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The Management of Confusional States with Special Reference to Pathogenesis

Published online by Cambridge University Press:  19 February 2018

Tom A. Williams
Tom A. Williams*
Affiliation:
Washington, D.C.; Neurologist to Freedmen's Hospital and Howard University; Corresp. Mem. Soc. de Neurol. de Paris et de Soc. Med. Mentale Clin., etc
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Extract

Confusion is a hallmark of the effects of toxin upon the cerebrum. When very slight, special tests are required to elicit it. Interference with neuronal conductivity is the chief pathogenetic factor. The topical incidence of this is one of the determinants of the form taken by the psychosis, whether hallucinatory, disorientative, depressive, delusional, or what not. Another factor is the state of the body secretions as affected by the toxins; a third factor is the patient's psychological status, as determined by the capacity and the opportunity for experience.

Type
Part I.—Original Article
Information
Journal of Mental Science , Volume 63 , Issue 262 , July 1917 , pp. 389 - 400
Copyright
Copyright © Royal College of Psychiatrists, 1917 

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References

(1) See author, “The Origin of Supernatural Explanations,” Journ. Abnor. Psychol., 1915, and Med. Record, 1916.Google Scholar
(2) Compare the cases related in my “Prevention of Suicide,” Amer. Journ. Insanity, 1914.Google Scholar
(3) “The Syndrome of Adrenal Inadequacy,” Journ. Amer. Med. Assoc., December 9th, 1914.Google Scholar
(4) See author's “Psychogenesis and Internal Secretions,” Montl. Cyclopad., 1911.Google Scholar
(5) Regarding psychogenetic disease, see author's Cleveland lecture on “Treatment of Psychogenetic Disorders.” See also “Spurious and Genuine Psychotherapy,” Illinois Med. Journ., October, 1914, and Med. Press and Circ., January, 1916, and the fourth case in this article. See also “Prevention of Suicide,” Amer. Journ. Insanity. “Psychogenetic Disorders in Childhood,” Journ. Abnorm. Psychol., 1912; Wash. Med. Annals, 1912; Amer. Journ. Med. Sci., 1911; Postgraduate, 1912. “Treatment of Hysteria,” Journ. Amer. Assoc., November 9th, 1914. “The Traumatic Neurosis,” Amer. Journ. Med. Sci., 1915, and Journ. Criminal Law, 1916.Google Scholar
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(7) “Treatment of Epilepsy in Accordance with Pathogenesis,” Interstate Med. Journ., April, 1915;Google Scholar
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Med. Record, 1915.Google Scholar
(8) Soc. de Biol. de Paris, 1903–1906.Google Scholar
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(10) Massachusetts State Hospital's Reports.Google Scholar
(11) Congrès des alienistés, Paris, 1904, and in Précis de Psychiatrie.Google Scholar
(12) “Concerning Diet in Nervous Disorders,” New York Med. Journ., 1912.Google Scholar
(13) Med. Reoord, 1917.Google Scholar
(14) Author, International Clinics, 1909, Ser. 20, vol. i.Google Scholar
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(16) At Detroit Session of Amer. Med. Assoc., June, 1916;Google Scholar
Therapeutic Gazette, April, 1917.Google Scholar
(17) Journ. Amer. Med. Assoc., 1916.Google Scholar
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