Clinical manual of mental diseases : for practitioners and students / by A. Campbell Clark.

  • Clark, Archibald Campbell, 1851-1901.
Date:
1898
Catalogue details

Licence: Public Domain Mark

Credit: Clinical manual of mental diseases : for practitioners and students / by A. Campbell Clark. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    alone. She has for years complained of pain in the right side, and from this has arisen the idea, from a morbid sugges- tion of her own rottenness, that she is the subject of a loath- some disease. She is improving in physique, gaining weight, sleeping better, and this, taken together with the fact that there is a hereditary history in her case, inclines us to believe that she will recover. After-history : she fattened, lost her delusion, and with it the melancholy, and was discharged recovered. Matthew A., ast. 59.—This man's expression is now stereo- typed after years of melancholy. He has distressing sensa- tions of a burning character in the epigastrium, and he believes that he has no stomach, that it has been burned out of him, that his bowels have been destroyed, and that defalcation is impossible. Thus he explains the constipa- tion for which we are treating him. James McA., aet. 57.—Here comes a man who is always complaining, always grumbling. He says he doesn't want food, but when it is put before him he sometimes eats to gluttonous excess. He doesn't want to work, and if he is kept in the house he is miserable and groans aloud. He is always wanting medical examination—'to be sounded.' Q. How are you ? A. I'm no very week There's plenty of doctors here. Q. Well, what's the matter ? Tell these young doctors. A. Well, you see, I want medicine; I canna eat. My inside's closed up. My bowels is costive; my throat's choked. This man, despite these delusions, and as if to prove that they are delusions, eats well and heartily, but sometimes overdoes it, and then, of course, has reason to complain. Chronic Melancholia.—Two cases will be here contrasted. A. W., aet. 47.—This man has been shrouded more or less deeply in melancholy for many years. The melancholy is genuine. You have only to look at him to see this, for his attitude and expression are silent but emphatic witnesses of his state. O. Well, sir, how are you ? A. Just the same.