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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 : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.166
THis investigation substantiates Rorschach's statement that colour-form answers measure affective instability, and primary-colour responses impulsiveness, usually pathological impulsiveness. The kinesthetic and colour-answers together show the subject's type, his capacity for affective adaptation, for emotional stability and instability-in general, the balance of his emotional life. That the Rorschach test does give a good working knowledge of the subject's temperament as a whole is not doubted by anyone who has used the test. The qualitative aspect is even more important than the quantitative, as often the content of an abnormal subject's answers is full of their symptomatic tendencies shown both overtly and symbolically. It is claimed that the colourand kinaesthetic responses are dependent on the unconscious for their content. These results and those of other investigators suggest that this panoramic view of the subject's temperament as a whole is an advance on the method of measuring temperament and intelligence separately.
这项研究证实了罗夏的说法,即颜色形式的回答衡量情感不稳定性,以及原色反应的冲动性,通常是病态冲动性。动觉答案和色彩答案一起显示了受试者的类型,他的情感适应能力,情绪稳定和不稳定的能力,总的来说,他的情感生活的平衡。罗夏测试确实提供了对被试整体气质的有效了解,这是任何使用过该测试的人都不会怀疑的。定性方面甚至比定量方面更重要,因为通常异常受试者的回答内容充满了他们的症状倾向,无论是公开的还是象征性的。据称,颜色和动觉反应的内容依赖于无意识。这些结果和其他研究者的结果表明,这种将被试的气质作为一个整体的全景视图是对气质和智力分开测量方法的一种进步。
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引用次数: 0
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.163
protection and support. There seems to be a family tendency chiefly on the maternal side and the possibility of imitative derivation should not be lost sight of. In the opinion of the authors the physical symptoms and the disturbance of physiological processes are secondary to and precipitated by an emotional discharge. This probably accounts for the fact that a large number of remeclies may be successful tor a time, but cure is alleged only to result if and when the patient ever grows up on his emotional side.
保护和支持。似乎有一种主要在母系方面的家庭倾向,不应忽视模仿衍生的可能性。作者认为,身体症状和生理过程的干扰是继发于情绪释放的,并由其沉淀。这可能解释了这样一个事实,即大量的药物可能在一段时间内是成功的,但据说只有当病人在他的情感方面成长起来时,才能治愈。
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引用次数: 0
PSYCHOPATHOLOGY 精神病理学
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.172
A STRONG suggestion of storm effect is seen in the distribution of suicides and homicides in North American cities. The rates are not highest where industrialization is most advanced, but rather where barometric pressure and temperature changes are most frequent and severe. Suicides show a definite time-relationship to weather changes as highand low-pressure centres approach and pass by. With falling pressure and rising temperature, suicides rapidly rise. Most peaks in frequency occur at the time of a low-pressure crisis. With rising pressure and falling temperature few suicides occur. Migration from the South into the more stormy North is accompanied by a marked rise in suicides among negroes. Figures are not available to show whether the same is true of the whites. Increased economic stress in the North may, of course, play a large part in this rise. These findings indicate the likelihood that the wide shifts in temperature and pressure that accompany North American storms may play a considerable part in producing the mental instability of such populations. Much of this storm effect probably works through increasing the tempo of life and the economic competition. There probably remains, however, a distinct disturbing action of the storm changes as they affect the body directly. C. S. R.
在北美城市自杀和杀人的分布中可以看到强烈的风暴效应。在工业化最发达的地方,死亡率不是最高的,而是在气压和温度变化最频繁和最严重的地方。当高低压中心靠近或经过时,自杀与天气变化有一定的时间关系。随着气压的下降和气温的升高,自杀率迅速上升。频率的大多数峰值发生在低压危机的时候。随着压力的上升和温度的下降,很少发生自杀事件。从南方移民到更加风雨飘飘的北方,伴随着黑人自杀率的显著上升。目前还没有数据显示白人是否也是如此。当然,朝鲜日益加剧的经济压力可能是造成这一增长的主要原因。这些发现表明,伴随北美风暴而来的温度和压力的巨大变化可能在造成这些人群的精神不稳定方面发挥了相当大的作用。这种风暴效应很大程度上可能是通过加快生活节奏和经济竞争来发挥作用的。然而,当风暴直接影响人体时,可能仍然存在一种明显的干扰作用。c.s.r。
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引用次数: 0
PSYCHOSES 精神病
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.169
ments to the picture. In delirium tremens the multiplicity of hallucinations is brought in connexion with vestibular influence. Multiplicity of hallucinations, macropsia, micropsia, and dysmetamorphopsia, indicate a vestibular influence on hallucinations. The postural mode of the body is in the same way influenced in alcoholic psychosis in which the vestibular apparatus is affected as in organic neurological cases or in normals in which the function of the vestibular apparatus is changed. Vestibular changes disrupt the unity of the postural model of the body. The symptomatology of delirium tremens and alcoholic hallucinosis is considered from this point of view. A case of barbital intoxication and a case of an eclamptic psychosis are studied from this point of view and the importance of the vestibular influence for the symptomatology of toxic psychosis is shown. But in psychosis the utilization and elaboration of the vestibular impulses in connexion with the activities of the whole brain are of special importance. The vestibular apparatus has a special function among the senses and is therefore in connexion with particular life experiences. Dysfunction of the vestibular apparatus is often the expression of two conflicting psychic tendencies. Giddiness occurs therefore in almost every neurosis. The neurosis may produce organic changes in the vestibular sphere. Giddiness is a danger signal in the sphere of the ego and occurs when the ego cannot exercise its synthetic function in the senses, but it occurs also when conflicting motor and attitudinal impulses in connexion with desires and strivings cannot be united any longer. It is as important from the psychoanalytic point of view as anxiety. The vestibular apparatus is an organ the function of which is directed against the isolation of the diverse functions of the body.
来看看照片。在震颤性谵妄中,幻觉的多样性与前庭影响有关。幻觉的多样性,大视、小视和畸形视,表明前庭对幻觉的影响。身体的姿势模式在酒精性精神病中受到影响,前庭器官受到影响,就像在有机神经病例中或在正常情况下前庭器官的功能发生改变一样。前庭的改变破坏了身体姿势模型的统一性。震颤谵妄和酒精性幻觉症的症状学就是从这个角度来考虑的。本文从这一角度研究了一例巴比妥中毒和一例子痫性精神病,并表明了前庭影响对中毒性精神病症状学的重要性。但在精神病中,前庭冲动与整个大脑活动的联系的利用和阐述是特别重要的。前庭器官在感官中具有特殊的功能,因此与特定的生活经历有关。前庭器官的功能障碍通常是两种相互冲突的精神倾向的表现。因此,几乎每一种神经症都会出现头晕。神经症可引起前庭球的器质性改变。眩晕是自我领域的一个危险信号,当自我不能在感官上行使其综合功能时就会发生,但当与欲望和努力相关的相互冲突的运动和态度冲动不能再统一时也会发生。从精神分析的角度来看,它和焦虑一样重要。前庭器官是一个器官,它的功能是针对身体的各种功能的隔离。
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引用次数: 0
PSYCHOSES 精神病
Pub Date : 1935-07-01 DOI: 10.1136/jnnp.s1-16.61.91
D. Nathan, A. R. Elliott
[23] Encephalographic studies in manic-depressive psychosis.-MATTHEw T. MOORE, DAVID NATHAN, ANNIE R. ELLIOTT and CHARLES LAUBACH. Arch. of Neurol. and Psychiat., 1934, 31, 1194. IN a previous communication, in which encephalographic studies of 60 schizophrenic patients were reported, the conclusions indicated that definite organic changes existed, as manifested by the failure of any encephalographic study to reveal a normal cerebral pattern. Here is presented the results of a similar study of 38 cases of manic-depressive psychosis in various stages. It was found that the cerebrospinal fluid pressures were in the majority of cases top normal or higher, indicating the presence of the factor of chronic increased intracranial pressure. The quantity of cerebrospinal fluid removed in the majority of cases indicated varying degrees of cortical atrophy and enlargement of the ventricular system and cisterns. No definite cerebral pattern was obtained in a sufficient number of cases to be characteristic. The encephalographic pathological condition was manifested in the following ways: (1) cortical atrophy of varying intensity; (2) enlargement of the ventricular system; (3) asymmetry of the lateral ventricles; (4) absence of cortical air markings; (5) enlargement of the cisterns; (6) island of Reil atrophy; (7) enlargement of the sulcus callosi and sulcus cinguli; (8) increased interhemispheric air, and (9) cerebellar atrophy. In fact none of the encephalographic films showed a normal cerebral pattern. C. S: R.
躁郁症的脑电图研究。——马修·t·摩尔、大卫·内森、安妮·r·艾略特和查尔斯·劳巴赫。拱门。的神经。和Psychiat。, 1934, 31, 1194。在之前的一篇通讯中,报告了60名精神分裂症患者的脑电图研究,结论表明存在明确的器质性变化,任何脑电图研究都无法显示正常的大脑模式。这里是一个类似的38例躁郁性精神病在不同阶段的研究结果。发现脑脊液压力在大多数病例中处于正常或较高水平,表明存在慢性颅内压增高的因素。大多数病例的脑脊液量显示不同程度的皮质萎缩和脑室系统和脑池增大。在足够数量的病例中没有获得明确的脑模式作为特征。脑电图病理表现为:(1)不同程度的皮质萎缩;(2)心室系统扩大;(3)侧脑室不对称;(4)皮质空气斑纹缺失;(5)扩大蓄水池;(6) Reil萎缩岛;(7)胼胝体沟和扣带回沟扩大;(8)半球间空气增多,(9)小脑萎缩。事实上,所有的脑电图片都没有显示出正常的大脑模式。C. s: r。
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引用次数: 0
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1935-07-01 DOI: 10.1136/jnnp.s1-16.61.89
influenza. On the following day a typical serum rash appeared with swelling of many joints, especially the right shoulder. The pain decreased during the next two weeks, but a typical paralysis of the right brachialis plexus was noticed. This persisted for two years before recovering. Only a few similar cases have been recorded. The cause of such a paralysis following antitetanic serum injection is not definitely known. Previous serum injections had not been given to this man. It is supposed that such cases are the result of individual predisposition. M.
流感第二天出现典型的血清性皮疹,多关节肿胀,尤其是右肩。在接下来的两周内,疼痛减轻了,但注意到典型的右臂丛麻痹。这种情况持续了两年才恢复。只有少数类似的案例被记录下来。在注射抗破伤风血清后出现这种麻痹的原因尚不清楚。这名男子以前没有接受过血清注射。据推测,这类病例是个体易感性的结果。M。
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引用次数: 0
NEUROPATHOLOGY 神经病理学
Pub Date : 1935-07-01 DOI: 10.1136/jnnp.s1-16.61.83
Two periods may be differentiated in the investigation of infantile amaurotic idiocy. During the era which may be termed the 'morphological' it was established that in this disease exclusively the ganglion-cells are damaged as they arise from the neuro-ectoderm. The meninges and blood-vessels which originate from the mesoderm are unaffected; similarly, the organs of metabolism, the spleen, the liver and the bone-marrow are not involved. For these reasons Schaffer is convinced that amaurotic idiocy is the result of an affection of the ectoderm. Other authors, however, do not agree with this view. In cases of so-called Gaucher's and Niemann-Pick's diseases, the same changes have been observed in the brain as in amaurotic idiocy. For this reason some writers suppose that all these affections are identical. In cases of Gaucher's and of Niemann-Pick's diseases definite alterations have been observed in the organs of metabolism. Kufs has said that all the contrary arguments advanced by Schaffer do not affect the conception of amaurotic idiocy as a local phenomenon of disordered metabolism of colloids and lipoids. In accordance with Kufs, Spielmeyer maintains that amaurotic idiocy is a lipoidosis of the type of Niemann-Pick's disease. Schaffer terms the second era the ' chemical era.' By chemical investigations Epstein found that in the brain of a case of amaurotic idiocy the quantity of lecithin and kephalin was diminished in comparison with that of a normal brain; while in the brain of a case of Niemann-Pick's disease the quantity of lecithin and kephalin was about double that in a normal brain. From this result Epstein concludes that cases of pure amaurotic idiocy and of Niemann-Pick's disease are different entities. Schaffer, therefore, considers that his opinion is confirmed. M.
在对婴儿无症状性白痴的调查中,可以区分两个时期。在可称为“形态学”的时期,已经确定,在这种疾病中,神经节细胞仅在从神经外胚层产生时受损。源自中胚层的脑膜和血管不受影响;同样,代谢器官、脾、肝和骨髓也不受影响。由于这些原因,谢弗确信,无毛性白痴是受外胚层影响的结果。然而,其他作者不同意这种观点。在所谓的高谢氏病和尼曼-匹克病的病例中,在大脑中观察到的变化与在自发性白痴中观察到的变化相同。由于这个原因,一些作家认为所有这些情感都是相同的。在戈谢病和尼曼-匹克病的病例中,在代谢器官中观察到明确的改变。库夫斯曾说过,舍弗尔提出的所有相反的论点,都不影响将无症状性白痴视为一种胶质和脂质代谢紊乱的局部现象的概念。根据Kufs的观点,Spielmeyer认为隐匿性白痴是一种尼曼-皮克病类型的脂质沉积症。谢弗称第二个时代为“化学时代”。通过化学研究,爱泼斯坦发现,与正常大脑相比,在一个无症状白痴的大脑中,卵磷脂和脑啡肽的数量减少了;而在尼曼-匹克病患者的大脑中,卵磷脂和脑啡肽的含量大约是正常大脑的两倍。根据这一结果,爱泼斯坦得出结论,纯粹的无症状性白痴和尼曼-匹克病是不同的实体。因此,Schaffer认为他的观点得到了证实。M。
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引用次数: 0
SENSORIMOTOR NEUROLOGY 感觉运动神经学
Pub Date : 1935-07-01 DOI: 10.1136/jnnp.s1-16.61.85
All his cases showed a low systolic blood pressure, 90-110, and constipation. He considers that a failure on the part of the liver to synthesise and detoxicate the amino bodies formed during digestion leads to a series of anaphylactic changes in the cerebrum and other viscera analogous to those occurring in Quincke's cedema. Treatment should be directed to overcominlg the constipation, and protecting the liver by avoiding animal protein and giving a lacto-vegetariani diet.
所有病例均表现为低收缩压,90-110,并伴有便秘。他认为肝脏不能合成和解毒消化过程中形成的氨基体,导致大脑和其他脏器发生一系列类似于Quincke水肿的过敏性变化。治疗应直接克服便秘,并通过避免动物蛋白和给予乳素饮食来保护肝脏。
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引用次数: 0
PSYCHOPATHOLOGY 精神病理学
Pub Date : 1935-07-01 DOI: 10.1136/jnnp.s1-16.61.94
[28] Hypothyroidism and cretinism in childhood.-I. P. BRONSTEIN and ANDREW W. BROWN. Amer. Jour. Orthopsychiat., 1934, 4, 412. TWENTY hypothyroid children of various types who were being actively treated with thyroid extract were given repeated psychological tests over a period from one to five years to determine by quantitative measurements both the amount and nature of their mental growth. There was evidence that early recognition and persistent treatment thereafter was the important factor in ultimate mental development. All cretins if treated are not predestined to a fixed low mental age. Some of them may reach at least a mental age of 12 years. Most of these children have intelligence ratings between 50 and 70 and if treated will probably have at maturity a mental age between seven and nine years. Some cretins continue to show growth up to 14 years of age. Whether the increment of intellectual growth is constant throughout the entire growth period can be determined only by following these cases over a longer period of time. Children who have normal birth and developmental histories but who develop thyroid deficiency later in life following a specific or a series of non-specific infections (juvenile hypothyroidism) progress successfully mentally if properly treated. C. S. R.
儿童甲状腺功能减退症和克汀病。P. BRONSTEIN和ANDREW W. BROWN。阿米尔。日记账。Orthopsychiat。, 1934, 4,412。20名正在积极接受甲状腺提取物治疗的各种类型的甲状腺功能减退儿童在一至五年的时间内反复进行心理测试,以定量测量他们的智力发育的数量和性质。有证据表明,早期识别和持续治疗是最终智力发展的重要因素。并不是所有接受治疗的白痴都注定要有一个固定的低智力年龄。他们中的一些人可能至少达到12岁的心理年龄。这些孩子中的大多数智商在50到70之间,如果接受治疗,他们在成熟时的心理年龄可能在7到9岁之间。有些白痴在14岁时还会继续发育。智力增长的增量在整个成长过程中是否恒定,只有在较长一段时间内跟踪这些案例才能确定。出生和发育历史正常,但由于特定或一系列非特异性感染(青少年甲状腺功能减退症)而在以后的生活中发展为甲状腺功能不足的儿童,如果治疗得当,精神上可以成功地进步。c.s.r。
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引用次数: 0
Psychopathology 精神病理学
Pub Date : 1935-07-01 DOI: 10.1136/jnnp.s1-16.61.90
PSYCHOLOGY [21] Perseveration and personality.-KENNETH H. ROGERS. Jour. of Ment. Sci., 1935, 81, 145. CONTEMPORARY with the experimental determination of perseveration as a mental function, there have been effected correlative explorations of the possible relationships between this function and personality features. Spearman has indicated that the so-called ' type ' psychology bears on this problem, and perseverative function as a common basic feature of these various personality dichotomies is suggested. Certain investigations would appear to have established a definite relationship between perseveration and personality characteristics. Apart from intelligence, perseveration offers one of the more important contributions toward the delineation of individual differences on a functional basis. C. S. R.
心理学[21]毅力和个性。——肯尼斯·h·罗杰斯。日记账。表示“状态”。科学。, 1935, 81, 145。在实验确定毅力是一种心理功能的同时,人们对这种功能与人格特征之间可能存在的关系进行了相关的探索。斯皮尔曼指出,所谓的“类型”心理学与这一问题有关,并提出持久性功能是这些不同人格二分法的共同基本特征。某些调查似乎已经确立了毅力和人格特征之间的明确关系。除了智力,毅力是在功能基础上描述个体差异的更重要的贡献之一。c.s.r。
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引用次数: 0
期刊
Journal of Neurology and Psychopathology
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