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CONSTITUTIONAL DIFFERENCES BETWEEN DETERIORATED AND NONDETERIORATED PATIENTS WITH EPILEPSY: I. STIGMAS OF DEGENERACY

CONSTITUTIONAL DIFFERENCES BETWEEN DETERIORATED AND NONDETERIORATED PATIENTS WITH EPILEPSY: I.... Abstract For a few years prior to 1927 one of us (H. A. P.) had the opportunity to observe patients with epilepsy in a state hospital. These patients presented characteristic changes in personality: loss of interest, practical inefficiency, excessive religious devotion, virtuous posturing, failure of memory, irritability, egocentricity, disorders of behavior, inactivity, vanity and boastfulness—changes typical of the textbook description of deterioration associated with epilepsy. For a few years after 1927 the same one of us (H. A. P.) was assistant to Dr. Hugh T. Patrick in his private practice and observed under the guidance of this master patients with epilepsy who applied to him for treatment. These presented an entirely different picture, one in which the changes in personality just mentioned were absent. These patients were making their way in their own social, economic, business, artistic and professional worlds with the same ease and grace as their fellowmen; not a References 1. Paskind, H. A.: Extramural Patients with Epilepsy, with Special Reference to the Frequent Absence of Deterioration , Arch. Neurol. & Psychiat. 28:370 ( (Aug.) ) 1932. 2. Paskind, H. A., and Brown, Meyer: Frequency of Epilepsy in Offspring of Persons with Epilepsy , Arch. Neurol. & Psychiat. , this issue, p. 1045. 3. We do not regard the term "stigma of degeneracy" as particularly fortunate; perhaps it should never appear without quotation marks. "Degeneracy" is a word of strong flavor but vague meaning, and stigma carries an unnecessary context of infamy. Perhaps anatomic developmental anomaly would be a more accurate, although less picturesque, term, for that is what stigma of degeneracy implies. However, since the expression is so firmly entrenched in the literature, we have thought best to employ it for the purposes of this communication. 4. Tredgold, A. F.: Mental Deficiency , New York, William Wood & Company, 1920. 5. Dana, C. L.: Textbook of Nervous Diseases , New York, William Wood & Company, 1925. 6. Church, A., and Peterson, F.: Nervous and Mental Diseases , ed. 10, Philadelphia, W. B. Saunders Company, 1923. 7. Turner, W. A.: Epilepsy: A Study of the Idiopathic Disease , London, Macmillan and Company, 1907. 8. Knecht: Ueber die Verbreitung physischer Degeneration bei Verbrechern und die Beziehungen zwischen Degenerationszeichen und Neuropathien , Allg. Ztschr. f. Psychiat. 40:584, 1883. 9. Sollier, A.: De l'état de la dentition chez les enfants idiots ou arrières, Thèse de Paris, no. 4, 1887. 10. Féré, C.: Les épilepsies et les épileptiques , Paris, Félix Alcan, 1890. 11. Clouston, T. S.: The Neuroses of Development , Edinburgh, Oliver & Boyd, 1891. 12. Ganter, R.: Ueber Degenerationszeichen (von Iris, Ohr, Zähnen, usw.) bei Gesunden, Geisteskranken, Epileptikern und Idioten , Allg. Ztschr. f. Psychiat. 70:205, 1913. 13. Talbot, E. S.: Irregularities of the Teeth , Philadelphia, S. S. White, 1903. 14. Charon, cited by Church and Peterson.6 15. Nöcke, cited by Church and Peterson.6 16. Higier, H.: Pathologie der angeborenen familiären und hereditären Krankheiten, speziell der Nerven- und Geisteskrankheiten , Arch. f. Psychiat. 48:41, 1911. 17. Bittorf, quoted by Higier.16 18. Turner, J.: The Pathology of Epilepsy , Brit. M. J. 1:496, 1906. 19. Turner, J.: The Pathological Anatomy and Pathology of Epilepsy , J. Ment. Sc. 53:1, 1907. 20. Kraepelin, E.: Psychiatrie , Leipzig, J. A. Barth, 1913, vol. 3. 21. Wohlwill, F.: Entwicklngsstörungen des Gehirns und Epilepsie , Ztschr. f. d. ges. Neurol. u. Psychiat. 33:261, 1916. 22. Bauer, J.: Konstitution und Nervensystem , Ztschr. f. d. ges. Neurol. u. Psychiat. 15:161 and 337, 1918. 23. Spielmeyer, W.: Der gegenwärtige Stand der Epilepsieforschung , Ztschr. f. d. ges. Neurol. u. Psychiat. 89:360, 1924. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

CONSTITUTIONAL DIFFERENCES BETWEEN DETERIORATED AND NONDETERIORATED PATIENTS WITH EPILEPSY: I. STIGMAS OF DEGENERACY

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Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1936.02260110122009
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Abstract

Abstract For a few years prior to 1927 one of us (H. A. P.) had the opportunity to observe patients with epilepsy in a state hospital. These patients presented characteristic changes in personality: loss of interest, practical inefficiency, excessive religious devotion, virtuous posturing, failure of memory, irritability, egocentricity, disorders of behavior, inactivity, vanity and boastfulness—changes typical of the textbook description of deterioration associated with epilepsy. For a few years after 1927 the same one of us (H. A. P.) was assistant to Dr. Hugh T. Patrick in his private practice and observed under the guidance of this master patients with epilepsy who applied to him for treatment. These presented an entirely different picture, one in which the changes in personality just mentioned were absent. These patients were making their way in their own social, economic, business, artistic and professional worlds with the same ease and grace as their fellowmen; not a References 1. Paskind, H. A.: Extramural Patients with Epilepsy, with Special Reference to the Frequent Absence of Deterioration , Arch. Neurol. & Psychiat. 28:370 ( (Aug.) ) 1932. 2. Paskind, H. A., and Brown, Meyer: Frequency of Epilepsy in Offspring of Persons with Epilepsy , Arch. Neurol. & Psychiat. , this issue, p. 1045. 3. We do not regard the term "stigma of degeneracy" as particularly fortunate; perhaps it should never appear without quotation marks. "Degeneracy" is a word of strong flavor but vague meaning, and stigma carries an unnecessary context of infamy. Perhaps anatomic developmental anomaly would be a more accurate, although less picturesque, term, for that is what stigma of degeneracy implies. However, since the expression is so firmly entrenched in the literature, we have thought best to employ it for the purposes of this communication. 4. Tredgold, A. F.: Mental Deficiency , New York, William Wood & Company, 1920. 5. Dana, C. L.: Textbook of Nervous Diseases , New York, William Wood & Company, 1925. 6. Church, A., and Peterson, F.: Nervous and Mental Diseases , ed. 10, Philadelphia, W. B. Saunders Company, 1923. 7. Turner, W. A.: Epilepsy: A Study of the Idiopathic Disease , London, Macmillan and Company, 1907. 8. Knecht: Ueber die Verbreitung physischer Degeneration bei Verbrechern und die Beziehungen zwischen Degenerationszeichen und Neuropathien , Allg. Ztschr. f. Psychiat. 40:584, 1883. 9. Sollier, A.: De l'état de la dentition chez les enfants idiots ou arrières, Thèse de Paris, no. 4, 1887. 10. Féré, C.: Les épilepsies et les épileptiques , Paris, Félix Alcan, 1890. 11. Clouston, T. S.: The Neuroses of Development , Edinburgh, Oliver & Boyd, 1891. 12. Ganter, R.: Ueber Degenerationszeichen (von Iris, Ohr, Zähnen, usw.) bei Gesunden, Geisteskranken, Epileptikern und Idioten , Allg. Ztschr. f. Psychiat. 70:205, 1913. 13. Talbot, E. S.: Irregularities of the Teeth , Philadelphia, S. S. White, 1903. 14. Charon, cited by Church and Peterson.6 15. Nöcke, cited by Church and Peterson.6 16. Higier, H.: Pathologie der angeborenen familiären und hereditären Krankheiten, speziell der Nerven- und Geisteskrankheiten , Arch. f. Psychiat. 48:41, 1911. 17. Bittorf, quoted by Higier.16 18. Turner, J.: The Pathology of Epilepsy , Brit. M. J. 1:496, 1906. 19. Turner, J.: The Pathological Anatomy and Pathology of Epilepsy , J. Ment. Sc. 53:1, 1907. 20. Kraepelin, E.: Psychiatrie , Leipzig, J. A. Barth, 1913, vol. 3. 21. Wohlwill, F.: Entwicklngsstörungen des Gehirns und Epilepsie , Ztschr. f. d. ges. Neurol. u. Psychiat. 33:261, 1916. 22. Bauer, J.: Konstitution und Nervensystem , Ztschr. f. d. ges. Neurol. u. Psychiat. 15:161 and 337, 1918. 23. Spielmeyer, W.: Der gegenwärtige Stand der Epilepsieforschung , Ztschr. f. d. ges. Neurol. u. Psychiat. 89:360, 1924.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Nov 1, 1936

References