Excerpt from State of New York Hospitals Bulletin, Vol. 3: May, 1910
In the October, 1909, number Of the American journal of lnsam'iy, Dr. Jones, of Toronto, reported the case Of a woman of 39. At the age Of 26 she had had an attack of depression; at the age of 38 she developed several delusions of persecution and of erotic nature, and became somewhat excited; she made a complete recovery after five months; 18 months later, after a. Gynecological operation, a depression developed, followed by excitement, associated with erotic delusions. The excitement disappeared after two weeks and the patient was soon able to leave the hospital. During the second attack of excitement the patient was talkative, alert, passed from idea to idea by superficial associations, rhymed and played on words; her excited behavior consisted of very free and varied activity; no mannerisms, catalepsy nor stereotypies were noticed. The author endeavored to trace the origin of the morbid ideas of the patient and to enter into her inner life; he succeeded in showing that many of the peculiar actions and utterances Of the patient were far from being meaningless - they were the expression of deep-seated and disturbing factors in her life.
The case, therefore, might be described as that of a woman Of 39, who had one attack of depression and two attacks of excitement. On the other hand, it might be de scribed as an attack Or mental disorder in which the morbid symptoms showed an intimate relation to very important trends in the patient's inner life.
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