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Updated: June 6, 2025
The last case, R. E. O'M., is one of no less interest from a formal standpoint than from a psychological one, while the trend presented is so copious that it can well serve as a resume of the cases we have just recited. He is now an unmarried man of thirty-three, and although he was diagnosed dementia praecox ten years ago is now earning $1200 year as a stenographer in the government service.
On the other hand it is an every day experience that a dementia praecox patient may show no scattering when conversing on indifferent subjects but that his train of thought loses logical sequence when he launches into his ideas. These findings may be reconciled by studying the reaction with types of ideas such as the last patient showed.
In fact Bleuler states categorically that "up to the present no correlation has been discovered between the symptoms of onset and the gravity of the outcome." Kraepelin has split off from dementia praecox a separate psychosis Paraphrenia systematica which he timidly defends as a clinical entity apparently because the course is a long one and the deterioration less marked than in dementia praecox.
The first is crude expressions of bald sexual fancies; the second is transitional in that as many praecox patients do he gave these ideas a religious or philosophical setting, but in the hallucinations and delusions embodying them, still retained his personal connection with the fancies.
We have also studied two cases of recurring excitements in patients one of whom was an evident praecox, the other of doubtful classification. Both showed queer behavior during their intervals with mild indications of their ideas which gained freer expression in their attacks.
Any large hospital will provide dozens of similar history whose clinical pictures would serve as well as what we have given. The next two cases represent two special types of psychoses: one a chronic manic and the other a definite praecox with recurrent attacks.
In this species the leaves are lobed and irregularly toothed, while the flowers are yellow, or slightly reddish-tinted. It is of rather slender and straggling growth. R. aureum praecox is an early-flowering variety; and R. aureum serotinum is valued on account of the flowers being produced much later than are those of the parent plant. North America, 1827.
It is supposed that this fruit is a native of Africa: from thence it appears to have come through Persia and Greece to us, with the name "a praecox," significant of its earliness. There are several varieties which have been obtained by means similar to those already mentioned; and there is room for further exertion in endeavouring to improve the size of the fruit, or any other desirable quality.
Yet, even so, such a classification would instantly remedy that anachronism in our present law which refuses to recognize as irresponsible those born without power to control their emotions the psychopathic inferiors of science, and the real victims of dementia praecox.
The mental condition of ticquers is especially characterized by the imperfection or weakness of volition, by a certain degree of mental instability and lack of inhibitory control of the desires, tendencies, activities and motor expressions of the individual, this defect laying the groundwork for the impulsions and obsessions, as also for hysterical, so-called neurasthenic, hypochondriacal, depressive and so-called dementia praecox reactions.
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