Documente Academic
Documente Profesional
Documente Cultură
PSYCHIATRIC E X A M I N A T I O N S
Revised by
NOLAN D. C. LEWIS, M. D.
Director, New York State Psychiatric Institute and Hospital,
New York
THIRD EDITION
Published by
THE NEW YORK STATE
DEPARTMENT O F MENTAL HYGIENE
A L B A ~ N.
Y , Y.
COPYRIGHT,
PRINTED IN U. S. A.
STATE HOSPITALS PRESS
UTICA, N. Y.
CONTENTS
PAGE
Preface
Preface
Preface
........................................
to Second Edition ........................
to Third Edition .........................
...........
...................................
7
9
11
14
............................. 17
Personal History ............................ 24
I11. Survey of the Presenting Features of the Personality . . 34
Summary of Personality Traits ............... 39
I V. Physical Examination ............................. 41
Family History
..............
............ 54
Mental Examination .............................. 59
Further Special Mental Examination . . . . . . . . . . . . . . . 89
Examination of Uncooperative Patients ............. 94
Psychiatric Examination of Children . . . . . . . . . . . . . . . 98
Outline for Psychiatric Case Summary ............. 108
Classification of Mental Disorders .................. 110
1942 Revised Classification ................... 110
Condensed Classification . . . . . . . . . . . . . . . . . . . . . 115
Definitions and Explanatory Notes ............ 118
Classification of Behavior Disorders in Children ..... 146
Definitions and Explanatory Notes . . . . . . . . . . . . 150
Summary of Physical Examination
VI .
V I I.
VIII .
I X.
X.
X I.
43
PREFACE
CLARENCE
0. CHENEY.
PREFACE
TO
SECOND
EDITION
PREFACE TO
THIRD
EDITION
NOUN D. C. LEWIS.
12
d. PERSONAL
HIST
THE ANAMNESIS
(Synopsis)
d. PERSONAL
HISTORY
1. Infancy
'
2. Childhood
3. Adolescence
4. Adult Life
THE ANAMNESIS
dy of psychiatric patients a
history of the patient, the
t, and the manner in which
rtant. Without this infore in many cases to underor to make a satisfactory
quiries due regard should always be given to the confidential relationship of patient and physician.
3. The statistical data sheet. This should be filled in as
f a r as possible at the time the anamnesis is taken because
many of the items require special inquiry if accurate statistical data are to be obtained. It is also important to complete as much of the data sheet at this first interview as
possible because of certain information called for in death
certificates, in questions of legal residence, in deportation
proceedings, etc.
THE ANAMNESIS
Hospital or clinic number :
Date
Name of patient
Taken by
:
b. INFORMANT
1. Name
2. Address
Telephone number
3. Relationship to patient
4. Intelligence and reliability
Record mental or physical characteristics observed in the
informant and other relatives seen. Subsequent family history and observations made of relatives may be recorded as
an addition to the family history and inserted in the case
record.
c. FAMILY
HISTORY:
The family history furnishes evidence of hereditary factors as well as the environmental influences. It is a record
of the germ plasm. It may disclose inherited diseases or
tendencies to certain disorders. There is no "negative" or
"negligible" family history. Every animal and plant
breeder recognizes the importance of differentiating strong
and weak strains, likewise the physician should learn the
character of the stock from which the patient is derived. Is
it a long-lived stock or are the majority of the antecedents
short-lived? I s it a healthy or siclcly family?
quiries due regard should always be given to the confidential relationship of patient and physician.
3. The statistical data sheet. This should be filled in as
f a r as possible at the time the anamnesis is taken because
many of the items require special inquiry if accurate statistical data are to be obtained. It is also important to complete as much of the data sheet at this first interview as
possible because of certain information called for in death
certificates, in questions of legal residence, in deportation
proceedings, etc.
THE ANAMNESIS
Name of patient
Hospital or clinic number :
Taken by
Date
b. INFORMANT
:
1. Name
2. Address
Telephone number
3. Relationship to patient
4. Intelligence and reliability
Record mental or physical characteristics observed in the
informant and other relatives seen. Subsequent family history and observations made of relatives may be recorded as
an addition to the family history and inserted in the case
record.
c. FAMILY
HISTORY
:
The family history furnishes evidence of hereditary factors as well as the environmental influences. I t is a record
of the germ plasm. It may disclose inherited diseases or
tendencies to certain disorders. There is no "negative" or
"negligible" family history. Every animal and plant
breeder recognizes the importance of differentiating strong
and weak strains, likewise the physician should learn the
character of the stock from which the patient is derived. I s
it a long-lived stock or are the majority of the antecedents
short-lived? I s it a healthy or sicl~lyfamily?
.*