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
It may also be stated, in general terms, that the emotions are
manifested in inverse ratio to the subject's mental or volitional
power. {20} Psychologically, the emotions are intimately related, on
the one hand, with sensory functions, and on the other with more
purely mental functions. Anatomically, it is probable that emotions
are generated in basal ganglia of the brain (thalami optici and
ganglion pontis), in close association with the sensory areas of the
cortex cerebri, while the volitional, inhibitory power is derived from
regions of the cortex situated frontad. Clinically, we meet with
abnormal emotional states in a great many diseases of the nervous
system, more especially in hysteria, neurasthenia, and insanity.
DEPRESSION in the psychic sphere manifests itself by the presence of
psychic pain (psychalgia), by slowness of emotive reaction and of
intellection, and by the predominance of fear, grief, and other
negative emotional states. This complex mental state is usually
accompanied by corresponding physical symptoms—general debility,
reduced muscular strength, slowness of visceral functions, and
retarded metamorphosis. The features are relaxed and passive; the
posture sluggish, indifferent, or cataleptoid; the animal appetites
are reduced. It is seldom that the entire economy does not sympathize
with the psychic state. In exceptional cases some emotions are
abnormally active, as in hypochondriasis; or there may be abnormally
active muscular movements, as in melancholia agitata. Usually,
depression is a part (a fundamental part, however) of a more complex
symptom group, as in hypochondriasis, melancholia, hysteria, the
prodromal stage of mania or paralytic dementia, etc.; but sometimes it
constitutes a so-called disease—melancholia sine delirio. Although
depressed subjects often appear indifferent to their surroundings, and
react slowly or not at all, it must not be supposed that their
emotions are not subjectively active. They are often abnormally so,
and psychic hyperæsthesia coexists with psychalgia. No anatomical seat
can be assigned to the processes which constitute this state and the
following; their psychic mechanism is unknown.
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