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ure¡¡be¡¡low£»¡¡there¡¡will¡¡be¡¡a¡¡permanent¡¡loss¡¡of¡¡some¡¡of¡¡the¡¡brain¡cells¡£¡¡This¡¡explains¡¡why¡¡an¡¡individual¡¡who¡¡has¡¡suffered¡¡from¡¡a¡¡prolonged¡¡hemorrhage¡¡will¡¡never¡¡again¡¡be¡¡restored¡¡to¡¡his¡¡original¡¡powers¡£
Drugs¡£According¡¡to¡¡their¡¡effect¡¡upon¡¡the¡¡brain¡cells£»¡¡drugs¡¡may¡¡be¡¡divided¡¡into¡¡three¡¡classes£º¡¡¡¡First£»¡¡those¡¡that¡¡stimulate¡¡the¡¡brain¡cells¡¡to¡¡increased¡¡activity£»¡¡as¡¡strychnin¡¡£¨Fig¡£¡¡37£©£»¡¡second£»¡¡those¡¡that¡¡chemically¡¡destroy¡¡the¡¡brain¡cells£»¡¡as¡¡alcohol¡¡and¡¡iodoform¡¡£¨Figs¡£¡¡38¡¡and¡¡39£©£»¡¡third£»¡¡those¡¡that¡¡suspend¡¡the¡¡functions¡¡of¡¡the¡¡cells¡¡without¡¡damaging¡¡them£»¡¡as¡¡nitrous¡¡oxid£»¡¡ether£»¡¡morphin¡£¡¡Our¡¡experiments¡¡have¡¡shown¡¡that¡¡the¡¡brain¡cell¡¡changes¡¡induced¡¡by¡¡drugs¡¡of¡¡the¡¡first¡¡class¡¡are¡¡precisely¡¡the¡¡same¡¡as¡¡the¡¡cycle¡¡of¡¡changes¡¡produced¡¡by¡¡the¡¡emotions¡¡and¡¡by¡¡physical¡¡activity¡£¡¡We¡¡have¡¡found¡¡that¡¡strychnin£»¡¡according¡¡to¡¡the¡¡dosage£»¡¡causes¡¡convulsions¡¡ending¡¡in¡¡exhaustion¡¡and¡¡death£»¡¡excitation¡¡followed¡¡by¡¡lassitude£»¡¡stimulation¡¡without¡¡notable¡¡after¡results£»¡¡or
£ûillust¡£¡¡caption¡¡=¡¡A£»¡¡Section¡¡of¡¡Cerebellum¡¡of¡¡Normal¡¡Dog¡£¡¡¡¡C£»¡¡Section¡¡of¡¡Cerebellum¡¡of¡¡Dog¡¡after¡¡Repeated¡¡Doses¡¡of¡¡Strychnin¡£¡¡¡¡FIG¡£¡¡¡¡37¡£¡¡BRAIN¡CELLS¡¡SHOWING¡¡STAGE¡¡OF¡¡HYPERCHROMATISM¡¡FOLLOWED¡¡BY¡¡CHROMATOLYSIS¡¡RESULTING¡¡FROM¡¡THE¡¡CONTINUATION¡¡OF¡¡THE¡¡STIMULUS¡£¡¡¡¡£¨Camera¡¡lucida¡¡drawings¡££©increased¡¡mental¡¡tone£»¡¡while¡¡the¡¡brain¡cells¡¡accurately¡¡display¡¡these¡¡physiologic¡¡alterations¡¡in¡¡proportional¡¡hyperchromatism¡¡in¡¡the¡¡active¡¡stages£»¡¡and¡¡proportional¡¡chromatolysis¡¡in¡¡the¡¡stages¡¡of¡¡reaction¡£¡¡¡¡The¡¡biologic¡¡and¡¡therapeutic¡¡application¡¡of¡¡this¡¡fact¡¡is¡¡as¡¡obvious¡¡as¡¡it¡¡is¡¡important¡£
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Graves'¡¡Disease¡£In¡¡Graves'¡¡disease¡¡the¡¡brain¡cells¡¡show¡¡marked¡¡changes¡¡which¡¡are¡¡apparently¡¡the¡¡same¡¡as¡¡those¡¡produced¡¡by¡¡overwork£»¡¡by¡¡the¡¡emotions£»¡¡and¡¡by¡¡strychnin¡£¡¡¡¡In¡¡the¡¡postmortem¡¡examination¡¡of¡¡one¡¡advanced¡¡case¡¡it¡¡was¡¡found¡¡that¡¡a¡¡large¡¡number¡¡of¡¡brain¡cells¡¡were¡¡disintegrated¡¡beyond¡¡the¡¡power¡¡of¡¡recuperation£»¡¡even¡¡had¡¡the¡¡patient¡¡lived¡£¡¡¡¡This¡¡is¡¡undoubtedly¡¡the¡¡reason¡¡why¡¡a¡¡severe¡¡case¡¡of¡¡exophthalmic¡¡goiter¡¡sustains¡¡a¡¡permanent¡¡loss¡¡of¡¡brain¡¡power¡£
Insomnia¡£The¡¡brains¡¡of¡¡rabbits¡¡which¡¡had¡¡been¡¡kept¡¡awake¡¡for¡¡one¡¡hundred¡¡hours¡¡showed¡¡precisely¡¡the¡¡same¡¡changes¡¡as¡¡those¡¡shown¡¡in¡¡physical¡¡fatigue£»¡¡strychnin¡¡poisoning£»¡¡and¡¡exhaustion¡¡from¡¡emotional¡¡stimulation¡£¡¡¡¡Eight¡¡hours¡¡of¡¡continuous¡¡sleep¡¡restored¡¡all¡¡the¡¡cells¡¡except¡¡those¡¡that¡¡had¡¡been¡¡completely¡¡exhausted¡£¡¡This¡¡will¡¡explain¡¡the¡¡permanent¡¡ill¡¡effect¡¡of¡¡long¡continued¡¡insomnia£»¡¡that¡¡is£»¡¡long¡continued¡¡insomnia¡¡permanently¡¡destroys¡¡a¡¡part¡¡of¡¡the¡¡brain¡cells¡¡just¡¡as¡¡do¡¡too¡¡great¡¡physical¡¡exertion£»¡¡certain¡¡drugs£»¡¡emotional¡¡strain£»¡¡exophthalmic¡¡goiter£»¡¡and¡¡hemorrhage¡£¡¡We¡¡found£»¡¡however£»¡¡that¡¡if£»¡¡instead¡¡of¡¡natural¡¡sleep£»¡¡the¡¡rabbits¡¡were¡¡placed¡¡for¡¡the¡¡same¡¡number¡¡of¡¡hours¡¡under¡¡nitrous¡¡oxid¡¡anesthesia£»¡¡not¡¡only¡¡did¡¡the¡¡brain¡cells¡¡recover¡¡from¡¡the¡¡physical¡¡deterioration£»¡¡but¡¡that¡¡90¡¡per¡¡cent¡£¡¡¡¡of¡¡them¡¡became¡¡hyperchromatic¡£¡¡This¡¡gives¡¡us¡¡a¡¡possible¡¡clue¡¡to¡¡the¡¡actual¡¡chemical¡¡effect¡¡of¡¡sleep¡£¡¡For¡¡since¡¡nitrous¡¡oxid¡¡owes¡¡its¡¡anesthetic¡¡effect¡¡to¡¡its¡¡influence¡¡upon¡¡oxidation£»¡¡we¡¡may¡¡infer¡¡that¡¡sleep¡¡also¡¡retards¡¡the¡¡oxidation¡¡of¡¡the¡¡cell¡¡contents¡£¡¡¡¡If¡¡this¡¡be¡¡true£»¡¡then¡¡it¡¡is¡¡probable¡¡that¡¡inhalation¡¡anesthetics¡¡exert¡¡their¡¡peculiar¡¡influence¡¡upon¡¡that¡¡portion¡¡of¡¡the¡¡brain¡¡through¡¡which¡¡sleep¡¡itself¡¡is¡¡produced¡£¡¡If¡¡nitrous¡¡oxid¡¡anesthesia¡¡and¡¡sleep¡¡are¡¡chemically¡¡identical£»¡¡then¡¡we¡¡have¡¡a¡¡further¡¡clue¡¡to¡¡one¡¡of¡¡the¡¡primary¡¡mechanisms¡¡of¡¡life¡¡itself£»¡¡and¡¡as¡¡a¡¡practical¡¡corollary¡¡one¡¡might¡¡be¡¡able¡¡to¡¡produce¡¡artificial¡¡sleep¡¡which¡¡would¡¡closely¡¡resemble¡¡normal¡¡sleep£»¡¡but¡¡which¡¡would¡¡have¡¡this¡¡advantage£»¡¡that¡¡by¡¡using¡¡an¡¡anesthetic¡¡which¡¡interferes¡¡with¡¡oxidation¡¡the¡¡brain¡cells¡¡might¡¡be¡¡reconstructed¡¡after¡¡physical¡¡fatigue£»¡¡after¡¡emotional¡¡strain£»¡¡or¡¡after¡¡the¡¡depression¡¡of¡¡disease¡£
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Insanity¡£Our¡¡researches¡¡have¡¡shown¡¡that¡¡in¡¡the¡¡course¡¡of¡¡a¡¡fatal¡¡disease¡¡and¡¡in¡¡fatal¡¡exhaustion£»¡¡however¡¡produced£»¡¡death¡¡does¡¡not¡¡ensue¡¡until¡¡there¡¡is¡¡marked¡¡disorganization¡¡of¡¡the¡¡brain¡¡tissue¡£¡¡In¡¡the¡¡progress¡¡of¡¡disease¡¡or¡¡exhaustion¡¡one¡¡may¡¡see¡¡in¡¡different¡¡patients¡¡every¡¡outward¡¡manifestation¡¡of¡¡mental¡¡deterioration£»¡¡manifestations¡¡which£»¡¡in¡¡a¡¡person¡¡who¡¡does¡¡not¡¡show¡¡any¡¡other¡¡sign¡¡of¡¡physical¡¡disease£»¡¡mark¡¡him¡¡as¡¡insane¡£¡¡¡¡Take£»¡¡for¡¡example£»¡¡the¡¡progressive¡¡mental¡¡state¡¡of¡¡a¡¡brilliant¡¡scholar¡¡suffering¡¡from¡¡typhoid¡¡fever¡£¡¡On¡¡the¡¡first¡¡day¡¡of¡¡the¡¡gradual¡¡onset¡¡of¡¡the¡¡disease¡¡he¡¡would¡¡notice¡¡that¡¡his¡¡mental¡¡power¡¡was¡¡below¡¡its¡¡maximum¡¡efficiency£»¡¡on¡¡the¡¡second¡¡he¡¡would¡¡notice¡¡a¡¡further¡¡deterioration£»¡¡and¡¡so¡¡the¡¡mental¡¡effect¡¡of¡¡his¡¡disease¡¡would¡¡progress¡¡until¡¡he¡¡would¡¡find¡¡it¡¡impossible¡¡to¡¡express¡¡a¡¡thought¡¡or¡¡to¡¡make¡¡a¡¡deduction¡£¡¡No¡¡one¡¡can¡¡be¡¡philanthropic¡¡with¡¡jaundice£»¡¡no¡¡one¡¡suffering¡¡from¡¡Graves'¡¡disease¡¡can¡¡be¡¡generous£»¡¡no¡¡mental¡¡process¡¡is¡¡possible¡¡in¡¡the¡¡course¡¡of¡¡the¡¡acute¡¡infectious¡¡diseases¡£¡¡¡¡Just¡¡prior¡¡to¡¡death¡¡from¡¡any¡¡cause¡¡every¡¡one¡¡is¡¡in¡¡a¡¡mental¡¡state¡¡which£»¡¡if¡¡it¡¡could¡¡be¡¡continued£»¡¡would¡¡cause¡¡that¡¡individual¡¡to¡¡be¡¡judged¡¡insane¡£¡¡If¡¡the¡¡delirium¡¡that¡¡occurs¡¡in¡¡the¡¡course¡¡of¡¡certain¡¡diseases¡¡should¡¡be¡¡continued£»¡¡the¡¡patient¡¡would¡¡be¡¡judged¡¡insane¡£¡¡In¡¡severe¡¡cases¡¡of¡¡Graves'¡¡disease¡¡the¡¡patient¡¡is¡¡insane¡£¡¡Individuals¡¡under¡¡overwhelming¡¡emotion¡¡may¡¡be¡¡temporarily¡¡insane¡£¡¡Every¡¡clinician¡¡has¡¡seen¡¡great¡¡numbers¡¡of¡¡cases¡¡in¡¡which¡¡insanity¡¡is¡¡a¡¡phase¡¡of¡¡a¡¡disease£»¡¡of¡¡an¡¡injury£»¡¡or¡¡of¡¡an¡¡emotion¡£¡¡The¡¡stage¡¡of¡¡excitation¡¡in¡¡anesthesia¡¡is¡¡insanity¡£¡¡The¡¡only¡¡difference¡¡between¡¡what¡¡is¡¡conventionally¡¡called¡¡insanity¡¡and¡¡the¡¡fleeting¡¡insanity¡¡of¡¡the¡¡sick¡¡and¡¡the¡¡injured¡¡is¡¡that¡¡of¡¡time¡£¡¡We¡¡may¡¡conclude£»¡¡therefore£»¡¡what¡¡must¡¡be¡¡the¡¡brain¡picture¡¡of¡¡the¡¡person¡¡who¡¡is¡¡permanently¡¡insane¡£¡¡¡¡This¡¡_a¡¡priori_¡¡reasoning¡¡is¡¡all¡¡that¡¡is¡¡possible£»¡¡since¡¡the¡¡study¡¡of¡¡the¡¡brain¡¡in¡¡the¡¡insane¡¡has¡¡thus¡¡far¡¡been¡¡confined¡¡to¡¡the¡¡brains¡¡of¡¡those¡¡who¡¡have¡¡died¡¡of¡¡some¡¡disease¡£¡¡And¡¡it¡¡is¡¡impossible¡¡to¡¡say¡¡which¡¡changes¡¡have¡¡been¡¡produced¡¡by¡¡the¡¡fatal¡¡disease£»¡¡and¡¡which¡¡by¡¡the¡¡condition¡¡which¡¡produced¡¡the¡¡insanity¡£¡¡The¡¡only¡¡logical¡¡way¡¡by¡¡which¡¡to¡¡investigate¡¡the¡¡physical¡¡basis¡¡of¡¡insanity¡¡would¡¡be¡¡to¡¡make¡¡use¡¡of¡¡the¡¡very¡¡rare¡¡opportunities¡¡of¡¡studying¡¡the¡¡brains¡¡of¡¡insane¡¡persons¡¡who¡¡have¡¡died¡¡in¡¡accidents¡£
Our¡¡experiments¡¡have¡¡proved¡¡conclusively¡¡that¡¡whether¡¡we¡¡call¡¡a¡¡person¡¡fatigued¡¡or¡¡diseased£»¡¡the¡¡brain¡cells¡¡undergo¡¡physical¡¡deterioration£»¡¡accompanied¡¡by¡¡loss¡¡of¡¡mental¡¡power¡¡£¨Figs¡£¡¡40¡¡to¡¡43£©¡£¡¡Even¡¡to¡¡the¡¡minutest¡¡detail¡¡we¡¡can¡¡show¡¡a¡¡direct¡¡relationship¡¡between¡¡the¡¡physical¡¡state¡¡of¡¡the¡¡brain¡cells¡¡and¡¡the¡¡mental¡¡power¡¡of¡¡the¡¡individual£»¡¡that¡¡is£»¡¡the¡¡physical¡¡power¡¡of¡¡a¡¡person¡¡goes¡¡_pari¡¡passu_¡¡with¡¡his¡¡mental¡¡power¡£¡¡Indeed£»¡¡it¡¡is¡¡impossible¡¡to¡¡conceive¡¡how¡¡any¡¡mental¡¡action£»¡¡however¡¡subtle£»¡¡can¡¡occur¡¡without¡¡a¡¡corresponding¡¡change¡¡in¡¡the¡¡brain¡cells¡£¡¡It¡¡is¡¡possible¡¡now¡¡to¡¡measure¡¡only¡¡the¡¡evidences¡¡of¡¡the¡¡effects¡¡on¡¡the¡¡brain¡cells¡¡of¡¡gross¡¡and¡¡violent¡¡mental¡¡activity¡£¡¡At¡¡some¡¡future¡¡time¡¡it¡¡will¡¡doubtless¡¡be¡¡possible¡¡so¡¡to¡¡refine¡¡the¡¡technic¡¡of¡¡brain¡cell¡¡examinations¡¡that¡¡more¡¡subtle¡¡changes¡¡may¡¡be¡¡measured¡£¡¡¡¡Nevertheless£»¡¡with¡¡the¡¡means¡¡at¡¡our¡¡disposal¡¡we¡¡have¡¡shown¡¡already¡¡that¡¡in¡¡all¡¡the¡¡conditions¡¡which¡¡we¡¡have¡¡studied¡¡the¡¡cells¡¡of¡¡the¡¡cortex¡¡show¡¡the¡¡greatest¡¡changes£»¡¡and¡¡that¡¡loss¡¡of¡¡the¡¡higher¡¡mental¡¡functions¡¡invariably¡¡accompanies¡¡the¡¡cell¡¡deterioration¡£
A¡¡MECHANISTIC¡¡VIEW¡¡OF¡¡PSYCHOLOGY£§*£§
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