Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
A uniform defective development of the physical and mental personality
of the individual has been designated by Lasègue as infantilismus.
As described by Di Gaspero and de Sanctis the mental status of these
cases belongs to the domain of feeblemindedness and in some instances
to imbecility. According to Kraepelin[119] the attention is easily
attracted and as easily distracted. These individuals are inquisitive
and flighty. Apprehension is defective. What they hear and see can only
be related in a fragmentary and unreliable manner. They often learn
readily and forget as quickly. Pende described the mental development
as only one-third of the normal. Memory gaps are supplied by
exaggeration and fabrication, as influenced by emotion or suggestion.
Di Gaspero found falsification of memory in twenty per cent of
his cases. Imagination is very active with a tendency to dreamlike
unrealities, wonderful tales of adventure, etc. Mental processes are
inadequate, vague and uncertain. The real and the unreal are not
clearly differentiated. Explanations and descriptions are inaccurate
and indefinite. Standards of value, size or time are vague. The store
of ideas is impoverished and associations are poor. Calculations
are slow and faulty. These persons are illogical, impractical and
credulous. They are swayed by prejudices, catchwords and hasty
judgment. Their range of thought is narrow and their viewpoint of life
childish. The emotional and volitional content is immature. They are
cheerful but lack earnestness, and are often ambitious and boastful. At
other times they are likely to be despondent, timid, anxious, fearful
and lacking in self-confidence. The mood is exceedingly variable. They
are not industrious, cannot apply themselves constantly to any line of
work, and tire easily. Their conduct is very uncertain and unreliable.
Some have criminal tendencies. Occasionally hysterical symptoms appear.
Evidences of an absence of physical development manifest themselves
in all varieties of immaturity. These defects, according to Falta,
are shown especially in the genitalia and the lymphatic apparatus,
with a delay in the closure of the epiphysis and the retention of a
childish physique generally. The skeletal framework shows a failure of
development, the lower length of the body exceeds the upper slightly,
if at all, the head is relatively large, the bones slender and the
pelvis infantile in type. The sexual organs and the "vita sexualis"
are those of a child. The blood shows a large lymphocyte count and a
definite status lymphaticus is sometimes found to be present. The hairy
development of the pubis and axillary surface is slight. The internal
organs are normal. True infantilism, according to Falta, is not due to
a glandular disturbance. He also maintains that the mind, while that of
a child, is normal otherwise and shows no defects. Juvenile myxedema,
hypophysial dystrophy and eunuchoidism, Falta would not include with
the infantilismus group.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account