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Updated: June 6, 2025
According to the experiments undertaken by the Zurich school, the expectation is justified within certain limits, that psychoanalysis will be therapeutically useful in certain forms of paranoia and dementia praecox.
WALTER L. TREADWAY, M. D. Assistant Surgeon, U. S. Public Health Service MOST psychiatrists state or tacitly assume that dementia praecox is a disease of a steadily progressive nature, where the first symptom of dementia is a signal for relentless degradation of the patient's mental capacity except in the sphere of the more mechanical, intellectual functions.
The inference from this is inevitable that what we regard as a "Trendless praecox" or a taciturn dement may simply be one who does not choose to talk and not necessarily a vegetative wreck with neither delusions nor hallucinations. For the privilege of using observations made on this patient at the Sheppard and Enoch Pratt Hospital, we wish most heartily to thank the Superintendent, Dr.
Now three generalizations can be made about these primitive or elaborated philosophizings: first, they all represent a constructive tendency; second, the degree to which this constructive tendency is exhibited is historically a measure of the cultural development of any age, an index of the development of the sense of reality of the time, that is, the particular speculation is not only accepted as reasonable but has its practical application for the period; and third, the more primitive forms of these speculations are represented in the delusions of insane, particularly dementia praecox, patients.
A case undoubtedly, praecox, which shows markedly the differential features of paranoia, should have a proportionately better outlook. In a vague way our common sense uses this standard when it makes us "feel" that the case will have a long course which shows a relatively well retained personality in conjunction with praecox symptoms. But "feelings" are hardly objective criteria.
The essential feature of this case, for our purpose, is that we have in this woman a paranoid psychosis of a definitely dementia praecox type which after ten years has shown only suggestive signs of deterioration in her lack of purpose in work, and her dulling in emotional response. This failure to deteriorate seems to stand in definite relationship to her system of ideas.
On the other hand, in introducing the Dementia praecox group, he makes no specific mention of any one of the cardinal symptoms of disassociation or shallowness of affect, scattering of thought, and delusions or hallucinations. His nearest approach is when he says: "Variations in the way of excitement, with dullness and paranoidal excitement are seen during the course of the disease."
Yet, at this time, there was in the hospital a young woman suffering from Dementia Praecox, whose mother had been watching over her for twelve years, and on whom the affliction of her daughter had so weighed that she told the writer she wished God would take one or the other of them, because it was more than she could bear.
There is a certain brand of goody-goody boy, brought up tied to his mother's apron strings, who has lost the essential capacities of mixing with varied types of boys and girls, who is sensitive, shy and retiring, or who is naively boorish and unschooled in tact. According to some psychiatrists this kind of training breeds the mental disease known as Dementia Praecox, but I seriously doubt it.
The hideous dreams and nightmares which had destroyed his sleep and rest for many past years have left him, and he now eats and sleeps well. Apparently the cure is complete. A case of Dementia Praecox, violent in character, was brought to me as a result of the cure in the above case. Restraint was necessary, even to the strapping of his hands, feet and body to the bed.
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