The clinical impression that patients with involutional melancholia have a uniform prepsychotic personality stimulated a more thorough study to ascertain the extent to which this holds true. As the investigation proceeded, three more or less well defined questions arose: 1. Is there any trait or pattern of traits which can be said to be common to persons in whom involutional melancholia develops later? 2. Does this pattern differ notably from that of the average person? 3. Is this pattern common to all depressive groups or peculiar to that of the involutional type?
In order to have a description of the personality prior to psychotic distortion, only those patients were chosen whose early histories were known in detail. An analogous difficulty presented itself in the study of persons with recurrent manic-depressive attacks. So far as possible the characteristics of the basic personality were obtained.
Although it is the current impression that
TITLEY WB. PREPSYCHOTIC PERSONALITY OF PATIENTS WITH INVOLUTIONAL MELANCHOLIA. Arch NeurPsych. 1936;36(1):19–33. doi:10.1001/archneurpsyc.1936.02260070027003
Customize your JAMA Network experience by selecting one or more topics from the list below.