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They exist for the comfort of the patient alone. To sum up: We have endeavored to establish the claim that delusions in dementia praecox which takes the form of objective speculations rather than subjective experiences are an evidence of a milder psychotic reaction and hence warrant a prognosis of chronicity rather than deterioration.
Occasionally, evidence of chronic luxation of the femur is observed in the anatomical laboratory. The chronicity of the condition is obvious when one notes the well formed articulation which Nature provides for the head of the femur, where fracture or other serious complications are not present. Symptomatology.
We shall therefore consider only such clinical pictures as resemble those described in this book, in that the symptoms on admission to a hospital or shortly after are those of stupor. It should be our ambition to make a positive diagnosis before failure to recover in a reasonable time leads to a conclusion of chronicity.
Quittor is readily diagnosed on sight in many instances. Where there is dependable history or other evidence of the chronicity of an infectious inflammation of the kind, quittor is easily identified.
The psychic element is particularly apt to vary. The more neuropathic and psychopathic the make-up the greater is the reaction. Where mental enfeeblement or mental disorder exist, the severity and chronicity are apt to be still greater.
The posture and expression remind us at once of the katatonia which is symptomatic of dementia præcox and other stuporose and melancholiac conditions in adult life. Symptoms of this sort are especially common in children with intestinal and alimentary disturbances of great chronicity.
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