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November 1951

PRECIPITATING FACTORS IN NEUROSES AND PSYCHOSES: Impressions and Reflections During Twenty-Five Years' Observation of a Large Number of Cases, of Which Forty-Five Presented an Uncommon Opportunity for Follow-Up Study to the Present Time

Author Affiliations


AMA Arch NeurPsych. 1951;66(5):571-579. doi:10.1001/archneurpsyc.1951.02320110036003

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NOSOLOGICALLY, the series presented the following distribution: (1) psychoneuroses (10 cases); (2) manic-depressive psychoses (14 cases); (3) schizophrenia (5 cases); (4) involutional melancholia (5 cases); (5) depression without delusion (5 cases); (6) psychoses accompanying mental deficiency (6 cases).

In view of the fact that neuroses and psychoses of many years' duration characteristically present episodic outbreaks following physical or emotional stress, the cases under consideration deserve special attention by virtue of the unusual facility for uninterrupted observation over a period of 25 years, since the very onset of the respective disorders. Such a study becomes particularly instructive as it presents a comprehensive, and almost mathematically accurate, material for demonstration of the dynamic forces which form the basis of the disorders. It permits the drawing of correct inferences with regard to the intimate nature of a given affection, the problem of its management, and, especially, the problem of prevention. While the number