. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . characteristic of the disease. The insane pa-tient malces fewand ineffectual at-tempts at disguis-ing the feelingswiiich oppresshim. The con-flicting emotionsby which he isdisturbed are re-flected throughthe various motortiacts to the face,and as a result wemay often readthe character ofthe delusionswhich preoccupythe mind. Thusthe expression ofthe countenancein acute melan-cholia is generallj quite chaiacteristic of a depressedstate of the feelings; and what is e
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . characteristic of the disease. The insane pa-tient malces fewand ineffectual at-tempts at disguis-ing the feelingswiiich oppresshim. The con-flicting emotionsby which he isdisturbed are re-flected throughthe various motortiacts to the face,and as a result wemay often readthe character ofthe delusionswhich preoccupythe mind. Thusthe expression ofthe countenancein acute melan-cholia is generallj quite chaiacteristic of a depressedstate of the feelings; and what is especially noteworthyis the fact that this diseased expression is far more in-tense than would be the expression of similar emotions .*«^; riG. 2821.—Case LV. Acute and characteristic Innervation ofDarwins grief muscles. Intense motordisturbance. (From photograph taken byauthor.) 55 ). REFERENCE HANDBOOK OP THE MEDICAL SCIENCES. in tlie same individual in liealUi. Impaired inhibitiondoes not exercise any rustrainiug iutiueiicc upon thecountenance, and, wlictlier alone or in the presence of. are another evidence of the inability of the patient,through impaired inhibition, to control the outwardmanifestation of the inner feelings. These same feelingsexist in health, oftentimes vvitirgreat intensitj, and yethow perfectly are they concealed! In this connection itis interesting to note that in the weaker mental condi-tions of childliood these same feelings and emotions arefrequently and as clearly represented in changes of facialexpression as are the corresponding emotional states inthe faces of the adult insane. The main difference liesin this fact, linwevcr. lh;it in cliililhood inhibition through
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