To the Editor.
—The article by Weintraub and Mesulam1 bears a remarkable resemblance both in thesis and in case material to an earlier article of mine.2 Drs Weintraub and Mesulam describe patients who have chronic "emotional and interpersonal difficulties" and whose symptoms are suggestive of "damage to the right hemisphere." Several of their patients, like the patient described in my case 2, showed marked discrepancies between verbal and performance IQ. Most of their patients also showed lifelong "introversion and shyness," very much like the patient in my case 1 who presented with chronic "feelings of inadequacy, loneliness and isolation." The correct psychiatric diagnosis for such patients is personality disorder. In a general way Drs Weintraub and Mesulam confirm my original thesis, though mine is both psychiatrically and neurologically more specific2(p782):An inability to relate transitionally (that is, to be able to find solace in objects, activities and
Horton PC. Personality Disorder. Arch Neurol. 1985;42(9):840. doi:10.1001/archneur.1985.04060080018007