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Updated: June 1, 2025
This trend, which could be characterized as a 'cult of objectivity, has already had an important influence on psychiatric research. It is true that in its emphasis on critical judgment and valid criteria, it has helped to curb unrestrained flights of imagination and sloppy methodology.
That partial stupors occur as well-defined psychoses, developing and disappearing without the appearance of deep stupor, we shall attempt to show in the following three typical cases: CASE 6. Rose Sch. Age: 30. Admitted to the Psychiatric Institute August 22, 1907. All were said to be normal.
The second case shows similar tendencies but different from the one whose history has just been cited in that the perplexity was never complained of by the patient herself and that her emotional reactions were more marked and varied. Celia C. Age: 18. Admitted to the Psychiatric Institute May 2, 1914.
If the latter be true, the symptoms must follow definite laws; if they did not, we would have to abandon our principles of psychiatric classification. Naturally, then, we seek to find the differences between the cases that recover and those that do not. There is never any difficulty in diagnosis where a stupor appears as an incident in the course of a recognized case of catatonic dementia præcox.
Clark has been doing for the last two years. We have found, I think, from that work that we can really shell out what we may term an epileptic reaction, which is really the most primitive of all psychiatric reaction. It corresponds to a flight from reality. It is a return to the subjective phase, which, in the psychoses, is no vague but a very real thing.
Refined laboratory work has been done in psychiatric clinics, particularly along histopathological lines, but clinical studies follow antiquated methods. The internist does not say, “The patient has sugar in his urine, therefore he has diabetes and therefore he will die.” He finds a glycosuria and looks for its cause.
He also pointed out that while in medical school, he had observed self-proclaimed incarnations of Jesus Christ at psychiatric wards. "How can you be sure that someone *isn't* enlightened?" I asked, puzzled by the certainty with which Noah expressed his opinions. "How can you be sure that someone *is*?" he replied. I thought about the visit as I continued the journey west to Detroit.
Not ours is the task of analyzing special methods of neurological and mental differential diagnosis such as are used in the psychiatric clinic and in the office of the nerve specialist.
On other occasions she whispered “peace,” or “peace for hazing,” or “pray peace,” or “I like to be good.” Usually no responses could be obtained. After some months she was at times seen laughing. This gradually passed into a state of total disinterestedness and inaccessibility. Adele M. Age: 22. Admitted to the Psychiatric Institute November 11, 1904.
She made a very natural impression and came willingly to the hospital in response to a letter and was quite open about giving information. Caroline DeS. Age: 21. Admitted to the Psychiatric Institute June 10, 1909. F. H. The father died of apoplexy when patient was nine. The mother had diabetes. A paternal uncle was queer, visionary.
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