Dr. C. H. Hughes, St. Louis, Mo.
—In regard to Dr. Crothers' clinical presentations, I should hardly characterize those as cases of double personality in the sense in which we are accustomed to regard mental phenomena. They are alterations of personality, varying conditions of personality, alternative personal states exhibited in all forms of opium addiction when the morphia is withdrawn. There is always a contrast between the patient with morphia in him and with morphia out; that is, the opium habitué, the patient who has become a true victim of the opium psychosis.The medicolegal aspect of the subject is interesting. I remember being called on to testify in regard to a patient who had been connected with an asylum in Fulton, Mo., many years ago; the Cowgill will case, in which I had occasion to introduce the altered mental state of the patient. This man made a will which
CRIMINAL MORPHOMANIA AND CHRONIC MORPHINISM. DISCUSSION. JAMA. 1899;XXXIII(10):591–593. doi:10.1001/jama.1899.92450620029001i
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