Mental medicine and nursing : for use in training-schools for nurses and in medical classes and a ready reference for the general practitioner . degenerative processin the central nervous system and is character-ized by a gradual progressive enfeeblement of allof the powers of the mind. Symptoms.—There are in these individuals a MENTAL MEDICINE AND NURSING diminished capacity for work, faulty judgment,defective memory, occasional delusions, the mostcharacteristic of which is marital infidelity ;and also various nervous symptoms. It is amatter of common observation that the steadyhard drinker d
Mental medicine and nursing : for use in training-schools for nurses and in medical classes and a ready reference for the general practitioner . degenerative processin the central nervous system and is character-ized by a gradual progressive enfeeblement of allof the powers of the mind. Symptoms.—There are in these individuals a MENTAL MEDICINE AND NURSING diminished capacity for work, faulty judgment,defective memory, occasional delusions, the mostcharacteristic of which is marital infidelity ;and also various nervous symptoms. It is amatter of common observation that the steadyhard drinker deteriorates morally; that his will power is di-minished; inshort, he be-comes a slaveto his appe-tite. He turnsout to be un-reliable, un-truthful, with-out ambitionor even thefeeling of self-respect. Healso gets neg-lectful of thefuture andbecomes lostto all sense ofduty to him-self and hisfamily. There are a number of distinct disease entities be-longing to this group. The more important are:— i. Delirium tremens, which is characterized bya rather sudden development of numerous fan-tastic hallucinations, mostly of sight and hearing,. Fig. 39.—Alcoholism. (Weygandt). FORMS OF MENTAL DISEASES indefinite and changing delusions, chiefly of fear,with confusion, restlessness, tremor and ataxic dis-turbances, with rapid course and good prognosis. Many chronic alcoholics develop what in theirparlance is called a touch of the horrors,which in reality is an abortive form of deliriumtremens. 2. Alcoholic hallucinosis, which is character-ized by the sudden development of delusions ofpersecution, based mostly upon hallucinationsof hearing. 3. Korsakoffs psychosis, which is a form asso-ciated with polyneuritic symptoms and a tend-ency to fabrications of memory. 4. Alcoholic pseudoparesis. On a groundworkof mental enfeeblement develops a true expansivedelirium, combined with ataxia, speech defects,and muscular weakness. 5. Dipsomania, which is a periodic impulse ina neuropathic subject
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