Nervous and mental diseases . logorrhea is so pronounced that it is impossible to find clues to any association, Avhether of soundor idea. It becomes a chaos of words, consequent upon an actual dis-sociation of the ideas in the rushing stream of thought—a secondaryincoherence. The entire loss of inhibitory control of ideas is especiallyshown in the absolute lack of modesty, in the tendency to the employ-ment of vulgar and obscene words and expressions. This profanityand obscenity become all the more astonishing by contrast, when it isobserved, as it often is, even in the most refined and cultu
Nervous and mental diseases . logorrhea is so pronounced that it is impossible to find clues to any association, Avhether of soundor idea. It becomes a chaos of words, consequent upon an actual dis-sociation of the ideas in the rushing stream of thought—a secondaryincoherence. The entire loss of inhibitory control of ideas is especiallyshown in the absolute lack of modesty, in the tendency to the employ-ment of vulgar and obscene words and expressions. This profanityand obscenity become all the more astonishing by contrast, when it isobserved, as it often is, even in the most refined and cultured of women. The attention of the patient with mania is extraordinarily increased,so that the most insignificant trifle in his environment does not escapehim. But this very increase of the power of attention, combined as itis with an unpausing stream of ideas, entails an absolute lack of con-centration. His attention can not be held a moment. The patientsmemory, too, seems preternaturally intense, and it is remarkable how,. Lpuerp 788 MENTAL DISEASES. after recovery, he may remember all the details of his delirious activitywith great distinctness. Indeed, the patient, in the midst of the chaoticturmoil of his mind, often recognizes, as if he stood apart from andjudged himself, the very madness of his fancies and acts. The judg-ment-associations are, in fact, normal. The elated mood and rapid flow of ideas give rise to delusions ofexpansive character, mostly in regard to strength, beauty, and intel-lectual powers, but often also in relation to wealth, social position, severe cases there are the most marked delusions of grandeur, thepatient affirming himself or herself to be a prince, president, king,queen, Christ, the bride of Christ, the mother of God, etc. A peculiarityof these affirmations is their transitory character, their patient will, in the same breath, call himself a millionaire, broker,and king, and in the next a minister of the gospel and rai
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