File:Mental diseases. A text-book of psychiatry for medical students and practitioners (1913) (14778886635).jpg

Identifier: mentaldiseaseste00cole (find matches)
Title: Mental diseases. A text-book of psychiatry for medical students and practitioners
Year: 1913 (1910s)
Authors: Cole, Robert Henry, 1866-1926
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Publisher: New York, Wood
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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when he improves for a time, he asserts he was iuWyconscious. Similarly, perception and ideas of place and timeare not lost, but hallucinations, especially aural, exist. Memory,likewise, is scarcely affected at first, and the patients insightinto his condition is sometimes present. The patient isapathetic as to his state and his surroundings, but he exhibitsmarkedly a condition called Negativism, i. e. he carries out anaction exactly opposite to what is requested. He is not sug-gestible and frequently becomes resistive, and refuses to dressor undress. Mutism, which is so often present, is also due tothe negativistic spirit, and when the silence is broken he mayutter a string of words over and over again (Verbigeration),or he repeats what he has just heard (Echolalia), or again heimitates the gestures of others (Echopraxia). A patient developspeculiar Mannerisms, e.g., touching things as he passes, orstanding on one leg, and when such tricks or gesticulations are DEMENTIA PII.ECOX 161
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Fig. 31.—Dementia Prsecox (flexibilitas cerea). 162 MENTAL DISEASES constantly repeated, the condition is called Stereotypy. Onefrequently sees a patient walking on one line in a strainedattitude along the same patch of grass. The patient, althoughconscious of his environment, does not appear to assimilateimpressions, and there is a gradual decline in the thoughtprocesses as the Dementia progresses. Delusions usuallyappear in Dementia Praecox; th.ej are most pronounced inthe Paranoidal variety, and the patient may become talkative,and he may write many letters. He is defective in emotionalreaction, being rarely very depressed or very excited. He shunsthe company of other patients and generally tries to hide awayfrom the doctor on his regular rounds of visitation. Very rarel)does he evince any homicidal tendencies, but occasionally aParanoidal case may become dangerous on account of hisdelusions. Diagnosis.—The disease is one beginning principal^ duringadolescence, but it maj^ also

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