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Journal of Neurology and Psychopathology最新文献

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Psychopathology 精神病理学
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.375-a
INJURY to both occipital lobes of the brain was a result of a gunshot lesion affecting the posterior part of the skull. As in other cases seen during the war a distinct localization was observed for different qualities of optic disturbance. Blindness for the form of objects was an isolated defect more definitely observed than in any case previously examined. Deficient perception of form and shape was limited to the visual sphere and no disturbance was observed with regard to form and shape in any other region of the brain, e.g. by touching, writing and drawing. Goldstein and Gelb previously described a disturbance for visual form not limited to the visual region in a case of a lesion of the occipital lobe, but according to Kleist's opinion this resulted from a brain lesion outside the visual sphere. M.
大脑的两个枕叶的损伤是由于枪伤影响了头骨的后部。正如在战争期间看到的其他情况一样,不同质量的光学干扰在不同的位置被观察到。对物体形状的失明是一种孤立的缺陷,比以往任何研究都更明确地观察到。对形状和形状的感知缺陷仅限于视觉领域,在大脑的任何其他区域,例如触摸、书写和绘画,都没有观察到形状和形状的干扰。Goldstein和Gelb先前描述了一种视觉形式的障碍,在枕叶病变的情况下,不限于视觉区域,但根据Kleist的观点,这是由视觉领域外的大脑病变引起的。M。
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引用次数: 0
NEUROPATHOLOGY 神经病理学
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.374-a
abstracts MReuroloows MReuroloow NEUROANATOMY AND NEUROPHYSIOLOGY [145] The localization of the macular fibres in the optic radiations (Zur Lokalisation der Maculafaserung innerhalb der Sehstrahlung).A. JUBA. Zeits.f. d. g. Neurol. u. Psychiat., 1935, 154, 123. RETROGRADE degeneration, almost exclusively involving the macular region in the geniculate body, resulted from unilateral softening in the area striata affecting mainly the polar region. The fibres situated in the ventral part of the vertical peduncle in the optic radiation were degenerated. Thus, these fibres have to be considered as the fibres of central vision in the optic radiation. The case described favours a theory that the macular fibres are situated in the middle of the optic radiation and not in its dorsal part as Pfeifer had maintained. M.
[145]黄斑纤维在视光辐射下的定位[j] . Lokalisation der Maculafaserung innerhalb der Sehstrahlung)。朱巴。Zeits.f。神经学博士Psychiat u。, 1935, 154, 123。逆行性变性,几乎只涉及膝状体的黄斑区域,是由主要影响极区纹状体的单侧软化引起的。位于垂直足柄腹侧的纤维在光辐射中退行性变。因此,这些纤维必须被认为是光辐射中的中心视觉纤维。所描述的病例支持一种理论,即黄斑纤维位于光辐射的中间,而不是像Pfeifer所坚持的那样位于光辐射的背面。M。
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引用次数: 0
SENSORIMOTOR NEUROLOGY 感觉运动神经学
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.375
INJURY to both occipital lobes of the brain was a result of a gunshot lesion affecting the posterior part of the skull. As in other cases seen during the war a distinct localization was observed for different qualities of optic disturbance. Blindness for the form of objects was an isolated defect more definitely observed than in any case previously examined. Deficient perception of form and shape was limited to the visual sphere and no disturbance was observed with regard to form and shape in any other region of the brain, e.g. by touching, writing and drawing. Goldstein and Gelb previously described a disturbance for visual form not limited to the visual region in a case of a lesion of the occipital lobe, but according to Kleist's opinion this resulted from a brain lesion outside the visual sphere. M.
大脑的两个枕叶的损伤是由于枪伤影响了头骨的后部。正如在战争期间看到的其他情况一样,不同质量的光学干扰在不同的位置被观察到。对物体形状的失明是一种孤立的缺陷,比以往任何研究都更明确地观察到。对形状和形状的感知缺陷仅限于视觉领域,在大脑的任何其他区域,例如触摸、书写和绘画,都没有观察到形状和形状的干扰。Goldstein和Gelb先前描述了一种视觉形式的障碍,在枕叶病变的情况下,不限于视觉区域,但根据Kleist的观点,这是由视觉领域外的大脑病变引起的。M。
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引用次数: 0
Reviews and Notices of Books 书评和图书通知
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.377
iRevlews anb lRotices, Ian F. Suttie
The Origins of Love and Hate. By Ian F. Suttie, M.D. With a preface by Dr. J. A. Hadfield. London: Kegan Paul. 1935. Pp. 275. Price lOs. 6d. net. DR. IAN SUTTIE has been a contributor to this JOURNAL in days gone by, and his numerous articles on psychopathology have shown him to be possessed of a well-stored and critical mind. These features are seen in the reasoned and animated criticism with which he here assails Freudian theory. He adduces evidence to show that Freudian theory has from the outset been coloured by the temperament of Freud himself; from Freud's own lips Dr. Suttie illustrates a ' specially inexorable repression ' that has resulted in a grudge against mothers and a mind-blindness for love. Mother attachments of the individual are, for Freud, 'lost in a past dim and shadowy,' and the Mother-Cults of antiquity are for him a repellant and insoluble mystery. In temperate language and with incisive argument Dr. Suttie proceeds to exemplify this bias on the part of the founder of the theory-a bias of which others have been aware and which, unfortunately, has reproduced itself in not a few of his disciples. It has found perhaps its crudest expression in such a statement as 'Every mother is her child's first seductress '-an opinion so monstrous as to prove of itself that its originator is incapable of understanding what maternal love means. It is good indeed that someone has been found who is so well equipped as Dr. Suttie to cross swords with the exponents of ill-considered views of the kind. But there is much more than destructive criticism of Freudian theory in this finely written work, in which the meaning, psychology, function and expression of love are constructively discussed with scientific insight and a large measure of sound common sense. Love is, properly, separated and distinguished from appetite and desire, and cultural interest is shown to be something very different from substitute sex gratification.
爱与恨的起源。伊恩·f·萨蒂,医学博士,j·a·哈德菲尔德博士作序。伦敦:基根·保罗,1935。275页。价格洛杉矶。6 d。网IAN SUTTIE博士在过去的几天里一直是本刊的撰稿人,他在精神病理学方面的大量文章表明他拥有一个储存良好的批判性思维。这些特点可以在他对弗洛伊德理论的理性而生动的批评中看到。他引用证据表明,弗洛伊德的理论从一开始就受到弗洛伊德本人气质的影响;从弗洛伊德自己的口中,苏蒂博士描述了一种“特别无情的压抑”,这种压抑导致了对母亲的怨恨和对爱的心灵失明。对弗洛伊德来说,个人对母亲的依恋是“迷失在模糊的过去中”,对他来说,古代的母亲崇拜是一个令人反感的、无法解决的谜团。Suttie博士以温和的语言和尖锐的论点,继续举例说明了理论创始人的这种偏见——这种偏见其他人已经意识到了,不幸的是,这种偏见在他的不少弟子身上重演。“每个母亲都是孩子的第一个诱惑者”这句话也许是对母爱最粗暴的表达——这句话是如此荒谬,足以证明其始作俑者根本无法理解母爱的含义。能找到一个像苏蒂博士这样装备精良的人来和这类观点的倡导者们交锋,确实是件好事。但是,在这本精雕细琢的著作中,除了对弗洛伊德理论的破坏性批评之外,还有更多的东西。在这本书中,爱的意义、心理、功能和表达都以科学的洞察力和大量合理的常识进行了建设性的讨论。爱,恰当地,与食欲和欲望分开并区别开来,文化兴趣被证明是与替代性满足非常不同的东西。
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引用次数: 0
PSYCHOSES 精神病
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.277
[125] A confusional state associated with infective endocarditis.-DAVID SHAW. Jour. of Ment. Sci., 1935, 81, 435. THIS case is interesting as showing the development of a confusional'state associated with infective endocarditis. In the light of the post-mortem findings, the extensive area of ulcerative endocarditis, the damage to the brain and widespread area of infarction, it appears highly probable that the patient's dulled mental state, her emotional instability and incontinence, were due to repeated small embolic heemorrhages in the frontal lobes and hemispheres generally, and possibly in the thalamus. It suggests, too, that the confusional states which sometimes occur in advanced cases of endocarditis (apart from septic endocarditis) might be explained on this physical basis of repeated embolic haemorrhages in the brain, not large enough or situated in the necessary position to cause the usual marked physical lesions of hemiplegia, etc., but sufficiently destructive to damage the associational paths subserving the higher centres of cerebration.
[125]感染性心内膜炎患者的精神错乱状态。肖的节日。日记账。表示“状态”。科学。, 1935, 81, 435。这个病例很有趣,因为它显示了一种与感染性心内膜炎相关的精神错乱状态的发展。根据尸检结果,大面积的溃疡性心内膜炎,脑部损伤和大面积的梗死,很有可能患者的精神状态迟钝,情绪不稳定和大小便失禁,是由于额叶和大脑半球反复出现小栓塞性出血,也可能是在丘脑。这也表明,在心内膜炎晚期(除脓毒性心内膜炎外)有时出现的神志不清状态,可以解释为大脑中反复出现的栓塞性出血的物理基础,这些出血的大小或位置不足以引起通常明显的身体损伤,如偏瘫等,但足以破坏服务于大脑高级中枢的关联通路。
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引用次数: 0
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.285
treatment procedure in their delusional formations. One of the melancholia patients improved considerably. Three others showed a mild transitory improvement and the other six remained unchanged. Slight variations in weight were noted after treatment in both the praecox and involutional cases. There was a tendency to low basal metabolism value prior to treatment in the dementia pr2ecox group. Insignificant changes were noted in the oxygen consumption rate during and at the end of treatment in both groups. There was a larger number of cases with relatively low blood counts prior to the institution of treatment in the melancholic group as compared to the dementia praecox group. Improvement in the blood picture at the end of treatment was noted in the involutional melancholia patients. C. S. R. [144] Treatment of schizophrenia with prolonged narcosis.-PAUL HOCK. Psychiatric Quarterly, 1935, 9, 386. ON the basis of his experience the author outlines the following indications for prolonged narcosis in this psychosis. All acute schizophrenics with excitement, depression or apprehension, are suitable cases, the most favourable results being obtained in cases of acute catatonic excitement. Less favourable results are observed in stuporous cases and in mute, manneristic catatonias with stereotypies and other psychomotor phenomena. Quiet, self-absorbed catatonics are also suitable to lessen the autism and diminish the negativism. The procedure employed is preliminary to a psychotherapeutic approach. Chronic or slowly developing forms of catatonics are not much influenced by prolonged narcosis. No beneficial results were observed in cases of dementia simplex or in schizophrenics accompanied with mental deficiency unless episodes of excitement or depression were present. The treatment is used primarily to control the excitements: no effect upon the psychosis per se can be expected. Quiet, paranoid schizophrenics are not influenced. Cases where the psychosis was precipitated by an actual conflict in the environment respond most favourably to the treatment. Better results are obtained when certain psychotherapeutic measures are employed after completing the narcosis. Occupational therapy should be immediately used where it is practicable. In three different groups in the author's clinic, scopolaminluminal, avertin-luminal, and pernocton-luminal were the narcotics respectively used.
妄想症的治疗过程。其中一名忧郁症患者病情明显好转。其他三人表现出短暂的轻度改善,其他六人保持不变。在治疗后,体重轻微的变化被注意到在先兆和更年期的情况下。痴呆pr2ecox组在治疗前有降低基础代谢值的趋势。两组患者在治疗期间和治疗结束时的耗氧量变化均不显著。与早发性痴呆组相比,忧郁症组在接受治疗前血液计数相对较低的病例较多。在治疗结束时,注意到更年期抑郁症患者的血液图像有所改善。[144]张建军。精神分裂症的临床观察。保罗典当。精神病学季刊,1935,9,386。根据他的经验,作者概述了这种精神病的长期麻醉的以下指征。所有伴有兴奋、抑郁或忧虑的急性精神分裂症都是合适的病例,在急性紧张性兴奋的病例中获得最有利的结果。在昏迷病例和沉默,刻板印象和其他精神运动现象的举止性紧张症患者中观察到的结果不太有利。安静、自我专注的紧张症也适合减轻自闭症和减少消极情绪。所采用的程序是心理治疗方法的初步步骤。慢性或缓慢发展的紧张性精神分裂症不受长时间麻醉的影响。在单纯性痴呆或伴有智力缺陷的精神分裂症患者中没有观察到有益的结果,除非出现兴奋或抑郁的发作。治疗主要用于控制兴奋:对精神病本身没有影响。安静、偏执的精神分裂症患者不受影响。由环境中的实际冲突引发精神病的病例对治疗的反应最有利。在麻醉结束后采取一定的心理治疗措施,效果较好。在可行的情况下,应立即使用职业疗法。在笔者诊所的三个不同的组中,分别使用东莨菪碱、阿维丁-鲁米纳和百乐酮-鲁米纳麻醉药。
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引用次数: 0
Reviews and Notices of Books 书评和图书通知
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.287
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引用次数: 0
The Nomenclature of Intracranial Tumours 颅内肿瘤的命名法
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.261
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引用次数: 0
Neurology 神经学
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.265
[95] Conditions of the transmission of nervous impulse over the sympathetic interneuronic synapses (Condizioni della trasmissione dcll' influsso nervoso attraverso le sinapsi simpatiche interneuroniche). D. BOLSI and F. VISINTINI. Riv. di pat. nerv. e went., 1934, 43, 1129. TIIE present research shows that in experiments on the sympathetic pupil dilator-fibres transmission is conditioned by the chronaxy of the single neurones. Drugs effect the transmission by altering the relationship of the chronaxies of single neurones. Even nicotine which was supposed to have a selective action on veegetative synapses is proved to act by altering the chronaxial relationslhips of the neurones concerned. In fact it lowers the chronaxv of the preganglionic fibres. Further researches on the action of drugs along these lines would be interesting. It. G. G. [96] Histological aspects of the pineal body in relation to pregnancy (Aspetti istologici della pineale in rapporto allo stato gravidico). V. DESOGUS. Riv. di pat. nerv. e ment., 1935, 45, 555. TIIE author, after reviewing the researches which have led to the concept that the pineal gland does not exhaust its physiological possibilities after the attainment of sexual maturity, describes his own researches on birds and mammals, by means of which he has demonstrated the great activity of the pineal gland during the maximal activity of the genital organs and vice versa. After having put forward radiological and clinical evidence leading to a similar point of view, and discussed the present state of the controversial question of the behaviour of the pineal gland during pregnancy, he opposes this last argument, showing on the basis of his own researches that the gland, after being progressively involved in the progress of the developing pregnancy, shows, as a very late stage, histological characters denoting a state of marked involution. These facts lead to the concept of a pineal-genital endocrine system which antagonises the thyroid-suprarenal-pituitary group.
[95]神经冲动在交感神经间突触传递的条件(Condizioni della transmissione dcll' influsso nervoso attrverso le sinapsi simpatiche interneuroniche)。D. BOLSI和F. VISINTINI。Riv。迪帕特。nerv。e。, 1934, 43, 1129。目前的研究表明,在实验中,交感瞳孔扩张纤维的传输是由单个神经元的时间决定的。药物通过改变单个神经元的时序关系来影响传递。即使尼古丁被认为对植物突触有选择性作用,也被证明是通过改变有关神经元的时间轴关系来起作用的。事实上,它降低了神经节前纤维的时间。沿着这条路线进一步研究药物的作用将是有趣的。它。[96]松果体与妊娠相关的组织学方面(Aspetti istologici della pineale in rapporto allo stato gravidico)。诉DESOGUS。Riv。迪帕特。nerv。表示“状态”。, 1935, 45, 555。作者在回顾了导致松果体在性成熟后不会耗尽其生理可能性这一概念的研究之后,描述了他自己对鸟类和哺乳动物的研究,通过这些研究,他证明了松果体在生殖器官的最大活动期间的巨大活动,反之亦然。在提出了导致类似观点的放射学和临床证据,并讨论了怀孕期间松果体行为这一有争议的问题的现状后,他反对最后一个论点,根据他自己的研究表明,松果体在逐渐参与妊娠发展过程后,在非常晚的阶段显示出组织学特征,表明明显的复旧状态。这些事实导致松果体-生殖内分泌系统的概念,它对抗甲状腺-肾上腺-垂体组。
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引用次数: 0
NEUROPATHOLOGY 神经病理学
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.267
J. Attems, K. Jellinger
This chapter describes the main neuropathological features of the most common age-associated neurodegenerative diseases, including Alzheimer’s disease, Parkinson’s disease, and dementia with Lewy bodies, as well as other less frequent ones such as multiple system atrophy, Pick’s disease, corticobasal degeneration, progressive supranuclear palsy, argyrophilic grain disease, neurofibrillary tangle-dominant dementia, frontotemporal lobar degeneration with TDP-43 pathology, and Huntington’s disease. Likewise, cerebral amyloid angiopathy, hippocampal sclerosis, vascular dementia, and prion diseases are described. A main aim of this chapter is to assist the reader in interpreting neuropathological reports; hence criteria for the neuropathological classifications of the major diseases are provided. One section covers general considerations on neurodegeneration, and basic pathophysiological mechanisms of tau, amyloid-β‎, α‎-synuclein, TDP-43, and prions are briefly described in the sections on the respective diseases. Finally, one section is dedicated to cerebral multimorbidity, and a view on currently emerging neuropathological methods is given.
本章描述了最常见的与年龄相关的神经退行性疾病的主要神经病理学特征,包括阿尔茨海默病、帕金森病和路易体痴呆,以及其他不常见的疾病,如多系统萎缩、皮克病、皮质基底变性、进行性核上性麻痹、嗜argyrograin病、神经原纤维缠结主导型痴呆、伴有TDP-43病理的额颞叶变性。和亨廷顿舞蹈症同样,也描述了脑淀粉样血管病、海马硬化、血管性痴呆和朊病毒疾病。本章的主要目的是帮助读者解释神经病理报告;因此,为主要疾病的神经病理分类提供了标准。其中一节涵盖了神经退行性变的一般考虑,并在各自疾病的章节中简要描述了tau,淀粉样蛋白-β′,α′-突触核蛋白,TDP-43和朊病毒的基本病理生理机制。最后,一个部分是专门的脑多病,并对目前新兴的神经病理学方法的看法给出。
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引用次数: 0
期刊
Journal of Neurology and Psychopathology
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