to learn, if possible, the source of that secret grief which was gnawing the heart and sucking the life-blood of his unfortunate patient. The persons applied to, after conversing together previously, denied all knowledge of any cause for the burden which obviously affected their relative. So far as they knew—and they thought they could hardly be deceived—his worldly affairs were prosperous; no family loss had occurred which could be followed with such persevering distress; no entanglements of affection could be supposed to apply to his age, and no sensation of severe remorse could be consistent with his character. The medical gentleman had finally recourse to serious argument with the invalid himself, and urged to him the folly of devoting himself to a lingering and melancholy death, rather than tell the subject of affliction which was thus wasting him. He specially pressed upon him the injury which he was doing to his own character, by suffering it to be inferred that the secret cause of his dejection and its consequences was something too scandalous or flagitious to be made known, bequeathing in this manner to his family a suspected and dishonoured name, and leaving a memory with which might be associated the idea of guilt, which the criminal had died without confessing. The patient, more moved by this species of appeal than by any which had yet been urged, expressed his desire to speak out frankly to Dr.——. Every one else was removed, and the door of the sick-room made secure, when he began his confession in the following manner:—
“You cannot, my dear friend, be more conscious than I, that I am in the course of dying under the oppression of the fatal disease which consumes my vital powers; but neither can you understand the nature of my complaint, and manner in which it acts upon me, nor, if you did, I fear, could your zeal and skill avail to rid me of it.”—“It is possible,” said the physician, “that my skill may not equal my wish of serving you; yet medical science has many resources, of which those unacquainted with its powers never can form an estimate. But until you plainly tell me your symptoms of complaint, it is impossible for either of us to say what may or may not be in my power, or within that of medicine.”—“I may answer you,” replied the patient, “that my case is not a singular one, since we read of it in the famous novel of Le Sage. You remember, doubtless, the disease of which the Duke d’Olivarez is there stated to have died?”—“Of the idea,” answered the medical gentleman, “that he was haunted by an apparition, to the actual existence of which he gave no credit, but died, nevertheless, because he was overcome and heart-broken by its imaginary presence.”—“I, my dearest doctor,” said the sick man, “am in that very case; and so painful and abhorrent is the presence of the persecuting vision, that my reason is totally inadequate to combat the effects of my morbid imagination, and I am sensible I am dying, a wasted victim to an imaginary disease.” The medical gentleman listened with anxiety to his patient’s statement, and for the present judiciously avoiding any contradiction of the sick man’s preconceived fancy, contented himself with more minute inquiry into the nature of the apparition with which he conceived himself haunted, and into the history of the mode by which so singular a disease had made itself master of his imagination, secured, as it seemed, by strong powers of the understanding, against an attack so irregular. The sick person replied by stating that its advances were gradual, and at first not of a terrible or even disagreeable character. To illustrate this, he gave the following account of the progress of his disease:—
“My visions,” he said, “commenced two or three years since, when I found myself from time to time embarrassed by the presence of a large cat, which came and disappeared I could not exactly tell how, till the truth was finally forced upon me, and I was compelled to regard it as no domestic household cat, but as a bubble of the elements, which had no existence save in my deranged visual organs or depraved imagination. Still I had not that positive objection to the animal entertained by a late gallant Highland chieftain, who has been seen to change to all the colours of his own plaid if a cat by accident happened to be in the room with him, even though he did not see it. On the contrary, I am rather a friend to cats, and endured with so much equanimity the presence of my imaginary attendant, that it had become almost indifferent to me; when, within the course of a few months, it gave place to, or was succeeded by, a spectre of a more important sort, or which at least had a more imposing appearance. This was no other than the apparition of a gentleman-usher, dressed as if to wait upon a Lord Lieutenant of Ireland, a Lord High Commissioner of the Kirk, or any other who bears on his brow the rank and stamp of delegated sovereignty.
“This personage, arrayed in a court dress, with bag and sword, tamboured waistcoat, and chapeau-bras, glided beside me like the ghost of Beau Nash; and, whether in my own house or in another, ascended the stairs before me, as if to announce me in the drawing-room, and at sometimes appeared to mingle with the company, though it was sufficiently evident that they were not aware of his presence, and that I alone was sensible of the visionary honours which this imaginary being seemed desirous to render me. This freak of the fancy did not produce much impression on me, though it led me to entertain doubts on the nature of my disorder and alarm for the effect it might produce on my intellects. But that modification of my disease also had its appointed duration. After a few months the phantom of the gentleman-usher was seen no more, but was succeeded by one horrible to the sight and distressing to the imagination, being no other than the image of death itself—the apparition of a skeleton. Alone or in company,” said the unfortunate invalid, “the presence of this last phantom never quits me. I in vain tell myself a hundred times over that it is no reality, but merely an image summoned up by the morbid acuteness of my own excited imagination and deranged organs of sight. But what avail such reflections, while the emblem at once and presage of mortality is before my eyes, and while I feel myself, though in fancy only, the companion of a phantom representing a ghastly inhabitant of the grave, even while I yet breathe on the earth? Science, philosophy, even religion, has no cure for such a disorder; and I feel too surely that I shall die the victim to so melancholy a disease, although I have no belief whatever in the reality of the phantom which it places before me.”
The physician was distressed to perceive, from these details, how strongly this visionary apparition was fixed in the imagination of his patient. He ingeniously urged the sick man, who was then in bed, with questions concerning the circumstances of the phantom’s appearance, trusting he might lead him, as a sensible man, into such contradictions and inconsistencies as might bring his common-sense, which seemed to be unimpaired, so strongly into the field as might combat successfully the fantastic disorder which produced such fatal effects. “This skeleton, then,” said the doctor, “seems to you to be always present to your eyes?” “It is my fate, unhappily,” answered the invalid, “always to see it.” “Then I understand,” continued the physician, “it is now present to your imagination?” “To my imagination it certainly is so,” replied the sick man. “And in what part of the chamber do you now conceive the apparition to appear?” the physician inquired. “Immediately at the foot of my bed. When the curtains are left a little open,” answered the invalid, “the skeleton, to my thinking, is placed between them, and fills the vacant space.” “You say you are sensible of the delusion,” said his friend; “have you firmness to convince yourself of the truth of this? Can you take courage enough to rise and place yourself in the spot so seeming to be occupied, and convince yourself of the illusion?” The poor man sighed, and shook his head negatively. “Well,” said the doctor, “we will try the experiment otherwise.” Accordingly, he rose from his chair by the bedside, and placing himself between the two half-drawn curtains at the foot of the bed, indicated as the place occupied by the apparition, asked if the spectre was still visible? “Not entirely so,” replied the patient, “because your person is betwixt him and me; but I observe his skull peering above your shoulder.”
It is alleged the man of science started on the instant, despite philosophy, on receiving an answer ascertaining, with such minuteness, that the ideal spectre was close to his own person. He resorted to other means of investigation and cure, but with equally indifferent success. The patient sunk into deeper and deeper dejection, and died in the same distress of mind in which he had spent the latter months of his life; and his case remains a melancholy instance of the power of imagination to kill the body, even when its fantastic terrors cannot overcome the intellect, of the unfortunate persons who suffer under them. The patient, in the present case, sunk under his malady; and the circumstances of his singular disorder remaining concealed, he did not, by his death and last illness, lose any of his well-merited reputation