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THE SO-CALLED MIXED STATES AND ATYPICAL FORMS OF MANIC-DEPRESSIVE INSANITY

Published Online:https://doi.org/10.1176/ajp.71.4.747

(1) The essence of the manic-depressive reactions is the occurrence of some appropriate affective attitude of the organism as a whole which is of purposeful character, abnormal because of its severity and duration and because there is no apparent external cause for its adoption.

(2) The so-called mixed states and atypical forms are not mixtures simply of certain traits but represent affective oscillations colored by peculiarities in the make-up of the individual patient. Such modes of adjustment must be carefully studied and weighed in rendering a prognosis in any individual case.

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