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September 14, 1940


JAMA. 1940;115(11):929-933. doi:10.1001/jama.1940.72810370008010

THE THERAPY OF ACUTE DELIRIUM (TOXIC PSYCHOSIS, FEVER PSYCHOSIS, INANITION PSYCHOSIS)  In COLLABORATION WITH S. H. Kraines, M.D.Under this heading will be discussed acute symptomatic delirium, which is a more or less temporary condition of disorientation usually accompanied by hallucinatory states and often by a predominant affect of fear. It is due to disturbance in the metabolism of the brain, be this from toxemia, inanition or edema—of a reversible type so that complete recovery may occur. The therapy of delirium is the most frequent psychiatric problem facing the physician, no matter whether he is in general or in special practice. As delirium is in itself a danger to life, not only to the patient himself but also to his attendants, and as it greatly increases the patient's suffering and the difficulty of treatment and beclouds the prognosis, every effort should be bent on its early recognition. In early stages