By Robert Miller ONZM B.A. B.Sc. Ph.D., John Dennison J.P. M.Sc. B.A.
This paintings is a suite of Carl Wenicke’s lectures on neuropsychiatry translated into English for the 1st time. starting with easy ideas approximately common mind functionality, the booklet strikes to medical themes, dealing first with power psychological problems and 'paranoid states', after which to the extra complicated zone of acute psychological problems. a few of the featured issues are nonetheless clinically suitable, and issues of latest debate. Carl Wernicke is likely one of the pioneers of neurology and psychiatry; clinicians, researchers and historians will locate this of significant interest.
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Extra info for An Outline of Psychiatry in Clinical Lectures: The Lectures of Carl Wernicke
The whole behaviour, demeanour, and ‘the doing and the allowing’ [W] of an individual in given situations—collectively, all his expressions by means of movement—insofar as they are neither expressive nor reactive movements, belong amongst the initiative movements. 2 Lecture 2 Nervous excitation, which takes place along the pathway sAZm can be likened to a reﬂex process, and we can designate this pathway as a ‘psychic reﬂex arc’ [W]. The movement activated from m then appears as the result—a discernible consequence—of this activation.
For this, comparison with retinal afterimages is particularly instructive, since these belong to the same sensory modality. How far is the comparison accurate and justiﬁed? As mentioned, we can trace retinal after-images speciﬁcally to long-lasting excitation of retinal ganglion cells by a stimulus; and, by special arrangements of such excited cells, an image is formed and referred to a particular position in space. This image is of limited duration. Let us assume that similar cells—call them ‘perception cells’ [W]— are also to be found in central projection ﬁelds of the optic nerve, where projection ﬁbres end.
We exclude here only intentional movements of which other people are aware before they reach the consciousness of the patient himself or herself. 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.