Handbook of insanity for practitioners and students . SECONDARY DEMENTIA. 261 distinct melancholic depression, the disordered sleep, andthe occasional manifestations of the vivid mental life willsoon enable us to arrive at a diagnosis. The second form of dementia, so-called secondary de-mentia, is a terminal condition of other mental diseasesand is very frequent. When the highest grades arereached it usually remains permanent, but it may alsoundergo notable improvement, although it never disap-pears entirely. It is divided into agitated and apatheticdementia. In agitated dementia there is more
Handbook of insanity for practitioners and students . SECONDARY DEMENTIA. 261 distinct melancholic depression, the disordered sleep, andthe occasional manifestations of the vivid mental life willsoon enable us to arrive at a diagnosis. The second form of dementia, so-called secondary de-mentia, is a terminal condition of other mental diseasesand is very frequent. When the highest grades arereached it usually remains permanent, but it may alsoundergo notable improvement, although it never disap-pears entirely. It is divided into agitated and apatheticdementia. In agitated dementia there is more or less patient exhibits a disconnected frivolous dotage andmobile grimaces. We find a stupid play of expression,without vivid affect: stupid smiles or tearful grimaces, achildish, foolish, stupid demeanor. The patients run toand fro, laugh, dance, and sing; some are constantlycheerful, others are tearful, others exhibit alternations ifdisturbed in any movement. Many perform monotonousmovements in endless repetition, sometimes of a v
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