Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Psychiatric Implications of Psychomotor Epilepsy

Psychiatric Implications of Psychomotor Epilepsy Abstract IN THE course of previous investigations designed to identify more specifically the nature of mental aberrations peculiar to patients with psychomotor epilepsy, we were not a little surprised to find that our psychological and psychiatric evaluations failed to differentiate psychomotor from nonpsychomotor seizure patients who were otherwise matched for age, sex, seizure frequency, general intelligence, and economic background.1 In a second study undertaken with different techniques, patients, and collaborators, only one measure significantly differentiated a group of psychomotor epilepsy patients from subjects with "centrencephalic" grand and petit mal seizures. This test, a continuous performance task, indicated that the "centrencephalic" group performed less well than did the psychomotor patients.2 Although our findings are consistent with those of the few other controlled studies that appear in the literature,3-5 our conclusions, namely that the psychomotor epilepsies are not associated with an References 1. Small, J.; Milstein, V.; and Stevens, J.R.: Are Psychomotor Epileptics Different? A Controlled Study , Arch Neurol 7:187-194, 1962.Crossref 2. Mirsky, A.F., et al: A Comparison of the Psychological Test Performance of Patients With Focal and Non-Focal Epilepsy , Exp Neurol 2:75-89, 1960.Crossref 3. Guerrant, J., et al: Personality in Epilepsy , Springfield, Ill: Charles C Thomas, Publisher, 1962. 4. Juul-Jensen, P.: Epilepsy: A Clinical and Social Analysis of 1020 Adult Patients with Epileptic Seizure , Acta Neurol Scand 40 ( (suppl 15) ):1-148, 1964. 5. Vislie, H., and Henrikson, G.F.: " Psychic Disturbances in Epileptics ," in Lectures in Epilepsy , Lorentz de Haas A. M. (ed.), Amsterdam: Elsevier Publishing Co., 1958, vol 2 pp 29-90. 6. Bingley, T.: Mental Symptoms in Temporal Lobe Epilepsy and Temporal Lobe Gliomas , Acta Psychiat Neurol 33 ( (suppl 120) ):1-151, 1958.Crossref 7. Gibbs, F.A., and Gibbs, E.L.: Atlas of Electroencephalography , Cambridge, Mass: Addison-Wesley Press Inc., 1964, vols 2 and 3. 8. Penfield, W., and Kristiansen, K.: Epileptic Seizure Patterns: A Study of the Localizing Value of the Initial Phenomena in Focal Cortical Seizures , Springfield, Ill: Charles C Thomas, Publisher, 1951. 9. Rey, J.H.; Pond, D.A.; and Evans, C.E.: Clinical and Electroencephalographic Studies of Temporal Lobe Function , Proc Roy Soc Med 42:891-904, 1949. 10. Green, J. R.; Duisberg, R.E.H.; and McGrath, W.B.: Focal Epilepsy of Psychomotor Type , J Neurosurg 8:157-172, 1951.Crossref 11. Mulder, D.W., and Daly, D.: Psychiatric Symptoms Associated With Lesions of the Temporal Lobe , JAMA 150:173-176, 1952.Crossref 12. Liddell, D.W.: Observations on Epileptic Automatism in a Mental Hospital Population , J Ment Sci 99:732-748, 1953. 13. Ervin, F.; Epstein, A.W.; and King, H.E.: Behavior of Epileptic and Nonepileptic Patients With "Temporal Spikes," Arch Neurol Psychiat 74:488-497, 1955.Crossref 14. Pond, D.A.: Psychiatric Aspects of Epilepsy , J Indian Med Prof 3:1441-1451, 1957. 15. Treffert, D.A.: The Psychiatric Patient With an EEG Temporal Lobe Focus , Amer J Psychiat 120:765-771, 1964. 16. Tucker, G.J., et al: Behavior and Symptoms of Psychiatric Patients and the Electroencephalogram , Arch Gen Psychiat 12:278-286, 1965.Crossref 17. Penfield, W.: The Role of the Temporal Cortex in Certain Psychical Phenomena, 29th Maudsley lecture , J Ment Sci 101:451-465, 1955. 18. Walker, A.E.: " Discussion of Temporal Lobe Epilepsy ," in Report of 11 International Colloquium , Springfield, Ill: Charles C Thomas, 1958, p 493. 19. Gibbs, E.L.; Gibbs, F.A.; and Fuster, B.: Psychomotor Epilepsy , Arch Neurol Psychiat 60:331-339, 1948.Crossref 20. Gastaut, H.: So-Called "Psychomotor" and "Temporal" Epilepsy, a Critical Study , Epilepsia 2:59-96, 1953.Crossref 21. Penfield, W., and Jasper, H.H.: Epilepsy and the Functional Anatomy of the Human Brain , Boston: Little, Brown & Co., 1954. 22. Rodin, E.: A Combination of EEG Findings Which Correlate With Psychiatric Disturbances , Electroenceph Clin Neurophysiol 9:379, 1957. 23. Slater, F.; Beard, A.W.; and Glithero, E.: The Schizophrenia-Like Psychoses of Epilepsy , Brit J Psychiat 109:95-150, 1963.Crossref 24. Fein, R.: Economics of Mental Illness , New York: Basic Books Inc.; 1958, p 62. 25. Pugh, T.F., and MacMahon, B.: Epidemiologic Findings in United States Mental Hospital Data , Boston: Little, Brown & Co., 1962. 26. Landolt, H.: " Serial Electroencephalographic Investigations During Psychotic Episodes in Epileptic Patients and During Schizophrenic Attacks ," in Lectures on Epilepsy , Lorentz de Haas, A. M. (ed.), Amsterdam: Elsevier Publishing Co., (1958), chap 3, pp 91-133. 27. Clérambault, G.: Oêuvre Psychiatrique , Paris: Presse universitaires de France, 1942, Vol 2. 28. Heath, R.G.; Monroe, R.R.; and Mickle, W.A.: Stimulation of the Amygdaloid Nucleus in a Schizophrenic Patient , Amer J Psychiat 111:862-863, 1955. 29. Sem-Jacobsen, C.W.: Some Observations During Recording in Psychotic Patients , Electroenceph Clin Neurophysiol 8:531-532, 1956. 30. Stevens, J.R.: The "March" of Temporal Lobe Epilepsy , Arch Neurol Psychiat 77:227-236, 1957.Crossref 31. Bard, P., and Mountcastle, V.B.: Some Fore-Brain Mechanisms Involved in Expression of Rage With Special Reference to Suppression of Angry Behavior , Assoc Res Nerv Ment Dis 27:362-404, 1948. 32. MacLean, P.D., et al: Hippocampal Function: Tentative Correlations of Conditioning, EEG, Drug and Radioautographic Studies , Yale J Biol Med 28:380-395, 1955-1956. 33. MacLean, P.D., and Ploog, D.W.: Cerebral Representation of Penile Erection , J Neurophysiol 25:29-55, 1962. 34. Papez, J.W.: A Proposed Mechanism of Emotion , Arch Neurol Psychiat 38:725-743, 1937.Crossref 35. MacLean, P.D.: Some Psychiatric Implications of Physiological Studies on Frontotemporal Portion of Limbic System (Visceral Brain) , Electroenceph Clin Neurophysiol 4:407-418, 1952.Crossref 36. Heath, R.G.: Electrical Self-Stimulation of the Brain in Man , Amer J Psychiat 120:571-577, 1963. 37. Mahl, G.F., et al: Psychological Responses in the Human to Intracerebral Electrical Stimulation , Psychsom Med 26:337-368, 1964.Crossref 38. Powell, E.W., et al: Hypothalamic Seizures From Stimulation of Rhinencephalon and Isocortex in Cat , Neurology 7:689-696, 1957.Crossref 39. Faeth, W.H.; Walker, A.E.; and Andy, O.J.: The Propagation of Cortical and Subcortical Epileptic Discharge , Epilepsia 3:37-48, 1954.Crossref 40. Northfield, D.W.C.: Discussion on Surgery of Temporal Lobe Epilepsy , Proc Roy Soc Med 51:607-610, 1958. 41. Jasper, H.H.; Pertuisset, B.; and Flanigan, H.: EEG and Cortical Electrograms in Patients With Temporal Lobe Seizures , Arch Neurol Psychiat 65:272-290, 1951.Crossref 42. Stevens, J.R., et al: Central and Peripheral Factors in Epileptic Discharge: Part II , Arch Neurol 11:463-476, 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Psychiatric Implications of Psychomotor Epilepsy

STEVENS, JANICE R.
Archives of General Psychiatry , Volume 14 (5) – May 1, 1966
Download PDF
11 pages

Loading next page...
 
/lp/american-medical-association/psychiatric-implications-of-psychomotor-epilepsy-J5jiaWbeDD

References (50)

Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1966.01730110013003
Publisher site
See Article on Publisher Site

Abstract

Abstract IN THE course of previous investigations designed to identify more specifically the nature of mental aberrations peculiar to patients with psychomotor epilepsy, we were not a little surprised to find that our psychological and psychiatric evaluations failed to differentiate psychomotor from nonpsychomotor seizure patients who were otherwise matched for age, sex, seizure frequency, general intelligence, and economic background.1 In a second study undertaken with different techniques, patients, and collaborators, only one measure significantly differentiated a group of psychomotor epilepsy patients from subjects with "centrencephalic" grand and petit mal seizures. This test, a continuous performance task, indicated that the "centrencephalic" group performed less well than did the psychomotor patients.2 Although our findings are consistent with those of the few other controlled studies that appear in the literature,3-5 our conclusions, namely that the psychomotor epilepsies are not associated with an References 1. Small, J.; Milstein, V.; and Stevens, J.R.: Are Psychomotor Epileptics Different? A Controlled Study , Arch Neurol 7:187-194, 1962.Crossref 2. Mirsky, A.F., et al: A Comparison of the Psychological Test Performance of Patients With Focal and Non-Focal Epilepsy , Exp Neurol 2:75-89, 1960.Crossref 3. Guerrant, J., et al: Personality in Epilepsy , Springfield, Ill: Charles C Thomas, Publisher, 1962. 4. Juul-Jensen, P.: Epilepsy: A Clinical and Social Analysis of 1020 Adult Patients with Epileptic Seizure , Acta Neurol Scand 40 ( (suppl 15) ):1-148, 1964. 5. Vislie, H., and Henrikson, G.F.: " Psychic Disturbances in Epileptics ," in Lectures in Epilepsy , Lorentz de Haas A. M. (ed.), Amsterdam: Elsevier Publishing Co., 1958, vol 2 pp 29-90. 6. Bingley, T.: Mental Symptoms in Temporal Lobe Epilepsy and Temporal Lobe Gliomas , Acta Psychiat Neurol 33 ( (suppl 120) ):1-151, 1958.Crossref 7. Gibbs, F.A., and Gibbs, E.L.: Atlas of Electroencephalography , Cambridge, Mass: Addison-Wesley Press Inc., 1964, vols 2 and 3. 8. Penfield, W., and Kristiansen, K.: Epileptic Seizure Patterns: A Study of the Localizing Value of the Initial Phenomena in Focal Cortical Seizures , Springfield, Ill: Charles C Thomas, Publisher, 1951. 9. Rey, J.H.; Pond, D.A.; and Evans, C.E.: Clinical and Electroencephalographic Studies of Temporal Lobe Function , Proc Roy Soc Med 42:891-904, 1949. 10. Green, J. R.; Duisberg, R.E.H.; and McGrath, W.B.: Focal Epilepsy of Psychomotor Type , J Neurosurg 8:157-172, 1951.Crossref 11. Mulder, D.W., and Daly, D.: Psychiatric Symptoms Associated With Lesions of the Temporal Lobe , JAMA 150:173-176, 1952.Crossref 12. Liddell, D.W.: Observations on Epileptic Automatism in a Mental Hospital Population , J Ment Sci 99:732-748, 1953. 13. Ervin, F.; Epstein, A.W.; and King, H.E.: Behavior of Epileptic and Nonepileptic Patients With "Temporal Spikes," Arch Neurol Psychiat 74:488-497, 1955.Crossref 14. Pond, D.A.: Psychiatric Aspects of Epilepsy , J Indian Med Prof 3:1441-1451, 1957. 15. Treffert, D.A.: The Psychiatric Patient With an EEG Temporal Lobe Focus , Amer J Psychiat 120:765-771, 1964. 16. Tucker, G.J., et al: Behavior and Symptoms of Psychiatric Patients and the Electroencephalogram , Arch Gen Psychiat 12:278-286, 1965.Crossref 17. Penfield, W.: The Role of the Temporal Cortex in Certain Psychical Phenomena, 29th Maudsley lecture , J Ment Sci 101:451-465, 1955. 18. Walker, A.E.: " Discussion of Temporal Lobe Epilepsy ," in Report of 11 International Colloquium , Springfield, Ill: Charles C Thomas, 1958, p 493. 19. Gibbs, E.L.; Gibbs, F.A.; and Fuster, B.: Psychomotor Epilepsy , Arch Neurol Psychiat 60:331-339, 1948.Crossref 20. Gastaut, H.: So-Called "Psychomotor" and "Temporal" Epilepsy, a Critical Study , Epilepsia 2:59-96, 1953.Crossref 21. Penfield, W., and Jasper, H.H.: Epilepsy and the Functional Anatomy of the Human Brain , Boston: Little, Brown & Co., 1954. 22. Rodin, E.: A Combination of EEG Findings Which Correlate With Psychiatric Disturbances , Electroenceph Clin Neurophysiol 9:379, 1957. 23. Slater, F.; Beard, A.W.; and Glithero, E.: The Schizophrenia-Like Psychoses of Epilepsy , Brit J Psychiat 109:95-150, 1963.Crossref 24. Fein, R.: Economics of Mental Illness , New York: Basic Books Inc.; 1958, p 62. 25. Pugh, T.F., and MacMahon, B.: Epidemiologic Findings in United States Mental Hospital Data , Boston: Little, Brown & Co., 1962. 26. Landolt, H.: " Serial Electroencephalographic Investigations During Psychotic Episodes in Epileptic Patients and During Schizophrenic Attacks ," in Lectures on Epilepsy , Lorentz de Haas, A. M. (ed.), Amsterdam: Elsevier Publishing Co., (1958), chap 3, pp 91-133. 27. Clérambault, G.: Oêuvre Psychiatrique , Paris: Presse universitaires de France, 1942, Vol 2. 28. Heath, R.G.; Monroe, R.R.; and Mickle, W.A.: Stimulation of the Amygdaloid Nucleus in a Schizophrenic Patient , Amer J Psychiat 111:862-863, 1955. 29. Sem-Jacobsen, C.W.: Some Observations During Recording in Psychotic Patients , Electroenceph Clin Neurophysiol 8:531-532, 1956. 30. Stevens, J.R.: The "March" of Temporal Lobe Epilepsy , Arch Neurol Psychiat 77:227-236, 1957.Crossref 31. Bard, P., and Mountcastle, V.B.: Some Fore-Brain Mechanisms Involved in Expression of Rage With Special Reference to Suppression of Angry Behavior , Assoc Res Nerv Ment Dis 27:362-404, 1948. 32. MacLean, P.D., et al: Hippocampal Function: Tentative Correlations of Conditioning, EEG, Drug and Radioautographic Studies , Yale J Biol Med 28:380-395, 1955-1956. 33. MacLean, P.D., and Ploog, D.W.: Cerebral Representation of Penile Erection , J Neurophysiol 25:29-55, 1962. 34. Papez, J.W.: A Proposed Mechanism of Emotion , Arch Neurol Psychiat 38:725-743, 1937.Crossref 35. MacLean, P.D.: Some Psychiatric Implications of Physiological Studies on Frontotemporal Portion of Limbic System (Visceral Brain) , Electroenceph Clin Neurophysiol 4:407-418, 1952.Crossref 36. Heath, R.G.: Electrical Self-Stimulation of the Brain in Man , Amer J Psychiat 120:571-577, 1963. 37. Mahl, G.F., et al: Psychological Responses in the Human to Intracerebral Electrical Stimulation , Psychsom Med 26:337-368, 1964.Crossref 38. Powell, E.W., et al: Hypothalamic Seizures From Stimulation of Rhinencephalon and Isocortex in Cat , Neurology 7:689-696, 1957.Crossref 39. Faeth, W.H.; Walker, A.E.; and Andy, O.J.: The Propagation of Cortical and Subcortical Epileptic Discharge , Epilepsia 3:37-48, 1954.Crossref 40. Northfield, D.W.C.: Discussion on Surgery of Temporal Lobe Epilepsy , Proc Roy Soc Med 51:607-610, 1958. 41. Jasper, H.H.; Pertuisset, B.; and Flanigan, H.: EEG and Cortical Electrograms in Patients With Temporal Lobe Seizures , Arch Neurol Psychiat 65:272-290, 1951.Crossref 42. Stevens, J.R., et al: Central and Peripheral Factors in Epileptic Discharge: Part II , Arch Neurol 11:463-476, 1964.Crossref

Journal

Archives of General Psychiatry – American Medical Association

Published: May 1, 1966

There are no references for this article.