English: Identifier: 101608018.nlm.nih.gov

Title: Mental medicine and nursing : for use in training-schools for nurses and in medical classes and a ready reference for the general practitioner Year: 1915 (1910s) Authors: Chase, Robert Howland, 1845-1921, author Subjects: Mental Disorders Publisher: Contributing Library: U.S. National Library of Medicine Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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Text Appearing Before Image: impressions or suggestions.Its most perfect expression is catatonia, in which SPECIAL INDICATIONS 9i the limbs assume and retain indefinitely theposition in which they are placed. One form iscalled catatonic rigidity and another called waxyflexibility {flexibilitas cerea) (Figs. 34 and 35). Sometimes suggestibility is manifested by thepatient repeat-ing words orphrases said inhis presence —echolalia—or ac-tions done be-fore him—echo-praxia. Thismethod of reac-tion is calledautomatism. Suggestibilityis a characteristicin most forms ofmental enfeeble-ment. It is thetype of the childs mind, Whose FlG 35_Waxy flexibility, or the leadthOU£TltS are gOV- piPe rigidity (Berkleys Treatise of Mental° Disorders—D. Appleton & Co.). erned by external impressions, and who yields to the dominationof the most diverse influences, good or bad.Many offenders belong to this class. E. SPECIAL INDICATIONS Insomnia—Loss of sleep is an importantsymptom, not only because it is direct evidence

Text Appearing After Image: MENTAL MEDICINE AND NURSING of a disturbed mind, but also because it acts asa cause of insanity. This sleepless conditiontends to continue when once established. Insome cases sleep may be entirely wanting, orvery light and fitful and broken by dreams. Somnambulism, or sleep walking, may occurin the sane as well as the insane. Akin to it is secondary conscious-ness, in which theperson walks about,performs variousacts, even commitscrime, and on comingto himself has norecollection, or atleast a confusedmemory, of theevents that havetranspired. To thecasual observer theacts seem to havebeen voluntary andnatural. This condi-tion is seen in varioushysterical states, or follows epileptic seizures.It is often advanced by malingerers to avoid thepenalty of some crime which has been committed.Immunity from accident while in this state isnoticeable, and may be explained by imperfectrealization of the perils of the situation on thepart of the subject. Brittleness of Bones.—The bones in some for

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