Many European and some American alienists have drawn the line between insanity attacking an intact organization and attacking one already disordered by heredity or disease. What is true of insanity is also true of paretic dementia. This certainly becomes tinctured with certain features according to the organization it attacks. The organization attacked, may already be the victim of a constitutional disease like phthisis in which case the emotional exaltation of the spes phthisica becomes exaggerated with the emotional state of true paretic dementia, permeated, however, by a suspicional phase. The claim has been made that these are not paretic dementia plus the individual defect, but new types of the paretic dementia. Fournier, for example, went so far as to claim that syphilis produced a pseudoparetic dementia. I have already shown that exceedingly valid grounds exist for refusing to admit the existence of such a type. Bonnet has recently has recently
KIERNAN JG. "IMPURE" PARETIC DEMENTIA AND ITS FORENSIC RELATIONS. Read in the Section of Neurology and Medical Jurisprudence, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892. JAMA. 1892;XIX(13):361–363. doi:10.1001/jama.1892.02420130005001a
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