Clinical psychiatry : a textbook for students and physicians, abstracted and adapted from the 6th German edition of Kraepelin's "Lehrbuch der psychiatrie" / by A. Ross. Diefendorf.
- Emil Kraepelin
- Date:
- 1904
Licence: Public Domain Mark
Credit: Clinical psychiatry : a textbook for students and physicians, abstracted and adapted from the 6th German edition of Kraepelin's "Lehrbuch der psychiatrie" / by A. Ross. Diefendorf. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![flight of ideas the course always tends toward changing and hence never attained goals, and is, therefore, always entering new circles; in this form, on the other hand, the train of thought does not progress at all in any one direc- tion, but only wanders with numerous and bewildering digressions in the same general paths. Distractibility through internal and external influences may also be present to a marked degree, but the newly aroused ideas do not serve as bases for others, but simply intrude into the desultory train of thought in an incoherent manner. In this way it is often possible, in the midst of their inco- herent jumble, to obtain coherent replies to questions. The following is an example of this (the physician's ques- tions are enclosed in brackets): [Why are you here ?] Because I am the empress. The dear parents were already there and everything was already there and had given me permission. I have also learned stenography. Why, David, how are you ? Even a member of the reserve, megalomania, empress. [Do you feel well ?] Oh, thanks, very well, since the government has given me permission we will be good friends. Oh, God! my brother, Carl David the first and Olga. Ah, let me write something. [Why are you here ?] Insane. Megalomania. [What is that ?] Nothing, noth- ing at all. [How old are you ?] 22-7-1872. [Will you come again ?] I do not know. When he comes I will not run after him (laughs). I must always be close (claps her hands). I have nothing (grasps at the watch chain). But the chain is nothing. Now I will at once see what time it is. This example does not show, however, the repetition of single words or phrases which so frequently occurs in the catatonic productions, and is shown in the following: You don't own this building, I know that. The Hartford pigpen never supported, never confirmed](https://iiif.wellcomecollection.org/image/b21017244_0048.jp2/full/800%2C/0/default.jpg)