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The Mechanism of the Brain and the Function of the Frontal Lobes

By Prof. LEONARDO BIANCHI, of the Royal University of Naples. Authorised translation from the Italian by JAS. H. MACDONALD, M.B., F.R.F.P.S. (Glasgow), Mackintosh Lecturer in Psychological Medicine, Glasgow University; Medical Superintendent, Govan District Asylum, Hawkhead, Glasgow. With a foreword by C. LLOYD MORGAN, LL.D., D.Sc., F.R.S., Emeritus Professor in the University of Bristol.

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Symptomatology, Psychognosis and Diagnosis of Psychopathic Diseases

By BORIS SIDIS, M.D., A.M., PH.D., Medical Director of the Sidis' Psychotherapeutic Institute. "Every student of abnormal mental life will find in this volume a rich source of information and instruction as well as a guide in his own special work." Demy 8vo. Cloth. vii+278 pages. 15s. net, postage 8d.

Therapeutic Immunization (in Asylum and General Practice)

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By Prof. EMIL KRAEPELIN, of Munich. Translated by R. MARY BARCLAY, M.A., M.B., from the Eighth German Edition of the Text-Book of Psychiatry, Vols. III. and rv. Edited by GEORGE M. ROBERTSON, M.D., F.R.C.P. (Edin.), Professor of Psychiatry in the University of Edinburgh, and Physician to the Royal Asylum, Morningside.

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Anatomy of the Brain and Spinal Cord

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THE "REALITY-FEELING" IN PHANTASIES
OF THE INSANE

BY HENRY DEVINE.

I.

AMONGST chronic asylum cases are always to be found a number of those who believe themselves to be of exalted or royal birth. In cases of acute confusion or general paralysis in which the higher psychic functions are involved the occurrence of such delusions is readily explicable. In those patients, however, in which no defect of judgment or intelligence on ordinary matters is manifest, and the memory is intact, it is difficult to understand how delusions so manifestly absurd and so devoid of any foundation in fact could be seriously maintained. From the knowledge we have of our mental states it is more or less possible to enter into the feelings of a melancholic. Everyone is apt to feel inadequate, retarded, unworthy or vaguely apprehensive at times; but though it is easy to over-estimate our own importance, it is hard to actually feel the attitude of a person of humble birth and position who believes himself to be (say) the Shah of Persia. The attitude of a patient with a belief of this kind is so inconsistent. His behaviour in the asylum may be that of a normal person; he is quite aware of the actual facts of his past life; he adjusts happily to his environment; employs himself usefully in the garden or elsewhere; exhibits pleasure with little gifts or vexation at some real or imaginary slight-and yet holds tenaciously to fantastic views of his own personality which are contrary to that common-sense which he is quite able to apply to any subject but his delusions. Unfortunately most paraphrenic patients are unable or unwilling to give any information to enable us to understand how they could have acquired such strange beliefs about themselves; they content themselves with mere assertions as to their imagined position in life and tend to resent any form of question which seems to cast any doubt on the correctness of their statements. I have recently had under my care, however, a case in which it was possible to observe the development of delusions in their earlier stages; and as the whole subject of insane beliefs is so obscure and difficult, I thought it might be of some value to give a brief outline of Med. Psych. III

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