Mania (artist unknown, 1837)

This is the original drawing for Plate XI of Sir Alexander Morison's 1840 book The Physiognomy of Mental Diseases. The accompanying text reads:

A.H. aged 60, has been subject to periodical attacks of Mania for many years, the paroxysms occur at intervals of about six weeks, and last ten or twelve days; they commence suddenly; he kneels down, prays and sings very loudly, and soon becomes violent and dangerous. In one of his paroxysms he unfortunately got hold of a female, who was giving him food, and killed her. He has a powerful voice, and is extremely noisy and violent; after a fit of epilepsy, to which he is subject, the violence begins to abate, which is contrary to the usual course of epileptic Mania, the fit generally aggravating the maniacal symptoms.