Clinical psychiatry : a text-book for students and physicians / abstracted and adapted from the 7th German edition of Kraepelin's "Lehrbuch der Psychiatrie" by A. Ross Diefendorf.

  • Kraepelin, Emil, 1856-1926.
Date:
1912
Catalogue details

Licence: Public Domain Mark

Credit: Clinical psychiatry : a text-book for students and physicians / abstracted and adapted from the 7th German edition of Kraepelin's "Lehrbuch der Psychiatrie" by A. Ross Diefendorf. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    phase or as a transitional stage between different phases of the disease. In this case the mood is sometimes sad, sometimes anxious or passionate, the patients expressing themselves in wailing and moaning, in states of anxiety, or in outbreaks of irritability. The latter form is particularly common. The patients are fretful, discontented, at variance with themselves and their environment, and annoyed by trifles. They grumble and growl in the most intolerable manner and show outbursts of passion on the slightest provocation. An emotional state of this sort combined with exaggerated conceit and an attempt to be sarcastic is sometimes encountered in syphilitic insanity. Many of the emotional states of the hysterical patient exhibit a mixture of sadness and excitement with passionate irritability. The epileptic presents a special type of emotional dis- turbance ; namely, a simple dejection with a feeling of weari- ness of life. Occasionally it is associated with a feeling of inhibition, but usually there is a sort of homesick feeling with an indefinite yearning and inner restlessness, which leads to suicidal attempts, indulgence in alcohol, or aimless wandering. Yet irritability with sudden violent outbursts of great intensity is quite common. In the epileptic be- fogged states a tense anxious feeling predominates, some- times combined with great irritability. Furthermore in all of these emotional states there may be a mixture of a sexual or ecstatic feeling of pleasure. The morbid feelings of 'pleasure are less frequent than those of displeasure. They occur especially in alcoholic intoxications and alcoholic psychoses, manic-depressive in- sanity, paresis, dementia prsecox, morphin and cocain intoxi- cation. The feeling of increased strength, enthusiasm, and enterprise which results from alcohol probably originates in the facilitation of the release of motor impulses in the brain,