When I came recently to consider attentively the subject assigned me in this discussion, I was so doubtful as to the production of anything of value that I asked the chairman to excuse me, but as both the present chairman and the chairman of last year renewed their request. I have complied with their wishes as well as possible.
When one attempts to lay down the lines upon which the subject should be treated, several questions arise which require to be first taken into consideration. One is the evidence of syphilis. Another, the very frequent existence in these cases of causes other than syphilis which have their share in determining the mental state-such as alcoholism; senile changes; arterial disease; kidney and heart disease and tumors, of non-specific origin.
If the rule were made and followed of first catching your specific lesion and then excluding alcoholism and non-specific vascular changes, etc.
DEWEY R. THE PSYCHOSIS IN CEREBRAL SYPHILIS. JAMA. 1901;XXXVII(17):1102–1105. doi:10.1001/jama.1901.62470430026001f
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