TY  - CHAP
M1  - Book, Section
TI  - Anxiety Disorders, Hysteria, and Personality Disorders
A1  - Ropper, Allan H.
A1  - Samuels, Martin A.
A1  - Klein, Joshua P.
A1  - Prasad, Sashank
Y1  - 2019
N1  - 
T2  - Adams and Victor's Principles of Neurology, 11e
AB  - The  relationship  between  psychiatry  and  neurology,  at  one  time  unified  specialties,  has  been  problematic  for  well  over  a  century.  With  the  emergence  of  numerous  theories  of  the  nature  of  mental  life  and  of  the  mind,  came  corresponding  systems  for  the  treatment  of  psychiatric  disease.  Most  of  these  systems,  typified  in  the  past  by  psychoanalysis,  seemed  to  have  little  in  common  with  neurologic  ideas  about  the  structure  and  function  of  the  brain.  Freed  from  the  archetype  of  the  main  mental  disease  that  was  the  result  of  structural  damage  to  the  brain,  syphilitic  general  paresis,  psychiatry  was  able  to  turn  to  matters  that  were  less  anchored  in  medicine.  With  the  emergence  of  a  new  biologic  psychiatry  based  on  neurochemistry,  genetics,  and  functional  imaging  of  the  brain,  it  would  seem  that  the  gap  between  diseases  of  the  mind  and  of  the  brain  is  closing.  However,  neurologists  should  view  some  of  these  modern  ideas  with  at  least  some  skepticism.  For  example,  the  observation  of  brain  function  by  the  use  of  imaging  methods,  and  disruption  of  that  function  in  disease,  is  not  the  equivalent  of  the  disease  itself  and  certainly  cannot  capture  the  experience  through  which  mental  disease  is  manifest.  To  dissociate  an  individual’s  personal  history  and  experiences,  aspects  of  life  that  probably  cannot  be  quantified  or  visualized,  from  diseases  of  the  mind  remains  an  artifice  now,  as  it  was  in  the  time  of  the  classic  philosophers.  This  potential  division  between  mind  and  brain,  called  “dualism,”  is  particularly  apparent  when  one  begins  to  analyze  the  normal  stream  of  thought  that  dominates  daily  life  rather  than  the  disordered  thoughts  of  mental  disease  states.  The  great  Hughlings  Jackson  was  of  the  opinion  that  the  brain  provides  a  platform  for  thinking  but  is  not  explanatory  of  it,  a  property  of  mind  he  termed  “emergent.”  This  leaves  open  the  possibility  of  a  science  of  the  mind  that  is  separate  from  the  science  of  the  brain.  Moreover,  the  separation  of  quirks  of  personality  and  character  traits,  probably  reflecting  the  biologic  diversity  of  the  development  of  the  brain,  from  genuine  disease  will  remain  eternally  problematic.  Even  the  margins  between  the  disease  and  mental  dysfunction  have  been  disputed  and  have  given  rise  to  numerous  “shadow  syndromes”  of  psychologic  origin  that  are  subject  to  change  with  popular  culture  and  fashion.  This  serves  as  an  appropriate  introduction  to  a  chapter  on  what  was  formerly  termed  the  neuroses  and  have  been  renamed.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1162601393
ER  -