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December 3, 1927

Postencephalitic Respiratory Disorders. Review of Syndromy, Case Reports, Physiopathology, Psychopathology and Therapy.

JAMA. 1927;89(23):1987-1988. doi:10.1001/jama.1927.02690230071032

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The first part of this work is a detailed and critical survey of what probably constituted all the cases reported in the literature on respiratory disturbances following encephalitis. Two of the author's own cases are then thoroughly discussed from a psychiatric and psychoanalytic point of view. The third part contains a discussion of the problems as a whole. Jelliffe urges that epidemic encephalitis is a diffuse organic brain disease which produces bizarre disturbances in the respiratory rhythm not by an organic lesion of hypothetic respiratory centers but by a disturbance in higher cortical inhibition, releasing activity of the lower centers and deviating the libido through lower levels, which may be at times the respiratory level. If the author's conception is correct, treatment should not be the use of inefficacious drugs but psychoanalytic means attempting to divert the flow of energy from the respiratory level to some other less disturbing outlet.

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