Nervous and mental diseases . ty of the conspirators toread off and taunt the patient withhis own most secret thoughts isa particularly refined species ofdeviltry, as well as evidence of theextraordinary psychological power of his tormentors. The voice which speaks his thoughts, or answershis thoughts before he can himself utter them, may be referred to theexternal world or to some part of his own body. This phenomenonhas been variously termed echoing of the thoughts, motor representationof articulation, and verbal psychomotor hallucination. It depends uponthe close relation existing from earl


Nervous and mental diseases . ty of the conspirators toread off and taunt the patient withhis own most secret thoughts isa particularly refined species ofdeviltry, as well as evidence of theextraordinary psychological power of his tormentors. The voice which speaks his thoughts, or answershis thoughts before he can himself utter them, may be referred to theexternal world or to some part of his own body. This phenomenonhas been variously termed echoing of the thoughts, motor representationof articulation, and verbal psychomotor hallucination. It depends uponthe close relation existing from earliest infancy between the auditoryword-center and the motor speech-center. Any irritation of this audi-tory area is immediately, synchronously, irradiated to the motor speech-center. Howev^er slight this stimulation of the speech-muscles, recur-rent sensations of movement in them are carried back to the brain,giving rise to the hallucinations of internal hearing. The patient is driven by his delusions to make complaints to the. inoiac with homicidalisiiig froiiiuto graudiose stage (Dr. Atwood). olH.—Young parleudeucies at period of passing from persecutory 840 MENTAL DISEASES. police, to judges, or to the governor of the State, the President, or othergovernment or judicial authorities. Not infrequently he attempts, him-self, to wreak vengeance upon one or more of his imaginary at homicide are, therefore, common in these cases. Thewriter had in his charge at the Poughkeepsie Asylum, for some years,Ernest Duborgue, a persecutory paranoiac, who, many years ago, ranthrough Fourteenth Street, New York, stabbing women right and leftwith a pair of compasses. More often they seek to escape from theirenemies by constant change of residence. The third stage, the expansive period, or the period of transforma-tion of personality, is often induced by the patients attempt at a logicalexplanation of the cause of the persecution. Since he has so manyenemies, and every mans ha


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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys