The Modern Treatment of Nervous and Mental Diseases, Tom 2

Przednia okładka
William Alanson White, Smith Ely Jelliffe
Lee & Febiger, 1913 - 800
This volume, devoted to the treatment of nervous and mental diseases, is designed to meet the needs which the rapid advances in knowledge of neurology and psychiatry have created. The nervous system is here regarded as a whole and as inclusive of the mind, and it is maintained that disturbances of any and all of its functions, mental as well as physical, are proper subjects for therapeutics. The present work lays emphasis upon the psychical side of life as being worth quite as much consideration as the physical. It sets forth doctrines of nervous and mental hygiene, reconstructive factors in social organization as applied to human ills, and endeavors to present a broad front to the pessimistic nihilism in therapeutics that has been too long current in these fields, because the doctor's eyes have been too closely focused on the individual examples and results of human accidents. Neurology and psychiatry offer the widest possible opportunities for preventive medicine as well as for therapeutic optimism. The program here presented is essentially therapeutic. Planned as it has been on a broad scale, the more practical issues confronting the clinician have, nevertheless, been fully met. The editors have sacrificed philosophical views for more definite guideposts wherever, in the present state of our knowledge, such a course seemed wiser. (PsycINFO Database Record (c) 2005 APA, all rights reserved).

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Strona 55 - The fibres, subserving this form of sensation, run mainly with the motor nerves, and are not destroyed by division of all the sensory nerves to the skin.
Strona 652 - I would say that the centre of volition is of very great extent: it reaches from the corpora striata in the brain down the entire length of the anterior horns of the grey matter of the spinal cord, and includes the locus niger in the erus cerebri, and much of the vesicular matter of the mesocephale and of the medulla oblongata.
Strona 57 - These characteristics are of the utmost importance; many cases of ' nerve injury have been overlooked from failure to recognize these facts. The point of a pin and all temperatures are unappreciated within an area which varies somewhat in each case (loss of protopathic sensibility). Surrounding this area and corresponding closely to the distribution of the nerve as figured in anatomical text-books is a territory within which the patient is unable to appreciate light touches with cotton-wool and temperatures...
Strona 695 - It is begun again at reduced dosage after the above symptoms have subsided. At the tenth hour after the initial dose of morphine is given, the patient is again given five compound cathartic pills and 5 grains of blue mass. These- should act in six or eight hours after they have been taken. If they do not act at this time some vigorous saline is given, and when they have acted thoroughly the second dose of morphine is given, which is usually about the eighteenth hour. This should be onehalf the original...
Strona 63 - Nor do the two lines simply run together: there is some point of balance between the end of the first and the beginning of the second, a pause, a meditative silence like a rest in music.
Strona 89 - It should be exposed through an incision along the anterior border of the sternomastoid, and an attempt made to perform secondary suture. If it be impossible to bring the ends into contact or to find the upper end, the peripheral end should be anastomosed to the anterior primary division of the third and fourth cervical nerves.
Strona 695 - A patient addicted to morphine is given five compound cathartic pills and 5 grains of blue mass, and six hours later, if these have not acted, they are followed by a saline ; after three or four abundant movements of the bowels from these cathartics the patient is given, in his habitual way, by mouth or by hypodermic, in three divided doses at...
Strona 60 - The surface of all the affected parts was glossy and shining, as though it had been skilfully varnished. Nothing more curious than these red and shining tissues can be conceived of. In most of them the part was devoid of wrinkles and perfectly free from hair. Mr. Paget's comparison of chilblains is one we often used to describe these appearances, but in some instances we have been more strikingly reminded of the characters of certain large, thin, and polished scars.
Strona 80 - I consider it is justifiable only when, in addition to the nerve injury, there is non-union of the fracture. The possibility of utilizing neighboring nerves attracted the attention of investigators at an early date. Two distinct operations are included — nerve crossing and nerre anastomosis. In nerve anastomosis an attempt is made to bring the axis-cylinders of the affected nerve into end-to-end contact with some of those of the sound nerve; in nerve crossing the peripheral end of the affected...
Strona 511 - ... cases there has been a determined effort to get rid of the trouble and perfect good faith on the part of the patient, yet I have had the feeling that at the bottom of his soul the patient really did not wish to be cured. This reminds one of some forms of hysteria, psychasthenia, and neurasthenia, where the disease is really produced by the patient in order to obtain some end, although he is absolutely unconscious of this self-production. It may be suggested that stuttering is a defect which tends...

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