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The Apallic Syndrome (English, German, Paperback, Softcover reprint of the original 1st ed. 1977)
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The Apallic Syndrome (English, German, Paperback, Softcover reprint of the original 1st ed. 1977)
Series: Monographien Aus dem Gesamtgebiete der Psychiatrie, 14
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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.
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