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It would be still more in harmony with psychoanalytic investigation if the experiences of early childhood would get a place of preference among the occasional factors. The one etiological group then becomes split up into two which may be designated as the dispositional and the definitive groups.

However, in general practice a classification on an etiological basis is probably more practical and we shall consider inflammation of bursae and thecae as infectious and noninfectious. Infectious bursitis and thecitis is usually the result of direct introduction of septic material into the synovial structure by means of injuries.

Since all facts concerning etiological agencies are surrounded with so much obscurity, classification does not lend any particular assistance in the consideration of this ailment. Prognosis. One cannot intelligently give a prognosis in these cases if forecast is expected to state the exact course following treatment.

Wounds which affect the elbow joint, then, may be thought of in most cases, as resultant from external violence. They may be contused wounds or penetrant wounds. Sharp shoe-calks afford a means of infliction of penetrant wounds which may occasion open joint and infectious arthritis. Classification. A practical manner of classifying inflammation of the elbow is on an etiological basis.

In the simple or traumatic form of teno-synovitis, although the most prominent etiological factor is a strain or over-use of the tendon, there would appear to be some other, probably a toxic, factor in its production, otherwise the affection would be much more common than it is: only a small proportion of those who strain or over-use their tendons become the subjects of teno-synovitis.

Notwithstanding this these reports are valuable in more than one respect, and information of a similar nature has urged me to modify my etiological assumption as mentioned in the text. The above-mentioned assertions concerning the infantile sexuality were justified in 1905, in the main through the results of psychoanalytic investigations in adults.

Classification on an etiological basis would attempt to associate conditions, the morbid anatomy and gravity of which would justly preclude their being combined. Simple Fracture is a condition where the continuity of the bone has been broken without serious destruction of the soft structures adjacent, and where no opening has been made to the surface of the flesh.

Hence a commensurate modification in therapy might not only be admissible, but eminently desirable. It is more especially of recent years that a laudable attempt to differentiate the various etiological factors involved in different forms of headache has been made. In 1832 Dr.

Even Beckwith, who could not coincide with others as to the great importance of intemperance as an etiological element, says distinctly, that intemperance was, by far, the most potent of all removable causes of mental disease.

In a discussion at one of the meetings of the London Medico-Psychological Society, the general opinion of the members was, that intemperance is the most fruitful source of the increase of insanity, even when no other etiological element could be found, and alcohol had to be looked upon as the sole cause of the mental disease.