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Binswanger states that tuberculosis, aside from miliary tuberculosis or meningitis, produces no mental disorder except phenomena of the amentia of exhaustion. Ballet states that there exists a peculiar mental state in the tuberculous. It is compounded as rule of sadness, of looking on the dark side and of profound egoism. More rarely there are phenomena of excitation explained in part by fever.
The information gathered indicates that epilepsy and the neurotic predisposition to insanity need to be investigated as well as amentia, and that the epileptics and neurotics, even among rural children, are more numerous than is usually supposed. Of course an investigation of the adults would still more increase the amount of mental abnormality.
It is probably true also that the feeble-minded family is more likely to renew its vitality by the mixing in of new, normal blood in the country than in the city. Illegitimacy holds in the problem of rural feeble-mindedness the same position that prostitution occupies in urban amentia.
Acute miliary tuberculosis may produce the impression of a general paresis or of an amentia in Meynert's sense. The inanition delirium of tuberculosis resembles that of carcinosis and malaria.
Questions frequently arise as to their responsibility for actions done by them, or as to their ability to manage their own affairs. =Cretinism= is a form of amentia, which is endemic in certain districts, especially in some of the valleys of Switzerland, Savoy, and France. The malady is not congenital, but its symptoms usually appear within a few months of birth.
Secondly, that they be not angry to no purpose, but make sure that their reprehension reach him with whom they are offended; for, ordinarily, they rail and bawl before he comes into their presence, and continue scolding an age after he is gone: "Et secum petulans amentia certat:"
If they are unable to do so, the School Boards or Parish Councils must do so. In dementia the mental aberration does not occur until the mind has become fully developed, thus differing from amentia, which is congenital or comes on very early in life.
Illegitimacy is, however, the larger problem in rural amentia. The same type of girl that in the country becomes the mother of several children, often by different men, in the city, unless protected, enters prostitution.
"Mental Status of Rural School Children," by E. H. Mullan, Public Health Reports, Nov. 17, 1916, and "The Mental Status of Rural School Children of Porter County, Indiana," by T. Clark and W. L. Treadway, Public Health Bulletin No. 77. Amentia is used as a technical term for feeble-mindedness.
A conversation with almost any rural teacher will impress upon one the fact that the teacher is loath to declare feeble-minded a child whose records give unmistakable evidence of amentia and that she generally regards the child as merely dull.
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