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November 1943

After-Effects of Brain Injuries in War, Their Evaluation and Treatment.

Arch NeurPsych. 1943;50(5):630-631. doi:10.1001/archneurpsyc.1943.02290230142018

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It is a common observation in clinical neurology that patients with lesions involving the cerebral cortex exhibit a notable variability and inconsistency in their responses to test situations. In this volume, Dr. Goldstein, through his portrayal of the psychopathology of the patient with an injury to the brain, throws much light on the mechanisms of this phenomenon. The author contends that the person who has sustained an injury to the brain in order to readjust himself to the world has withdrawn from numerous points of contact with it and has thus attained a readaptation to a shrunken environment. Within his limited sphere, the patient can function relatively smoothly, but in a situation with which he is no longer equipped to deal, his whole behavior becomes disturbed. "He looks dazed, changes color, becomes agitated, anxious, starts to fumble, his pulse becomes irregular; a moment before amiable, he is now sullen, evasive,

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