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October 7, 1893

INSANITY IN CHILDREN.Read in the Section of Neurology and Medical Jurisprudence, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(15):511-519. doi:10.1001/jama.1893.02420670001001

Moreau (de Tours) with equal force and truth, strikes at the grave psychiatric error involved in the denial by pediatrists, of intellectual, emotional and moral affections of physical origin in the child. Such disordered mental phenomena were explained as immoralities, as eccentricities, or as the result of defective-education and training. From the time of the great physician of Cos, instances have been cited reversing these opinions. Not, however, until school over-pressure became a burning question was the subject regarded as a topic of general medical interest. The psychological state of the normal child even is much misunderstood. Meynert, with exceeding fullness and subtlety, thus outlines the evolution of psychological processes in the child:

Kussmaul has shrewdly indicated certain perceptions and movements common to the fetus in utero, which feeds itself, as it were, by swallowing amniotic fluid. He also indicates that there may be special motives, such as the more