American Medical Association — A Correction

1874 Boston Medical and Surgical Journal  
selfish indifference taking the place of natural affections; and cruelty, wit» other bad passions, having unrestrained sway, in spite of good training, and as the direct result of congenital moral deficiency. This condition is recognized by all alienists in cases where popular feeling can have no influence. The evidence is the same in this as in other diseases. We observe a moral deficiency and incapability for the assimilation of moral ideas, with vicious, perverse, cruel and violent conduct,
more » ... cts of crime, such as theft, incendiarism, torture and murder, more or less motiveless in the ordinary sense, and plainly growing out of natural defect rather than an ordinary yielding to temptation. This character is evident at an early age, and is especially demonstrative at puberty, coming under more or less restraint as the patient arrives at adult age. No punishment or reward, no instruction or restraint of religious teaching has any effect. The patient, like Pomeroy, simply saya, " I couldn't help it," or " I had to do it." The greater the number and atrocity of his acts, the earlier their appearance, the feebler the apparent motire,
doi:10.1056/nejm187412310912716 fatcat:bfqxjfwtlnfn3eyqxm33einrti