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October 2, 1909, Vol LIII, No. 14 >
ARTICLE | October 2, 1909

A STUDY OF THE TRAUMATIC INSANITIES

ARTHUR CONKLIN BRUSH, M.D.
JAMA. 1909;LIII(14):1081-1084. doi:10.1001/jama.1909.92550140004002b.
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ABSTRACT

The study of the question of the relationship of trauma to insanity clearly reveals the fact that medical opinions on this subject are not as yet well settled or defined.

Many writers, especially the older ones, hold that injuries to the head and cerebral concussion, by causing inflammation of the meninges which spread to the brain, disorder its circulation and nutrition and thus produce psychic disease, at once or after a long interval. This theory has not been sustained by the facts found in many cases, for the reason that the surgeon and pathologist have failed to show such a state of facts. If such lesions did exist they would have given recognizable symptoms (which actually have been entirely absent) during the interval. Most of the more recent writers have modified this view and hold that, with or without material injury, the shock produced by the accident may cause

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