By Robert Miller ONZM B.A. B.Sc. Ph.D., John Dennison J.P. M.Sc. B.A.
This paintings is a set of Carl Wenicke’s lectures on neuropsychiatry translated into English for the 1st time. starting with uncomplicated options approximately common mind functionality, the publication strikes to medical subject matters, dealing first with power psychological issues and 'paranoid states', after which to the extra advanced zone of acute psychological problems. a few of the featured subject matters are nonetheless clinically appropriate, and issues of latest debate. Carl Wernicke is without doubt one of the pioneers of neurology and psychiatry; clinicians, researchers and historians will locate this of serious interest.
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Extra resources for An Outline of Psychiatry in Clinical Lectures: The Lectures of Carl Wernicke
You will notice at once that it is actually only reactive movements that can be compared with reﬂex processes in the manner outlined. These may, as in the initial example, be a spoken word or other arbitrary movement; it is always taken as completely spontaneous, yet still the consequence of an external stimulus—one based again on motor processes. However, one can ask: What is the situation for the other types of movement— expressive movements and initiative movements? Obviously, these can be seen from the same perspective; for, quite apart from the question raised about initiative movements, whether they arise totally without external triggers, we can fairly replace external stimuli by memory traces of past stimuli.
Since patients may gabble a great deal of nonsense using formally correct speech, then the feelings expressed, despite having quite correct form, can still be aberrant; and so can their actions be formally correct but incorrect in content. In these cases therefore, we need not assume any disturbance of psychomotor identiﬁcation, but are forced to seek disturbance further back in the reﬂex arc. This corresponds to common idiom, and the habit of completely ignoring a patient’s mechanism of sharing his or her internal thoughts, expressing feelings, and so on as self-evident.
If these movements amount to speech, we face the same situation although more tangibly and obviously than for other movements. Symptomatology of psychiatric patients therefore has movements as its focus, insofar as they appear to be functions of the organ of consciousness, in other words, the organ of association. Here we encounter the only limitation on the generality of the above sentence: Of course, some movements are independent of consciousness, such as those controlled by the autonomic nervous system, those of the heart, respiration, vessel walls, and viscera; and most reﬂex movements belong here.
An Outline of Psychiatry in Clinical Lectures: The Lectures of Carl Wernicke by Robert Miller ONZM B.A. B.Sc. Ph.D., John Dennison J.P. M.Sc. B.A.