Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
1. Congenital or infantile mental deficiency (idiocy or imbecility)
occurring as early in life as it can be observed:
(1) Intellectual
a. Without epilepsy
b. With epilepsy
(2) Moral
2. Insanity arising later in life:
(1) Insanity with epilepsy
(2) General paralysis of the insane
(3) Insanity with the grosser brain lesions
(4) Acute delirium (acute delirious mania)
(5) Confusional insanity
(6) Stupor
(7) Primary dementia
(8) Mania
a. Recent
b. Chronic
c. Recurrent
(9) Melancholia
a. Recent
b. Chronic
c. Recurrent
(10) Alternating Insanity
(11) Delusional Insanity
a. Systematized
b. Non-systematized
(12) Volitional Insanity
a. Impulse
b. Obsession
c. Doubt
(13) Moral Insanity
(14) Dementia
a. Secondary or terminal
b. Senile
An elaborate classification was also officially adopted by the Royal
College of Physicians of England[142] about the same time. This
recognized seven varieties of mania, seven of melancholia and six of
dementia. The subject of classifications would not be complete without
a reference to Kraepelin. His eighth edition (1910-1915) showed the
following:—
1. Psychoses accompanying Injuries to the Brain:
Concussion
Traumatic delirium
Traumatic epilepsy
Traumatic enfeeblement
2. Psychoses accompanying Diseases of the Brain:
Meningitis
Brain tumors
Abscesses
Hemorrhages
Thrombosis
Embolism
Encephalitis
Multiple sclerosis
Lobar sclerosis
Huntington's chorea
Amaurotic idiocy
3. The Intoxication Psychoses:
Acute:
Endogenous—Uraemia, Eclampsia, Acute yellow atrophy of the liver.
Exogenous—Ether, Santonin, Hashish, Nitrous Oxide Gas, Atropin,
Hyoscin, Carbonic Oxide Gas, etc.
Chronic:
Alcohol:
Delusional (jealousy)
Delirium Tremens
Korsakow's Psychosis
Acute Hallucinosis (paranoid)
Alcoholic paralysis and pseudo-paralysis
Morphine
Cocaine
4. The Infectious Psychoses:
Fever delirium
Infection delirium
Acute confusion (amentia)
Infective exhaustive conditions
5. The Psychoses of Syphilis:
Syphilitic neurasthenia
Gummatous growths
Syphilitic pseudo-paralysis
Syphilitic apoplexy
Syphilitic epilepsy
Paranoid forms
Tabetic psychoses
Hereditary syphilis
6. Dementia Paralytica:
Paralytic, Depressive, Expansive and Agitated forms
7. The Senile and Presenile Psychoses:
Presenile psychoses
Arteriosclerotic psychoses
Senile deterioration
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