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The Apallic Syndrome

  • Book
  • © 1977

Overview

Part of the book series: Monographien aus dem Gesamtgebiete der Psychiatrie (PSYCHIATRIE, volume 14)

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Table of contents (37 chapters)

  1. Das apallische Syndrom

  2. Clinical Problems

Keywords

About this book

The subject of the apallic syndrome is one which has long been familiar to me, although I have not personally studied it as deeply as I would have wished. I became acquainted with this syndrome long before the last war, when my neurosurgical colleague Hugh Cairns (1952), made his pioneer contribution under the term "akinetic mutism" . This was an ar­ resting title, but it was one which did not altogether satisfy some of his colleagues, includ­ ing myself. We found it difficult to suggest an alternative. That is one reason why I wel­ come the expression "apallic syndrome" . Forensic practice has forced me from time to time to consider rather more deeply this distressing syndrome, and to try and marshal my ideas in a form which would satisfy my colleagues in the legal profession. More than once I have been instructed to make a medico­ legal assessment of these unfortunate patients. The points which have concerned my lawyer friends have not been matters of diagnosis, or of morbid anatomy, or of etiology. The fac­ tual problem which has been put before me was to make some approximate assessment as to the expectation of life. Vague guess-work is unacceptable in such circumstances. What the lawyers require is a precise and dogmatic answer.

Editors and Affiliations

  • Max-Planck-Institut für Psychiatrie, München 40, Germany

    G. Peters

  • Università di Neurochirurgia di Padova, Verona, Italy

    G. Dalle Ore

  • Neurologische Universitätsklinik, Innsbruck, Austria

    F. Grerstenbrand

  • Neurologische Klinik, Technischen Universität, München 80, Germany

    C. H. Lücking

  • Neuropsychiatrische Klinik, Johannes-Gutenberg-Universität Mainz, Mainz, Germany

    U. H. Peters

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