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Avitaminosis and the Nervous System 维他命病和神经系统
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.77
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引用次数: 0
Reviews and Notices of Books 书评和图书通知
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.92
iReviews anb lRotices
No one is better qualified than Dr. Norwood East to discuss with sympathy and sense a variety of problems bearing on the treatment of legal offenders and the relation of their misdemeanour or crime to their particular personalities. Constantly occupied with a special branch of his profession, he feels that a time has come when accumulated facts and impressions gleaned by him over a long period of years may usefully be shared with others, the outcome being this very readable and often deeply engrossing book. Its constituent chapters are mostly reproduced and amplified from individual communications, lectures, and addresses delivered at one time or another before varying audiences. About one quarter of the work is devoted to questions of prison administration; elsewhere 1,000 cases of attempted suicide are analysed; inter alia, the bearing of mental deficiency, drug addiction, and other abnormal mental states on crime is discussed dispassionately and ably. One of the most interesting chapters deals with murder from the point of view of the psychiatrist. Analysing 235 cases of murder, Dr. Norwood East found that only 35 of the murderers were insane or mentally defective, i.e. about one-seventh; and he quietly explodes a number of popular fallacies, such as that if a homicide confesses, or surrenders himself to the police, he is ipso facto insane, or that multiplicity of wounds has the same significance. He is no friend of the view that no murderer can be considered normal, that all such crime indicates insane impulse, that he who commits it needs treatment and not adjudication. Brushing away psychological speculations sometimes introduced to exculpate the accused, he concludes in words worth citing: 'the very existence of civilized society is endangered if crime is uncontrolled, and although the law in this country in regard to criminal responsibility is illogical, justice is done, and the manner in which it is done compels the admiration of the world.'
没有人比诺伍德·伊斯特博士更有资格同情地讨论和理解与对待法律罪犯有关的各种问题,以及他们的轻罪或犯罪与他们的特殊性格之间的关系。他一直在从事他专业的一个特殊分支,他觉得自己多年来积累的事实和印象可能会与他人分享,结果是这本非常可读且非常引人入胜的书。它的组成章节大多是复制和放大了个人的通信,讲座和演讲,在不同的听众之前发表的一次或另一次。大约四分之一的工作专门讨论监狱管理问题;在其他地方,有1000个自杀未遂案例被分析;除其他外,对精神缺陷、吸毒成瘾和其他异常精神状态与犯罪的关系进行了冷静而巧妙的讨论。其中最有趣的一章是从精神病医生的角度讨论谋杀的。诺伍德·伊斯特博士分析了235起谋杀案件,发现只有35名凶手精神失常或有智力缺陷,即约占七分之一;他不声不响地驳斥了一些流行的谬论,比如,如果一个杀人犯认罪,或者向警方自首,他事实上就是疯了,或者多重伤口具有同样的意义。他不赞成这样的观点:没有一个杀人犯可以被认为是正常的,所有这类犯罪都表明了精神错乱的冲动,犯罪者需要治疗而不是审判。他抛开了有时被用来为被告开脱的心理猜测,用一句值得引用的话总结道:“如果犯罪不受控制,文明社会的存在就会受到威胁。尽管这个国家关于刑事责任的法律是不合逻辑的,但正义得到了伸张,而且伸张正义的方式令全世界钦佩。”
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引用次数: 0
Speech Perseveration And Astasia-Abasia following Carbon Monoxide Intoxication. 一氧化碳中毒后的语言障碍和失语-失语。
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.41
L H Cohen
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引用次数: 6
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.83
[7] Summary of the Report of the American Neurological Association Committee for the investigation of sterilization.-ABRAHAM MYERSON. Amer. Jour. Psychiat., 1935, 92, 615. KNOWLEDGE of human genetics has not the precision or amplitude which would warrant the sterilization of people who themselves are normal in order to prevent the appearance, in their descendants, of manic-depressive psychosis, dementia precox, feeblemindedness, epilepsy, criminal conduct. An exception may exist in the case of normal parents of one or more children suffering from certain familial diseases, such as Tay-Sachs amaurotic idiocy. There is at present no sound scientific basis for sterilization on account of immorality or character defect. Until and unless heredity can be shown to have an overwhelming importance in the causation of dangerous antisocial behaviour, sterilization merely on the basis of conduct must continue to be regarded as a 'cruel and unusual punishment.' Nothing in the acceptance of heredity as a factor in the genesis of any condition considered by this Report excludes the environmental agencies of life as equally potent and, in many instances, as even more effective. Sterilization can only be recommended in selected cases of certain diseases and with the consent of the patient or those responsible for him. It may be considered in Huntington's chorea, feeblemindedness of familial type, schizophrenia, manic-depressive psychosis, and epilepsy. It is to be stressed that no great or radical change in the complexion of society can thus be expected. C. S. R.
b[7]美国神经学协会委员会调查绝育的报告摘要。个迈尔森。阿米尔。日记账。Psychiat。, 1935, 92, 615。人类遗传学的知识还不够精确和广泛,不足以保证对自身正常的人进行绝育,以防止在他们的后代中出现躁狂抑郁症、老年痴呆症、弱智症、癫痫症和犯罪行为。正常的父母如果有一个或多个孩子患有某些家族性疾病,如泰-萨克斯型痴呆,则可能存在例外。目前,由于不道德或性格缺陷而进行绝育的说法尚无可靠的科学依据。除非能够证明遗传在危险的反社会行为的原因中具有压倒性的重要性,否则仅仅基于行为的绝育必须继续被视为“残忍和不寻常的惩罚”。在接受遗传作为本报告所审议的任何条件的起因的因素时,绝不排除生命的环境动因,因为它们同样有效,而且在许多情况下甚至更为有效。只有在某些疾病的特定情况下,并在患者或对其负责的人同意的情况下,才能建议绝育。它可能在亨廷顿舞蹈病、家族型弱智、精神分裂症、躁狂抑郁精神病和癫痫中被考虑。必须强调的是,这样就不能指望社会的面貌发生重大的或根本的变化。c.s.r。
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引用次数: 0
PSYCHOPATHOLOGY 精神病理学
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.85
suicidal impulses. There is also a similarity between the fatal accidents and those in which only a part of the body is destroyed. We may be able to see precisely how the accident serves to punish the individual for guilty acts or wishes. In those cases which are not fatal, however, this punishment serves not only as the price of atonement but as a permission for further indulgences in the same guilty acts or phantasies. The guilty act stimulates the conscience to demand of the ego a price. In some instances this price is a (selfinflicted) death penalty. In other instances, however, it seems to be less severe. One may note the principle of periodic payment for the continued indulgence in forbiddden erotic or aggressive tendencies in many neurotic patients, and melancholia is often forestalled or deferred by various obsessive and compulsive techniques. There are certain individuals who seem to fall victim to successive disasters with an uncanny regularity. C. S. R. [14] Pituitary disturbances in behaviour problems.-MATTHEW MOLITcH and S. POLIAKOFF. Amer. Jour. Orthopsychiat., 1936, 6, 125. NINETY-SEVEN boys with pituitary dysfunction in a State Home were studied and are reported from the standpoint of diagnosis, mental level, school achievement, behaviour, personality, and treatment. Those with such dysfunction were found to be brighter than the control group but the school attendance and achievement were the same in both. They were found, too, to be unstable, immature and suggestible. More personality deviations were found than in the controls. Within the Institution the 'pituitary' boys were found to be above average in school progress but below in conduct and adjustment. The offences causing commitment to the Home consisted essentially of stealing and truancy. Positive correlations were found between height and mental level. Five boys with hypopituitary dysfunction were treated with growth hormone with subsequent increase in height and improvement in secondary sexual development. C. S. R. [15] Mental changes following head trauma in children.-ABRAM BLAIU. Arch. Neurol. and Psychiat., 1936, 35, 723. THE cases of 22 children showing mental changes following head injury arc reported. The conditions are classified and designated as posttraumafic acute psychosis, chronic behaviour disorder, epilepsy with secondary deterioration, and defect conditions and secondary intellectual deterioration. The acute psychosis was observed in six children. The onset occurred immediately after the patient recovered consciousness and the symptomatology consisted of a demonstration of unrestrained instinctual, emotional and
自杀的冲动。在致命事故和那些只有身体一部分受损的事故之间也有相似之处。我们也许能够准确地看到事故是如何惩罚个人的犯罪行为或愿望的。然而,在那些不是致命的情况下,这种惩罚不仅是赎罪的代价,而且是允许进一步放纵同样的犯罪行为或幻想的许可。有罪的行为刺激良心要求自我付出代价。在某些情况下,这种代价是(自我矛盾的)死刑。然而,在其他情况下,它似乎没有那么严重。人们可能会注意到,在许多神经症患者中,对于被禁止的色情或攻击倾向的持续放纵,定期支付的原则,而忧郁症经常被各种强迫和强迫技术预先阻止或推迟。有些人似乎以一种不可思议的规律成为连续灾难的受害者。C. S. R.[14]行为问题中的垂体紊乱。——马修·莫里奇和s·波利亚克夫。阿米尔。日记账。Orthopsychiat。, 1936, 6, 125。本文从诊断、心理水平、学业成绩、行为、个性和治疗等方面对97例国家儿童之家垂体功能障碍男童进行了研究。有这种功能障碍的人比对照组更聪明,但他们的出勤率和成绩是一样的。他们也被发现不稳定、不成熟、易受影响。与对照组相比,发现了更多的人格偏差。在该机构内,“脑下垂体”男孩在学业进步方面高于平均水平,但在行为和适应方面低于平均水平。造成家庭监禁的罪行主要包括偷窃和逃学。身高与心理水平呈正相关。5名患有垂体功能低下的男孩接受生长激素治疗,随后身高增加,第二性发育改善。儿童头部外伤后的心理变化。亚伯兰BLAIU。拱门。神经。和Psychiat。, 1936, 35, 723。本文报道了22例儿童头部损伤后出现精神变化的病例。这些情况被分类并指定为创伤后急性精神病、慢性行为障碍、继发性恶化的癫痫、缺陷状况和继发性智力退化。6例患儿出现急性精神病。患者在恢复意识后立即发病,症状表现为本能、情绪和情绪失控
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引用次数: 0
Spinal Symptoms with Lymphadenoma. 伴有淋巴结瘤的脊柱症状
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.1
I M Allen, J O Mercer
IN the course of lymphadenoma involvement of the central nervous system appears to be uncommon. Detailed observation shows however that the incidence of neurological complications is probably higher than is suggested by casual inspection. Ginsburg found clinical evidence of involvement of the brain or spinal cord in ten of 36 cases of Hodgkin's disease. On the other hand, Forrest found that during 20 years at the London Hospital only four cases had shown evidence of involvement of the spinal cord. In one of these cases autopsy revealed syringomyelic cavitation. In a review of 37 cases of Hodgkin's disease with involvement of the central nervous system Johnsson found the brain involved in eight and the spinal cord in 29 cases. Weil, summarizing 46 cases of involvement of the spinal cord in Hodgkin's disease, found dorsal segments affected in 80 per cent., cervical segments in 16 per cent., and lumbosacral segments in 4 per cent. PATHOGENESIS OF SPINAL SYMPTOMS The spinal symptoms and the changes in the spinal cord are produced in various ways.
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引用次数: 10
On Some Constitutional Aspects of Chorea and on Its Sequelæ. 论舞蹈的若干构成方面及其后遗症。
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.16
E Guttmann
IF one sees many cases of chorea and investigates them in detail, one cannot help thinking that constitution plays a part of some importance in its setiology. In textbooks one finds remarks to the effect that the patients had already exhibited neurotic traits before the onset of the disease. Furthermore, among relatives cases of chorea and other mental and nervous diseases and abnormal personalities are observed with some frequency, as far as a general impression goes. Kehrer has proposed to name the abnormal types in choreic families 'choreopathic personalities.' In doing so he took as his starting point Huntington families, but he expressly extended his idea to families with Sydenham's chorea. The definition of the choreopathic personality is not exact as yet, on either physical or psychical side, nor do we know whether the postchoreic personality which will be discussed later on is identical with the choreopathic personality or even similar to it. It may be mentioned that the schizoid personality has been conceived along similar lines, viz. as a premorbid personality, as postschizophrenic defect and as a constitutional anomaly in schizophrenic families. There is moreover some constitutional relationship between chorea and schizophrenia. Looking through the families of some choreic patients I found some frequency of catatonic psychoses among their relatives. B. Schulz has confirmed these observations in material which was relatively small but elaborated on strict genetic lines. He found that the proportion of schizophrenics in the families of choreic patients is nearly twice as high as in the average population. Krauss also found in the families of 24 cases of chorea eight certain and three doubtful cases of schizophrenia. This author was the first to investigate systematically the postchoreic personality, earlier writers having been interested only in the neurological sequelae of this disease, and that to a limited degree. Looking through the textbooks of neurology with regard to the prognosis of chorea one generally finds it stated that only a small proportion of the patients die, and that death in these cases is due to endocarditis or heart failure, the prognosis of severe cases generally depending on the
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引用次数: 9
PSYCHOSES 精神病
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.84
L. E. Taylor
case-histories would not appear to lend support to any dogmatic pronouncement that men of genius are characterized by solitary traits, although it does seem justifiable to conclude that in some (perhaps many) geniuses there is a decided propensity to solitude and seclusion. This, however, does not seem to involve an innate disposition; rather, it would appear that the tendency can be accounted for on the basis of conditioning. Solitude is not the goal of genius but its refuge. Aloofness is frequently the result of a shrinking from the deteriorating standards of society. The genius is not only constantly forced into solitary retreat, but he sometimes seeks seclusion voluntarily and deliberately because as he associates with mankind he senses the advantages to be gained from insulating himself from the masses. In some instances contempt for society among men of geinius may be the result of an attempt to compensate for a feeling of social inferiority. C. S. R.
尽管我们有理由得出这样的结论:某些(也许是许多)天才有一种明显的孤独和隐居的倾向,但个案历史似乎并不能支持任何武断的论断,即天才具有孤僻的特征。然而,这似乎并不涉及天生的性格;相反,这种倾向似乎可以在条件作用的基础上加以解释。孤独不是天才的目标,而是天才的避难所。冷漠往往是对不断恶化的社会标准的退缩。天才不仅经常被迫隐居,而且有时还会自愿地、故意地寻求隐居,因为当他与人类交往时,他感觉到将自己与大众隔绝所获得的好处。在某些情况下,天才对社会的蔑视可能是试图弥补社会自卑感的结果。c.s.r。
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引用次数: 0
The Significance of the Frontal Lobes for Mental Performances. 额叶对智力表现的意义。
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.27
K Goldstein
attitude, as lack of approach to imagined things, as inability to give himself an account of acting or thinking, as inability to make a separation between the ego and the world. At bottom, all these terms and others which one may use to characterize the facts mean the same. The widely different manifestations in behaviour represent, without exception, one and the same defect in the underlying attitude. We can distinguish two different kinds of human attitude toward the world: (1) A concrete attitude, in which we are directed toward given objects and directed in our thinking and acting by them; (2) a more abstract attitude, in which we are moved at first to think about the objects and to give an account of them to ourselves. To each of these attitudes belongs a particular kind of behaviour. In the first we are acting in the world, manipulating the objects; our activity is determined directly by the claims of the objects upon us. In the second attitude we are thinking rather than acting, even our activity being directed by thinking. Our actions are governed not so much by the objects before us as by what we think about them. In the first attitude we behave more passively, in the second, more actively. Some tasks can be performed only by the one type of behaviour, others only by the other. In patients with lesions of the frontal lobe, active (abstract) behaviour is lacking, but the concrete behaviour may be very well
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引用次数: 86
Psychopathology 精神病理学
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.83-a
[7] Summary of the Report of the American Neurological Association Committee for the investigation of sterilization.-ABRAHAM MYERSON. Amer. Jour. Psychiat., 1935, 92, 615. KNOWLEDGE of human genetics has not the precision or amplitude which would warrant the sterilization of people who themselves are normal in order to prevent the appearance, in their descendants, of manic-depressive psychosis, dementia precox, feeblemindedness, epilepsy, criminal conduct. An exception may exist in the case of normal parents of one or more children suffering from certain familial diseases, such as Tay-Sachs amaurotic idiocy. There is at present no sound scientific basis for sterilization on account of immorality or character defect. Until and unless heredity can be shown to have an overwhelming importance in the causation of dangerous antisocial behaviour, sterilization merely on the basis of conduct must continue to be regarded as a 'cruel and unusual punishment.' Nothing in the acceptance of heredity as a factor in the genesis of any condition considered by this Report excludes the environmental agencies of life as equally potent and, in many instances, as even more effective. Sterilization can only be recommended in selected cases of certain diseases and with the consent of the patient or those responsible for him. It may be considered in Huntington's chorea, feeblemindedness of familial type, schizophrenia, manic-depressive psychosis, and epilepsy. It is to be stressed that no great or radical change in the complexion of society can thus be expected. C. S. R.
b[7]美国神经学协会委员会调查绝育的报告摘要。个迈尔森。阿米尔。日记账。Psychiat。, 1935, 92, 615。人类遗传学的知识还不够精确和广泛,不足以保证对自身正常的人进行绝育,以防止在他们的后代中出现躁狂抑郁症、老年痴呆症、弱智症、癫痫症和犯罪行为。正常的父母如果有一个或多个孩子患有某些家族性疾病,如泰-萨克斯型痴呆,则可能存在例外。目前,由于不道德或性格缺陷而进行绝育的说法尚无可靠的科学依据。除非能够证明遗传在危险的反社会行为的原因中具有压倒性的重要性,否则仅仅基于行为的绝育必须继续被视为“残忍和不寻常的惩罚”。在接受遗传作为本报告所审议的任何条件的起因的因素时,绝不排除生命的环境动因,因为它们同样有效,而且在许多情况下甚至更为有效。只有在某些疾病的特定情况下,并在患者或对其负责的人同意的情况下,才能建议绝育。它可能在亨廷顿舞蹈病、家族型弱智、精神分裂症、躁狂抑郁精神病和癫痫中被考虑。必须强调的是,这样就不能指望社会的面貌发生重大的或根本的变化。c.s.r。
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引用次数: 0
期刊
Journal of Neurology and Psychopathology
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