SEXUAL PSYCHOSES AND NEUROSES 225 



dementia praecox, imbecility, melancholia, mania and Dementia 

 general paralysis before the menopause. The control genital * 

 ovaries, however, taken from patients, some of whom afcroph y- 

 died of long-standing diseases such as chronic nephritis, 

 generally showed similar changes. Moreover, the method 

 of investigation by counting ova in a few sections is 

 open to serious objection. 



The second paper published at the same time, by 

 Kojimaf, carries the matter no further, although the 

 conclusion is reached that in dementia praecox in early 

 adolescence " striking changes are seen in the sexual 

 glands, i.e. very slight spermatogenesis in the testes, 

 and an appearance of undergoing an early involution 

 of ovaries ". Two cases, a male and a female, both of 

 whom had died from bronchopneumonia, were examined. 

 Three other cases in which chronic tuberculosis was 

 present were rejected, presumably for reasons which 

 will be evident directly. 



Kojima refers to several papers in which the authors 

 respectively found lesions in practically all of the duct- 

 less glands other than the gonads in dementia praecox. 

 He mentions, also, details from a paper by Parhon and 

 Ghiorghiani 2 , without giving the reference, which I 

 have been unable to trace. It is stated that these 

 investigators noted amenorrhcea in twenty-five out 

 of thirty-five cases of dementia praecox. If ovarian 

 atrophy were the cause of the condition, surely ameno- 

 rrhcea would invariably have existed. 



On the evidence before us, it is impossible to 

 arrive at any other conclusion than that genital under- 

 development and retrogression are the result of, or an 



1 Kojima, M., Proc. Roy. Soc. Med. {Sect. Psychiat.), 1917, vol. x. 

 p. 88. 



2 A reviewer of the first edition of this work in one of the 

 journals, was disappointed that this paper was not mentioned. 

 He therefore took up some space describing it. On being asked 

 through the Editor for the reference, he stated he had only heard 

 of the paper, and did not know the source. Such a breach of 

 privilege and assumption of superior knowledge cannot be allowed to 

 pass unnoticed. 



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