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September 4, 1926

Zur Kenntnis der psychischen Residuärzustände nach Encephalitis epidemica bei Kindern und Jugendlichen, insbesondere der weiteren Entwicklung dieser Fälle.

JAMA. 1926;87(10):781. doi:10.1001/jama.1926.02680100065041

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This is number 36 of a monograph series edited by Bonhoeffer and appearing under the auspices of the Monatsschrift für Psychiatrie und Neurologie. The author is a pupil of Bonhoeffer, at whose clinic in the Berlin Charité the clinical material was obtained. Twelve selected cases of psychic residuals in epidemic encephalitis are related in detail. Stress is laid on restlessness and overproduction of impulses as the fundamental features and on the lack of the pleasurable emotion usually attending motor activity in children. These children are the helpless tools of impressions from without, while voluntary direction, selection and inhibition are reduced so that there is a tendency to reiteration and perseveration in a superficial way, with decreased emotional life. The fundamental intellectual processes are intact, and the apparent desultoriness of thought is due to lack of attention and interest. On the whole, the author is quite optimistic, as twelve of the

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