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June 1935

The Nature and Treatment of Amentia.

Arch NeurPsych. 1935;33(6):1386. doi:10.1001/archneurpsyc.1935.02250180245017

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Most studies of mental defect have confined themselves to a description of the behavior of the defective person, of diagnostic criteria and of the organic pathology. In this book Dr. Clark has attempted to go further. An organic defect of the central nervous system—whether congenital or acquired—must affect the dynamic expression of the instinctual life. Dr. Clark's investigation has centered on an attempt to understand the defective person's behavior as an expression of instinctual urges and to apply therapeutic methods based on this understanding. In the introduction he gives a short and schematic description of psychoanalytic concepts. This introduction is inadequate for the reader who has slight or no acquaintance with psychoanalysis and is unnecessary for those who are psychoanalytically trained. The introduction is followed by a number of reports of cases ranging from those of idiocy to those of borderline states. These reports and the summarization of the material