The Relationship of Parkinsonism Produced by Drugs to Psychotic Reactions

  • Douglas Goldman


In Bleuler’s classic monograph, in the section on theory [1, p.463], the following statement appears:

...Complete justice to all these factors can only be done by a concept of the disease which assumes the presence of (anatomic or chemical) disturbances of the brain; the course of the cerebral disorder is chronic, for the most part, but there are also phases of acute forward thrusts or of standstill; the disturbance of the brain determines the primary symptoms (disconnection of association, perhaps the disposition to hallucinations and stereotypies, a portion of the manic and the depressive syndromes, and the states of clouded consciousness, etc.). In more severe exacerbations, psychic symptoms, such as certain confusional and stuporous states, are direct consequences of the cerebral process. The rest of the psychic symptoms develop indirectly by way of abnormal mechanisms in the primarily disturbed psyche, inasmuch as the affectivity, in particular, gains pathologic superiority over the weakened logical functions.


Psychotic Illness Psychotic Reaction Cerebral Process Abnormal Mechanism Psychic Symptom 
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  1. 1.
    Bleuler, E.: Dementia Praecox or the Group of Schizophrenias, 2nd ed., International Univ. Press, New York, 1950. ( Zinkin, J., Trans. )Google Scholar
  2. 2.
    Kraepelin, E.: Einfuehrung in die psychiatrische Klinik, 2nd ed., Barth, Leipzig, 1905.Google Scholar

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© Plenum Press Inc. 1962

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  • Douglas Goldman

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