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Mania: with special reference to its acute variety

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MacKenzieTC_1908redux.pdf (24.10Mb)
Date
1908
Author
MacKenzie, Theodore Charles
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Abstract
 
 
Morbid mental exaltation and excitement, differing in degree and nature, are phenomena of so frequent occurrence among the insane, and present so many problems for solution as to their causation, prevention and treatment, that I have been induced to offer the following statements and observations regarding them in the form of a Thesis. In the course of my experience as an Assistant- Physician, first in the Royal Edinburgh Asylum and latterly in the Royal Aberdeen Asylum, a very large number of cases, occurring in both sexes, have come under my care, in which maniacal excitement has been a prominent feature. Such cases present many difficulties, not only to the Asylum physician, but also to the general practitioner whose patients they may have been before their admission to the Asylum, and also, but much less frequently, to the lawyer, whose intervention may be called for on account of conduct by the patient that brings him within the arm of the Law. The treatment of maniacal excitement, in its acute or delirious, impulsive, and chronic or recurrent forms, is one of the most difficult problems in asylum medical work. My experience so far seems to teach me that it is futile to lay down any hard and fast rule as to the treatment of any one form of mania. In the treatment of mental disease, even more so than in the general practice of medicine, it is of the utmost importance to treat the individual as well as the form of disease from which he suffers . Much uncertainty and difference of opinion exist at present among alienists as to the precise meaning to be attached to many of the terms employed in the description and classification of mental diseases. The term mania itself has been a frequent and hitter hone of contention. On the one hand, its meaning has been so extended by some as to include almost any form of mental disturbance exhibiting excitement or exaltation: on the other, so restricted, that other authorities state that mania is the rarest form of mental disease.
 
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http://hdl.handle.net/1842/35060
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  • Edinburgh Medical School thesis and dissertation collection

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