FIG. 5.-Psychopathic Pavilion. Second-floor plan. Shows location of operating amphitheater, etc., in center. FIG. 6.-Surgical Amphitheater. Psychopathic pavilion for women. A STUDY OF THE AUTO AND SOMATOPSYCHIC REACTION IN FOUR CASES OF DEMENTIA PRÆCOX.* By WM. BURGESS CORNELL, Assistant Physician, Sheppard and Enoch Pratt Hospital, Towson, Md. The dementia præcox group seems ever widening to include increasing numbers of variations from the three older sub-types, hebephrenic, catatonic and paranoid. The clinical method of Kraepelin has been of an undoubted value in the comprehensive consideration of symptoms and description of the case as a whole, as well as in the grouping together of these cases to form a nosological entity upon which in a practical manner prognostic, diagnostic and therapeutic measures can be based. The application of Wernicke's psychological analysis has lent further assistance in the description and study of single symptoms. Wernicke distinguishes primary and secondary identification or sensation, and assumes that secondary identification, which comprehends all the functions implied in mental grasp and elaboration, is the seat of disorder in all mental disease. Secondary sensation is divided into auto-, allo- and somatopsychic fields, or subjective consciousness as relates to the ego, its projection and environment, and its reciprocal relation to the body. Furthermore, disorders such as occur chiefly in the sensory sphere are termed psychosensory, those of thinking, intrapsychic and those mostly involving the motor mechanisms, psychomotor. The elaboration of such methods has led to an individual psychology, which makes each case of mental disorder a variant from others, and through which Breuer and Freud, and later Bleuler and Jung, have inaugurated a new epoch in psychiatry by such works as the "Diagnostische Association Studien,” “Affectivität, Suggestibilität, Paranoia," "Psychopathologie des Alltagsleben" and "Die Traumdeutung." Tiling as well as Freud came early to the conclusion that the importance of the individuality in the origin and the formation of *Read at the sixty-fifth annual meeting of the American MedicoPsychological Association, Atlantic City, N. J., June 1-4, 1909. |