A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Science
A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Medicine -- Practice
(5) States of mental enfeeblement (dementia, amentia, psychoparesis,
congenital imbecility, idiocy): (_a_) Secondary (ordinary) dementia
(following acute or subacute disease, ending in chronicity); (_b_)
primary enfeeblement (imbecility, idiocy, cretinism), the result of
deficient brain development or of brain disease in very early life;
(_c_) senile dementia; (_d_) organic dementia (the result of organic
brain disease).
(6) States of mental stupor (stupor, psychocoma): (_a_) Melancholic
{107} stupor (melancholia attonita); (_b_) anergic stupor (primary
dementia, dementia attonita); (_c_) secondary stupor (transitory,
after acute mania).
(7) States of defective inhibition (psychokinesia, hyperkinesia,
impulsive insanity, volitional insanity, uncontrollable impulse,
insanity without delusion): (_a_) Homicidal impulse; (_b_) suicidal
impulse; (_c_) epileptiform impulse; (_d_) animal impulse; (_e_)
dipsomania; (_f_) pyromania; (_g_) kleptomania; (_h_) moral insanity.
(8) The insane diathesis (psychoneurosis, neurosis insana, neurosis
spasmodica).
Some of the German mental pathologists have endeavored to combine in
their classification the clinical history with the little that is
known of its morbid anatomy. Meynert has gone so far in this direction
as to have constructed an ideal mental pathology belonging to the
sphere of brilliant speculation rather than exact science. Schüle has
well summarized our knowledge on these points, as follows:
I. States of mental defect or degeneration. (1) States of mental
defect: (_a_) Microcephalism; (_b_) idiocy. (2) States of mental
degeneracy, chiefly as the result or further development of (_a_)
Hereditary insanity, impulsive insanity, moral insanity; (_b_)
insanity from the severe neuroses, epileptic insanity, hysterical
insanity, hypochondriacal insanity; (_c_) periodic and circular
insanity.
II. Insanity in persons of full mental and physical development:
(_A_) The cerebral neuroses causing mental disease, affecting
primarily the mind alone (psychoneuroses): (1) The acute or subacute
typical cerebral neuroses in healthy neurotic persons and with a
vaso-motor origin: (_a_) Primary form, melancholia, melancholia
agitata, simple mania; (_b_) secondary form, chronic mania and
monomania, dementia. (2) The chronic cerebral neuroses giving rise to
mental disease founded on degeneration and of neurotic origin
primarily (delusional insanity): (_a_) Primary monomania of
persecution, with a condition of pure mental depression or with
exaggerated and exalted ideas; (_b_) delusional insanity, strictly
speaking, psycho-convulsive form (maladie du doute), psycho-cataleptic
form (delusional insanity attended with anomalies of sensation).
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