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The British Journal of Psychiatry 153: 460-469 (1988)
© 1988 The Royal College of Psychiatrists

Physiogenesis and psychogenesis in the 'post-concussional syndrome'

WA Lishman
Institute of Psychiatry, Denmark Hill, London.

The aetiological factors relevant to the development of post- concussional symptoms are reviewed. From the numerous studies carried out to date, it would appear that both physiogenic and psychogenic influences are important in their genesis. However, where mild-to- moderate injuries are concerned, organic factors are chiefly relevant in the earlier stages, whereas long-continued symptoms are perpetuated by secondary neurotic developments, often of a complex nature.


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