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Brain Damage in Relation to Psychiatric Disability After Head Injury

Published online by Cambridge University Press:  29 January 2018

W. A. Lishman*
Affiliation:
Bethlem Royal and Maudsley Hospitals and Hammersmith Hospital; Institute of Psychiatry; The Maudsley Hospital, London, S.E.5

Extract

The extent to which psychiatric disability after head injury depends upon the brain damage which has occurred remains a problem of considerable practical and theoretical interest. In 1904 Adolf Meyer saw the need for caution in approaching this question since there was “no direct measure of the damage of a concussion”; similarly in 1945 Denny-Brown saw that the most serious obstacles to better understanding still lay in the difficulty of obtaining a reliable estimate of the severity of injury to the brain and in the impossibility of differentiating clinically between simple skull fracture, laceration or contusion of the brain.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1968 

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