Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
"Collapse delirium" was first described by Hermann Weber in 1866. It
takes the form of a stuporous state with confusion of thought, dreamy
hallucinations, flight of ideas, an unstable emotional condition and
an active motor excitement. The onset is usually sudden, following a
period of sleeplessness and restlessness. Disorientation occurs early
and consciousness is markedly clouded. Phantastic hallucinations and
illusions are frequent. Excitement and confusion are also prominent
symptoms. Flight of ideas is common and the patient often sings or
expresses himself exclusively in verse or rhymes. Senseless and rapidly
changing delusions are noted. The mood is elated, erotic, anxious or
irritable, with outbursts of anger. Motor excitement is conspicuous
and there is no sleep. Usually food is refused and nutrition disturbed
with a great reduction of bodily weight. This condition is of short
duration, usually not more than a few days, often terminating in sleep
in favorable cases. Only a confused recollection of events remains
on recovery. Collapse delirium, according to Kraepelin, is purely
an infectious process and often occurs in pneumonia, erysipelas and
influenza, following the subsidence of the active symptoms of the
disease. It occasionally complicates articular rheumatism and scarlet
fever. The characteristic features in erysipelas are hallucinations
and delusions of a delirious type, while clouded states, confusional
excitements and flight of ideas are more common after pneumonia.
The symptoms usually develop after the temperature falls and other
evidences of weakness are present. Kraepelin, however, recognizes
infection as the only cause at this time, although he previously
described these as exhaustive conditions.
Public-domain text, read in full here on John Shaqi.
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