. Dementia praecox and paraphrenia . re and more. Theydo not speak much about themon their own initiative or theymention them without empha-sis like other indifferent sub-jects and do not become excitedabout them any more. Manypatients still hand in from time to time documents withmonotonous repetition of their former complaints and claims,possibly even still fall into excitement if one investigatestheir delusions, but accustom themselves to some or otherregular employment. While the expression of their exaltedideas can still be recognized in their peculiar adornment,as in the patient pictured
. Dementia praecox and paraphrenia . re and more. Theydo not speak much about themon their own initiative or theymention them without empha-sis like other indifferent sub-jects and do not become excitedabout them any more. Manypatients still hand in from time to time documents withmonotonous repetition of their former complaints and claims,possibly even still fall into excitement if one investigatestheir delusions, but accustom themselves to some or otherregular employment. While the expression of their exaltedideas can still be recognized in their peculiar adornment,as in the patient pictured in Fig. 32, they yet adaptthemselves in other matters without resistance to the dailyroutine of institution life. The rex totius mundi occupieshimself with work in the garden, the Lord God with carry-ing wood, the Bride of Christ with sewing and course this change always goes alongside of a blunting ofthe emotions. The patients have become more indifferent;the circle of their interests, wishes, hopes, has narrowed itself. Fig- patient with ornaments. CLINICAL FORMS 177 considerably; their mental activity and their endeavour areextinguished. At the same time all sorts of traces of theformer volitional disorders may still be preserved, singulari-ties in behaviour and especially in speech. The form here described seems to be just about as frequentas the former. Temporary disappearance of all morbidsymptoms might occur once in a while quite were observed in 5 per cent, of the cases. Here alsoaccordingly the whole history of the disease is unfavourable ;the course is slowly progressive. To the male sex belonged53 per cent, of my patients, a proportion that possibly is ex-plained by the fact that in Heidelberg numerous vagrantsand prisoners from the neighbouring convict prisons wereadmitted, who with special frequency fall ill in the wayindicated here. Causes.—About the cause of this remarkable processonly hypotheses can be made. It mi
Size: 1157px × 2159px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookiddementiaprae, bookyear1919
