Nervous and Mental Disease Monograph Series

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Nervous and Mental Disease Publishing Company, 1917 - Neurology
 

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Page 185 - ... for exhaustive study and treatment be accessible to special patients, and its Preventorium receive borderline mental patients for preliminary observation, prevention and treatment. The foregoing are the paramount aims of institutional provision as expressed in the Psychiatric Hospital idea, which may be epitomized thus : the prevention of mental abnormality ; its cure or amelioration ; scientific research into its nature, causes and results ; diffusion of such knowledge through adequate teaching...
Page 200 - ... Second, the interpretation of morbid phenomena needs to take into account the presence of nerve cells in the organs, such as the aorta, the heart, the intestines, stomach, genitalia, etc. Symptoms may well arise because of injury to these peripheral cells either as an antecedent or as a consequent of the disease process. We have, as recent experiments show, drugs that have a peculiar and selective power on the nerve cells of the autonomic and sympathetic systems. These...
Page 211 - ... mild" or non-atrophic cases and the unlikelihood of certain symptoms, here termed contra-environmental, in the severe or atrophic cases. Perhaps these statistical facts may lay a foundation for a study of the pathogenesis of these symptoms. Meantime the pathogenesis of such symptoms as amnesia and dementia cannot be said to be nearer a structural resolution, as these symptoms appear to be approximately as common in the "mild" as in the "severe
Page 210 - mild" cases showed a group of symptoms which might be termed contra-environmental, viz. allopsychic delusions, sicchasia (refusal of food), resistiveness, violence, destructiveness. The "severe" cases showed a group of symptoms of a quite different order, affecting personality either to a ruin of its mechanisms in confusion and incoherence, or to mental quietus involved in euphoria, exaltation, or expansiveness.
Page 60 - Swift that the response of patients in the tertiary state to salvarsan has been more marked and lasting if the courses of salvarsan have followed treatment with mercury and iodides. Gummatous exudates resolve under this preliminary treatment and the spirocheticidal effect of the salvarsan is more readily brought into play. In the meningitis of the secondary period the response to alternate courses of salvarsan and mercury has been prompt and permanent in all of the author 's cases.
Page 182 - ... treatment of mental disease and mental defect. B. Interpretation and diffusion of such knowledge for information of the public and the medical profession itself, as to the magnitude and import of the problems of the mentally affected, in order that they may be aroused to consciousness of their obligation and self-interest in promoting, with energy, the aims of mental hygiene. C. Prevention of mental abnormality. 1. By removal of its causes, especially its great and preventable causes, alcohol...
Page 42 - ... probably dextrose. 2. In infants and children free from meningeal disease the cerebrospinal fluid sugar ranges from 0.05 to 0.134 per cent. (dextrose), approximately the same figures which obtain for blood sugar. 3. There is no decrease in the reducing power of the cerebrospinal fluid in meningism. 4. A large proportion of the cases of tuberculous meningitis show a decrease in the sugar content of the cerebrospinal fluid at some stage of the disease. In a few cases, however, the sugar is normal...
Page 115 - Pike and others have shown that the tendency to fall is always in the direction of the slow component of the nystagmus. When the cerebellum is involved, on the other hand, the falling is independent of the direction of the spontaneous nystagmus.
Page 96 - All these signs may precede the development of deafness; or deafness may be absent, and none of these signs except the ataxia are common symptoms of tumor of the cerebello-pontine angle. The importance of recognizing these different types of new growths become obvious if surgical interference is contemplated. In conclusion, he calls attention to the fact that there is a particular type of tumor that grows from the dura at the base of the brain in the middle and posterior cranial fossae which frequently...
Page 177 - ... quite dark; about 4.30 am it was quite light, and he found himself being helped off a horse by two women who came out of a farm-house. He had no recollection of anything that happened between the bursting of the shell .and this incident. The frequency with which these cases of shell shock suffer from terrifying dreams at night and in the halfwaking state points to the conclusion that a psychic trauma is exercising a powerful influence on the mind by the thoughts reverting to the terrifying experiences...

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