English: Identifier: 39002086343333.med.yale.edu

Title: A treatise on mental diseases Year: 1900 (1900s) Authors: Berkley, Henry Johns,1860- Subjects: Insanity Mental Disorders Publisher: New York, D. Appleton & Company Contributing Library: Yale University, Cushing/Whitney Medical Library Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Text Appearing Before Image: [...] integrity. The force of the disease being spent upon the higher levels of intellectual life, there results a total destruction of the mind in all its aspects. Only the body now remains, with its automatic and vegetative functions intact, a ship the (intellectual) engines of which have become worn out and incapable of movement, leaving only the hull, useful perhaps as a carrier of burdens under the guidance of other more active vessels. Even this capacity lasts only a limited time, before the now useless hulk has to be laid up in dock, to decay or presently to be broken up. 168 A TREATISE UN MENTAL DISEASES The change in the intellectual life of the patient is well shown in the altered physiognomy, which is wanting in mimetic expression. The facial innervation is irregular, resulting in dissimilar action of homologous groups of muscles, so that at times one side may show activity of the muscular groups while the other remains passive. This lack of innervation is especially noticeable about the [...]

Text Appearing After Image: Fig. 17.—Catatonia following an Attack of Melancholia. The patient is mute, requiring to be fed with a spoon, and will remain for hours in any forced position in which she is placed. The face is entirely devoid of expression. The left hand is seen to be permanently contractured. The photograph was taken after the arms had remained elevated for twenty minutes. Muscles at the angles of the eyes and mouth, resulting in a passive leer. The loss of tone in the orbicularis also permits the constant dribbling of saliva, rendering the patients very difficult to keep clean. Trophic disturbances are not uncommon. Early appearances of senility in the form of grayness of the hair, disappearance of the subcutaneous fat, wrinkling and dryness of the skin, are noticeable. Vasomotor pareses, shown by the blueness of the extremities, low tension of the arteries, and cedematous conditions of the feet are STATES OF PSYCHICAL ENFEEBLEMENT 169 equally frequent. Arteriosclerosis is present in a large proportion of [...]

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