury.--Fractures.--
Wounds.--Bites.--Blows on the Head--Cut Throat.--Wounds of
the Extremities with Hemorrhage.--Sprains.--Choking.--
Artificial Respiration.--Burns.--Frost-bites.--States of
Unconsciousness.--Apoplexy.--Sunstroke.--Poisoning.--Eating
Glass.--Injury with Needles.

CHAPTER X.

SOME SERVICES FREQUENTLY DEMANDED OF ATTENDANTS AND HOW TO
DO THEM 85

Administration and Effects of Medicine.--Opium, Chloral,
Hyoscine, and Hyoscyamine; Doses, Effects, Poisoning,
Treatment.--Stimulants.--Applications of Heat and Cold.--
Baths and Wet Packing.--Hypodermic Injections.--Forcible
Feeding with Stomach-Tube.--Nutritive Enemata.

HOW TO CARE FOR THE INSANE.