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Of recent years a good deal has been written on the subject of muscular incoördination of the tonic spasmodic variety, arising out of disturbed neural control, and dependent seemingly on functional factors for which some psychological explanation is forthcoming. The mental determinants of certain of the asthmas, epilepsies and tics, and for certain of the spasm cases, vaginismus, tenesmus, esopha-gismus, torticollis, strangury, bronchiospasm, cervicospasm, etc., occur readily to the mind.
The subject takes on a special interest when extended to an examination of arterio-spasms,1 the trophoneuroses co-related and certain vascular disturbances which fall to the rubric Angioneurosis. Our thesis will concern itself with the last named syndrome, and with the significance of those emotional factors found coincident with the disease. A consideration is offered of a series of 20 cases with physical symptomatology of a vasomotor disturbance.
This survey and the individual examinations made, are from the standpoint of mental pathology; clinical and laboratory investigation having been independently carried out in every instance. The presentation will divide itself into 3 sections:
The series taken as a whole of which this paper is but a part includes the psychological findings in Graves' disease proper and a theoretical commentary;
Pathological and physiological grouping, with a theory of train of events in Graves' disease (here omitted);
Mental pathological study in greater detail of 2 specific instances of Angioneurosis, one with Graves' disease;
Genealogical tree of an obsessional with Milroy and Graves' syndromes (end).