Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
and suprarenal; two, gonads, thyroid, pituitary and thymus." Further
investigation only can accurately determine the exact relation which
exists between disturbance of these glands and the presence of mental
deficiency.
Attention was called some time since to the fact that the injection
of adrenalin leads to an increase in blood pressure. This has been
discussed by Falta, Newburgh, Nobel and others. Neubürger[112] made a
study of thirty-nine cases, seven of which were normal, the others
including alcoholism, neurasthenia, manic-depressive, etc., but not
dementia praecox. A fairly well marked rise of blood pressure followed
adrenalin injection very quickly, reaching its maximum in from six
to twelve minutes. He found the reaction diminished or absent in
eighty per cent of the sixty-three cases of dementia praecox which he
examined, but does not advance the claim that this can be utilized
for diagnostic purposes. Walter and Krumbach[113] found an increased
pressure in sixty per cent of normal control cases and obtained similar
reactions in dementia praecox. Schmidt, on the other hand, confirmed
the findings of Neubürger. Emerson[114] found status lymphaticus in over
twenty-nine per cent of his cases of dementia praecox and Davis[115]
found the same condition in twenty-four per cent of war neuroses in
a series of over one hundred cases. These findings, however, lack
confirmation by other observers. Straus[116] includes as mental
symptoms in thyroidal disbalance: sluggish mental reactions alternating
with sparkling wit, irritability, general moodiness and depression,
difficulty in thought with inability to concentrate, forgetfulness,
fatigability and somnolence.
Turro[117] has shown that all of the physical evidences of
fright—pallor, dilatation of the pupils, rapid pulse, cutis anserinus,
perspiration, etc., can be produced experimentally by the injection of
epinephrin in certain cases. Knauer and Billigheimer[118] have called
attention to the striking similarity between the functional changes
to be found in disturbances of the vegetative (sympathetic) nervous
system and certain manifestations associated with fear neuroses. They
attribute these disturbances to congenital inferiority, toxic sources,
emotional shock or fatigue.
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