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Journal of Neurology and Psychopathology最新文献

英文 中文
Neurology 神经学
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.68
MANY theories of inhibition are here collected and reviewed, but the majority have to be rejected at once in the light of present-day knowledge. From the examination of the data the 'humoral' theory is regarded as far above the others. This theory has previously been discussed in relation to the spinal reflexes but is discussed here in view of its wider implications. It is shown that this theory offers a satisfactory explanation of some difficulties in the concept of 'physiological levels' and gives a solution of the problem of 'back-control' between levels. The law of forward direction is found to follow at once from this theory, and various microscopical morphological appearances are shown to be just the type of mechanism required by it. Also Pavlov's 'irradiation' and 'concentration' are thus easily explained. Integration in behaviour is compared with the same process in growth, and it is suggested that the ultimate mechanisms are probably identical. Some of the factors known to be of importance in growth are considered, and it is shown that the 'humoral' theory provides the counterpart in behaviour. The clinical applications are discussed. C. S. R.
这里收集和回顾了许多关于抑制的理论,但根据当今的知识,大多数理论必须立即被拒绝。从对资料的考察来看,“体液”理论被认为远高于其他理论。这一理论之前已经讨论过与脊髓反射的关系,但鉴于其更广泛的含义,在这里讨论。结果表明,该理论对“生理水平”概念中的一些困难提供了令人满意的解释,并给出了水平之间“反向控制”问题的解决方案。从这一理论中立即发现了向前方向的规律,并证明了各种微观形态现象正是它所要求的机制类型。巴甫洛夫的“辐照”和“浓缩”也因此很容易解释。将行为中的整合与生长中的相同过程进行比较,并提出最终机制可能是相同的。我们考虑了一些已知对生长有重要影响的因素,结果表明,“体液”理论在行为方面提供了对应的理论。并对临床应用进行了讨论。c.s.r。
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引用次数: 0
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.81
W. Potter
OF 60 cases of juvenile general paralysis 38 were treated with malaria or tryparsamide or both, 20 with common arsenicals and bismuth or mercury, and two with radiothermy and diathermy respectively. Of the 20 treated with common arsenicals, 17 continued to undergo a mental and physical deterioration and several of these died. In 27 of the 38 cases treated with malaria or tryparsamide the treatment was effective in so far as it prevented further deterioration; five of these gained a complete remission and nine a partial remission. In the great majority of instances a period of from two to five years had elapsed after the beginning of the treatment. In studying the factors that affect the prognosis in the 38 cases treated with malaria or tryparsamide the prognosis was found to be better in (a) patients who prior to the onset of the paresis were of normal mental level; (b) patients who were in or past adolescence when the symptoms developed; (c) those showing the expansive and confused reaction types; (d) those in whom the elapsed time between the onset of the disease and the treatment did not exceed two years. Sex, character of the onset and antiluetic treatment prior to onset did not appear to affect the prognosis favourably or unfavourably.
在60例青少年全身性麻痹中,38例用疟疾或tryparsamide或两者同时治疗,20例用普通砷和铋或汞治疗,2例分别用放热和透热治疗。在接受普通砷治疗的20人中,17人继续经历精神和身体恶化,其中几人死亡。在38例用疟疾或tryparsamide治疗的病例中,有27例的治疗在防止病情进一步恶化方面是有效的;其中5人完全缓解,9人部分缓解。在绝大多数情况下,在开始治疗后,一段时间从2到5年过去了。在对38例用疟疾或tryparsamide治疗的患者的预后影响因素的研究中发现:(a)发病前精神水平正常的患者预后较好;(b)症状出现时处于青春期或已过青春期的患者;(c)反应类型为扩张性和混淆性;(d)从发病到接受治疗的时间不超过两年的患者。性别、发病特征和发病前的抗黄药治疗似乎对预后没有有利或不利的影响。
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引用次数: 0
NEUROSES AND PSYCHONEUROSES 神经病和精神神经病
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.83-a
STUDENTS taking introductory courses in psychology were experimentally investigated in order to throw light on the question-Do emotionally unstable individuals recall more dreams than their relatively stable associates ? It was concluded that something besides emotional instability was operative in determining the frequency of dreams. The evidence here set forth gives no foundation for the Freudian concept of dreams and must be looked upon as putting the analysts on the defensive when they begin talking about the relationship between dreams and emotional instability. On the contrary, no evidence appears here to question the assumption of H. J. Watt, who says the chief difference between the thinking of daily life and of dreams must surely lie in the initial source of each. In sleep we start usually, or after the slightest reflection from within or without the body, with favoured but unsatisfied or unrealized attitudes of mental action. These are the parts of our mind that have the most latent energy and are least asleep. C. S. R.
参加心理学入门课程的学生进行了实验调查,以阐明这个问题:情绪不稳定的人是否比情绪相对稳定的人回忆起更多的梦?结论是,除了情绪不稳定之外,还有其他因素在决定梦的频率方面起作用。这里提出的证据并没有为弗洛伊德的梦的概念提供任何基础,当分析者开始谈论梦和情绪不稳定之间的关系时,这些证据必须被看作是让他们处于守势。相反,这里似乎没有证据质疑H. J.瓦特的假设,他说日常生活的思考和梦的思考之间的主要区别肯定在于它们的最初来源。在睡眠中,或经过身体内外最轻微的反思之后,我们通常以一种喜欢但不满意或未实现的心理活动态度开始。这些是我们大脑中潜藏能量最多、睡眠最少的部分。c.s.r。
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引用次数: 0
Reviews and Notices of Books 书评和图书通知
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.93
E. A. B.
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引用次数: 0
SENSORIMOTOR NEUROLOGY 感觉运动神经学
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.71
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引用次数: 0
PSYCHOPATHOLOGY 精神病理学
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.87
BACTERIOLOGICAL examination of the faccal flora of four catatonic dementia praecox patients was repeated monthly for four months. The hydrogen ion concentration, total bacterial count, predominant aerobes and anaerobes, all fell within the limits of variation with the normal. The incidence of B. acidophilus was less than normal, but the character of the flora was fermentative rather than putrefactive. No unusual microbe was isolated with sufficient consistency to indicate that the bacterial flora might be causally related to the mental disease process. C. S. R.
对4例紧张性早发性痴呆患者每月进行面部菌群细菌学检查,连续4个月。氢离子浓度、细菌总数、优势好氧菌和厌氧菌均在正常范围内。嗜酸芽孢杆菌的发生率低于正常水平,但菌群的特征是发酵性的而不是腐烂性的。没有分离出具有足够一致性的异常微生物来表明细菌菌群可能与精神疾病过程有因果关系。c.s.r。
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引用次数: 0
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.90
the period of observation. The mean increase in the seventh hour after glycine was about 4 0 mgm./100 c.c., but the actual increase in a particular case appeared to depend entirely on d:uresis and the urea excreted. Blood-sugar decreased about 10-15 mgm. per 100 c.c. after glycine ingestion, but tended to approach the fasting level in the course of six to seven hours. The non-glucose-reducing substances were not significantly altered. The non-protein nitrogen fraction (non-urea and amino-N) of the blood was increased after glycine administration. Nitrogen elimination was much increased also and the excess urea-N excretion during six hours of the postglycine period amounted to 0-23 of the nitrogen given as glycine. The total nitrogen of the urine (less the aminoand urea-N fractions) was increased after glycine. and this was due either to increased elimination or to increased production in the tissues, or to both. Sulphate excretion was maintained at a higher level than was found for controls during the postabsorptive period. It appeared that the sulphate excretion provided a more reliable index of specific dynamic action than the nitrogen excretion during the period of observation in the experiments dealt with here. The examination of schizophrenics after glycine ingestion did not reveal any striking deviation as to their blood and urine chemistry from those in normal subjects. The character of the mean blood amino-N and urine amino-N curves suggested delay in the absorption of the ingested material as compared with normal. Blood nitrogen and urine nitrogen estimations were not significantly different in schizophrenics from the normals. Approximately the excess urea-N excretion after glycine amounted to 0,21 of the nitrogen ingested as glycine. Sulphate excretion on the whole was less for schizophrenics than for the normals, and this could be due to decreased specific dynamic action in these psychotics or to a diminished absorption rate of the ingested material. Blood urea values in schizophrenics and in normal controls after the giving of 15 gm. urea in 100 c.c. were suggestive of delayed absorption, since the rise in blood urea was slower in the former. Conclusions based on blood urea values after glycine without consideration of the urea excretion are not justifiable. The attempt to demonstrate variations in the specific dynamic action of foodstuffs or glycine by ingestion methods in psychotics is also unjustifiable, in view of the variations in the processes of absorption which have been demonstrated in both normal and psychotic subjects.
观察期。甘氨酸后第7小时平均增加约40毫克。/ 100cc,但在特定情况下的实际增加似乎完全取决于尿潴留和排泄的尿素。血糖降低约10-15毫克。每100毫升甘氨酸摄入后,但倾向于接近禁食水平在六至七小时的过程中。非降糖物质没有明显改变。甘氨酸给药后血液中非蛋白氮(非尿素氮和氨基氮)含量升高。氮的消除也大大增加,在甘氨酸后6小时内,过量的尿素- n排泄量为甘氨酸给予氮的0-23。甘氨酸后尿总氮(不含氨基和尿素氮)增加。这要么是由于组织中消除增加,要么是由于组织中产生增加,或者两者兼而有之。在吸收后时期,硫酸盐排泄维持在高于对照组的水平。在这里所处理的实验中,硫酸盐排泄比氮排泄在观察期间提供了更可靠的比动力作用指标。对摄入甘氨酸后的精神分裂症患者进行的检查并没有发现他们的血液和尿液化学成分与正常人有任何显著的差异。平均血氨氮和尿氨氮曲线的特征表明,与正常人相比,摄入物质的吸收延迟。精神分裂症患者的血氮和尿氮与正常人无显著差异。甘氨酸后过量的尿素氮排泄量约为甘氨酸摄入氮的0.21%。总体而言,精神分裂症患者的硫酸盐排泄比正常人少,这可能是由于这些精神病患者的特定动态作用减少或摄入物质的吸收率降低所致。精神分裂症患者和正常对照者在100cc给予15克尿素后的血尿素值提示吸收延迟,因为前者血尿素升高较慢。根据甘氨酸后的血尿素值而不考虑尿素排泄的结论是不合理的。考虑到在正常和精神病受试者中已经证明的吸收过程的变化,试图通过摄入方法证明食物或甘氨酸在精神病患者中的特定动态作用的变化也是不合理的。
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引用次数: 0
Psychopathology 精神病理学
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.83
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引用次数: 0
Changing Conceptions of Epilepsy 改变对癫痫的认识
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.65
PRESENT-DAY research in respect of epilepsy is concerning itself principally with the experimental induction of fits, with discovery of the physicochemical changes accompanying them, and with their control by other methods than the purely medicinal. The result is that timeworn theories are undergoing revision, but less attention is being devoted to underlying questions as to the meaning of the term, the limitations of the disorder, and the inclusion or exclusion of certain types of clinical phenomena. The traditional view is based on the contention that a disease called epilepsy exists, its salient symptom being the occasional fit. This disease is alleged to be progressive, rather intractable, and prone to result in mental deterioration. Its cause being unknown, it is labelled' idiopathic,' in contrast with well-recognized morbid states often disclosed by similar fits, e.g. cerebral vascular disease, brain tumour, encephalitis, and so forth. But we may think it curious that the patently symptomatic nature of many types of fit has not yet sufficed to rouse suspicion as to the ' idiopathic ' variety-at least, not universally; the untenable character of the 'idiopathic' hypothesis has convinced some but not all observers. Those who do not like the term sometimes use the expression ' genuine' or ' essential ' to characterize the ' disease,' as though fits of a symptomatic kind were merely casual or in some unexplained way 'false.' The best present-day opinion is none the less veering round in the direction of affirming that all epilepsies are symptomatic, inclusive of that variety whose basis still eludes search, and that since some causes are known the cause of the latter will eventually be revealed in its turn. Instead of the term ' epilepsies ' it might be preferable to employ alternatives of more non-committal nature, e.g. 'paroxysmal disorders' or ' convulsive states '-a series of diverse conditions linked together by the occasional occurrence of ' fits,' but at the risk of perpetuating notions inherited from a less well-informed era the word will doubtless continue in vogue. For didactic purposes, too, it may be temporarily expedient to differentiate
目前对癫痫的研究主要是通过实验诱发癫痫发作,发现癫痫发作所伴随的物理化学变化,以及用非纯药物的其他方法控制癫痫发作。其结果是,过时的理论正在进行修订,但很少有人关注该术语的含义,疾病的局限性以及包括或排除某些类型的临床现象等潜在问题。传统的观点是基于一种叫做癫痫的疾病的存在,它的显著症状是偶尔发作。这种疾病据称是进行性的,相当难治,容易导致精神退化。由于病因不明,它被称为“特发性”,与通常由类似发作所揭示的公认的病态状态形成鲜明对比,例如脑血管疾病、脑肿瘤、脑炎等。但是,我们也许会觉得奇怪的是,许多类型的精神病的明显症状性,还不足以引起对"特发性"变种的怀疑——至少,不是普遍的怀疑;“特发性”假说站不住脚的特点说服了一些观察者,但不是所有的观察者。那些不喜欢这个词的人有时会用"真正的"或"本质的"来描述"疾病",好像症状的发作只是偶然的,或者以某种无法解释的方式是"错误的"当今最好的观点仍然倾向于断言,所有的癫痫都是有症状的,包括那些其基础尚无法研究的品种,而且既然有些原因已经知道,那么后者的原因最终也会被揭示出来。与其使用“癫痫病”一词,不如使用更不明确的替代词,例如:“阵发性疾病”或“痉挛状态”——一系列由偶尔出现的“发作”联系在一起的不同状况,但冒着从一个信息不那么灵通的时代继承下来的观念永存的风险,这个词无疑将继续流行下去。出于教学的目的,区分可能是暂时的权宜之计
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引用次数: 0
PSYCHOSES 精神病
Pub Date : 1934-07-01 DOI: 10.1136/jnnp.s1-15.57.84
Zitha A. Rosen
conflicts, forbidden instinctual desires and troublesome neurotic symptoms, and in doing so is often strongly influenced by its environment. Mental balance acquired in the latency period through suppression of instinctual energies is upset by the surge of reinforced instinct at puberty. Outbreaks of psychosis or neurosis often occur at puberty and abnormal character development is usually recognized at this age. C. S. R.
冲突,被禁止的本能欲望和麻烦的神经症状,在这样做的过程中,往往受到环境的强烈影响。在潜伏期通过抑制本能能量而获得的心理平衡被青春期强化本能的激增所打破。精神病或神经症的爆发通常发生在青春期,而异常的性格发育通常在这个年龄段被发现。c.s.r。
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引用次数: 0
期刊
Journal of Neurology and Psychopathology
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