Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Charles E. Gibbs
Am J Psychiatry 1924;81:41-56.
View Author and Article Information

Psychiatric Institute, Ward's Island, N. Y.

text A A A
PDF of the full text article.

1. Observations are reported on 107 patients with recovery from two or more attacks.2. Masculine pubic hair and mammary hair occurred with much less frequency in these patients than in those with dementia præcox, and with only a slightly greater frequency than in non-psychotic pregnant women.3. In certain cases a close relation was found to exist between the character and adequacy of the previous sexual behavior, the age of onset of the psychosis, and the occurrence of these masculine types of hair growth.4. Correlation of these three factors with the clinical picture on admission and the subsequent course after months or years in the hospital, and comparison with similar observations in dementia pnecox, seems to warrant the following conclusion: That in female patients with psychotic reactions having certain benign aspects, usually resembling manic excitement, a history of inadequate or peculiar sexual behavior, and often of illicit intercourse, together with early onset of the psychosis and the presence of masculine hair, indicates a malignant process and unfavorable outcome. Many such patients fail to recover from the first or second attack and follow a malignant course which cannot be differentiated from dementia præcox. Others follow an atypical course, with prolonged attacks and final chronicity, without very marked deterioration. Three illustrative cases are reported.5. The biological significance of the findings is discussed.6. Statistics on the number of attacks of manic-depressive psychosis are misleading when recovery from the first and subsequent attacks is not shown.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Web of Science® Times Cited: 23

Related Content
DSM-5™ Clinical Cases > Chapter 14.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 20.  >
DSM-5™ Handbook of Differential Diagnosis > Chapter 2.  >
DSM-5™ Clinical Cases > Chapter 19.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 26.  >
Topic Collections
Psychiatric News
APA Guidelines