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January 24, 1903, Vol XL, No. 4 >

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ARTICLE | January 24, 1903

DETERMINATE FACTORS IN THE CAUSE OF INSANITY.

EUGENE G. CARPENTER, M.D.
JAMA. 1903;XL(4):240-244. doi:10.1001/jama.1903.92490040036001h.
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ABSTRACT

It is questionable if there is any problem which has occupied the thought of medical men so diligently as that of the etiology of disease. It is one of the fundamental principles of our cult to determine the cause by the employment of every possible known means of diagnosis before applying our therapeutics or means of cure. A half century of time has been lost in the effort of medicine to make the etiology of general disease apply to or explain the clinical appearances as found in the insane condition. (I speak of insanity thus, for it is but an evidence of an abnormal brain state.) After a decade's experience the thought has constantly forced itself upon the writer that, in our endeavor to explain cause, too great stress has been placed on some so-called causes and too little on others. If the ordinary principles of etiology applied to the

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