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July 1936

PREPSYCHOTIC PERSONALITY OF PATIENTS WITH INVOLUTIONAL MELANCHOLIA

Author Affiliations

NEW YORK

From the Department of Psychiatry, Cornell Medical College.

Arch NeurPsych. 1936;36(1):19-33. doi:10.1001/archneurpsyc.1936.02260070027003
Abstract

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

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