Diagnostic and Statistical Manual - Mental Disorders by Committee on Nomenclature and Statistics of the American

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By Committee on Nomenclature and Statistics of the American Psychiatric Association, M.D. Ernest M. Gruenberg

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Under such conditions the psychosis will be recognized by the proper qualifying phrase. Many of these reactions are ushered in with an acute brain reaction to the intoxicant. The case will be placed in the chronic category when it becomes apparent that permanent, irreversible damage to the brain has occurred. 009-400 Chronic Brain Syndrome associated with brain trauma Here will be classified the post-traumatic chronic brain disorders, which produce impairment of mental function. Permanent brain damage which produces only neurologic changes because of its focal nature, without significant changes in the areas of sensorium and affect, will not be classified here.

Indicate symptomatic manifestations under this diagnosis; for example, nail biting, thumb sucking, enuresis, masturbation, tantrums, etc. 000-x842 Conduct disturbance When the transient reaction manifests itself primarily as a disturbance in social conduct or behavior, it will be classified here. Manifestations may 42 MENTAL DISORDERS occur chiefly in the home, in the school, or in the community, or may occur in all three. Conduct disturbances are to be regarded as secondary phenomena when seen in cases of mental deficiency, epilepsy, epidemic encephalitis, and other well-recognized organic diseases.

0 Chronic Brain Syndrome associated with central nervous system syphilis (Meningoencephalitic) Here will be classified the cases formerly diagnosed as general paresis. In addition to the organic brain syndrome, these cases show physical signs and symptoms of parenchymatous syphilis of the nervous system, and usually positive serology, including the paretic gold curve. xl with psychotic reaction. 0 Chronic Brain Syndrome associated with central nervous system syphilis (Meningovascular) The mental disturbance is that of the chronic brain syndrome, and is indistinguishable from the mental disturbance of Meningoencephalitic syphilis.

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