—Recoveries from the acute psychoses as given by different authorities vary all the way from 50 to 80 per cent. The course of treatment in the great majority of these cases is necessarily prolonged, requiring from three to twelve months' time, and calls for the utmost patience and perseverance on the part of the family, the physician and the nurse. However, it occasionally transpires that some inter-current disease or some unforeseen agency interferes to cut short an attack of mental disease and we have known instances where factors, otherwise considered etiologic, have been responsible for a sudden favorable turn in the disease. The shock following surgical operations has in many predisposed individuals produced insanity. Typhoid fever and other exhausting diseases also play their part in bringing about a state of mental derangement. In some instances shock alone, traumatic, surgical or emotional, is responsible for the development of a favorable mental
ROGERS AW. FOUR CASES OF INTERCURRENT ERYSIPELAS IN MELANCHOLIA.WITH RAPID RECOVERY OR GREAT IMPROVEMENT IN EACH CASE. JAMA. 1904;XLII(10):647–648. doi:10.1001/jama.1904.92490550014003
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