Clinical lectures on mental diseases / by T.S. Clouston.

  • Clouston, T. S. (Thomas Smith), 1840-1915.
Date:
1883
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Licence: Public Domain Mark

Credit: Clinical lectures on mental diseases / by T.S. Clouston. Source: Wellcome Collection.

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    digestion bad—Cases C. L. toC. Q. A. Delusional Afania.—De- lusion the essential element, usually fixed, with excitement— Case of C. Q. B. Prognosis.—Not good—Greatly depends on fixity and intensity of delusion. Chronic Mania.—Acute Mania continued in a modified way for over a year, with usually the elements of dementia—Cases C. Y. to C. Y. A. Treatment.— A lunatic asylum. Prognosis.—Bad. Ephemeral Mania—Four forms—Case of C. Z. Homicidal Mania.—Cases of Willie Smith and C. T. Prevalence of Mania.—55 per cent.—Belusions in mania—Prognosis—Termination—54 jjer cent, recover—30 per cent, become demented—5 per cent, die—Prophylaxis, . 141 LECTUEE V. STATES OF ALTERNATION, PERIODICITY, AND RELAPSE IN MENTAL DISEASES {FOLIE CIRCULAIRE, PSY- CHOREYTHM, FOLIE A DOUBLE FORM, CIRCULAR INSANITY, PERIODIC INSANITY, RECURRENT MANIA, KATATONIA). Physiological alternations and periodicity—The law of action and reaction—Reproductive and sexual periodicity, with their mental changes, elevations, perversions, irritabilities—The perio- dicity of neuralgia, epilepsy, sleeplessness, &c.—Folic Circu- laire a distinct disease—First described by Falret and Baillarger —Three conditions in the circuit : depression, exaltation, and sanity—Duration of these vary in different cases—A very incur- able disease—Psychological interest of this disease—The same braini n different states—Bodily symptoms periodic too, e.g., cephalalgia, vomiting, &c.—A few relapses in mania or melau- cholia do not constitute this disease—Frequency—Commence- ment and termination. Treatment.—Complete the cui'e of all insanity in youth and adolescent insanity—Prevent a brain habit being formed, or a vicious circle being got into—The bromides—Non-stimulating diet—Marriage, exercise, regimen— Heredity the strongest predisposing cause. Patlwlogy. —Cases D. A. to D. G., 214 • LECTURE VL STATES OF FIXED AND LIMITED DELUSION. MONOMANIA {MONOPSYCHOSIS). Delusion, popular and medical use of—Delusion from want of judgment in idiots and imbeciles—Delusions from ignorance and