Postencephalitic respiratory disorders : review of syndromy, case reports, physiopathology, psychopathology and therapy / by Smith Ely Jelliffe.

Smith Ely Jelliffe

Date:: 1927

Credit: Postencephalitic respiratory disorders : review of syndromy, case reports, physiopathology, psychopathology and therapy / by Smith Ely Jelliffe. Source: Wellcome Collection.

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$PART II Report of Two Cases as Paradigms Case I This particular case is of considerable interest not only because he made a complete recovery during psychoanalytic therapy (see Witzel’s cases), but also because he has been under observation for nearly a year and was reported by C. W. Burr, who had him under treatment. Hence any personal ideas of how sick he was or was not can be further interpreted in the light of Burr’s report. I therefore give Burr’s description first and append my own later. Certain small inaccuracies in Burr’s description are questioned ( ?). Case l.5 History. [Compare this with report later appearing.] This case shows the influence of soil, the kind of protoplasm one is born with, in determining the results of acquired disease. If the youth had had a different heredity, he would have presented a different clinical picture, because different protoplasms react differently to the same stimuli. Had the physicians who examined him before he came under my care learned the family history before making their diagnoses, there would not have been such great differences in their opinions. Forming their opinions on a mere cross section of his life, his condition on one day, one diagnosed hysteria, another dementia precox, a third high grade imbecility and the fourth petit mal. He came of highly intelligent but uneducated German-Russian Jewish stock. His mother was very neurotic, indeed hysterical, and his father was subject to outbursts of causeless anger, followed by periods of depression. ( ?) Neither parent knew how to train and guide a boy born, as this boy was, with abnormal tendencies. The patient during childhood and early boyhood was bright but neurotic, and presented no marked abnormalities in conduct or behavior until he was seventeen years old, when he began to have a respiratory tic, (?) for which I could find no exciting cause. At first he had many attacks daily, of rapid, noisy expiration lasting a minute or two. Some months later, his nose was fractured, and the resulting obstruction increased the severity but not the frequency of the tic. The nose was operated on, and soon after he passed through an attack of scarlet 5 Burr, Charles W. Sequelae of Epidemic Encephalitis Without Any Preceding Acute Illness (Chronic Encephalitis). Am. Arch. Neur. & Psych., XIV, 1925, p. 20. Case I.$