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A NEW APPARATUS FOR THE MANAGEMENT OF A COLOSTOMY.
690
NEW INVENTIONS. __
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There are, as is natural, many references to Moliere Brain, Mind, and the External Signs of and the comic Argan he created, but Dr. Nathan Intelligence. has not mentioned the curious fact that thi’s is one By BERNARD HOLLANDER, M.D. London : George of the few instances where a disease has been named 288. 12s. 6d. Allen and after a fictitious person: in Boissier de Sauvages’s THE thesis ot this book is tile importance oi cerebral great Nosologia Methodica there is a section on localisation to- the understanding of the varying " Melancholia Argantis, seu Melancholia aegrorum abilities of man. It is richly illustrated with referDr. Nathan quotes some acute imaginariorum." ences, lengthy quotations, diagrams, and photographs remarks of Montaigne on " imaginary illnesses. of men eminent in science, literature, art, philosophy, and crime. With such a deep well of information from which to obtain facts, one would have expected NEW INVENTIONS interesting arguments in favour of a theory of localisation which closely approaches, if it does not A NEW APPARATUS FOR THE MANAGEMENT OF A COLOSTOMY. actually endorse, the teachings of phrenology. The in are inconthe book extraordinarily arguments As soon as a colostomy wound has healed the large clusive however in that, while the author at one bowel can be trained, by means of regular irrigation, to stage appears to accept the fact on eminent authority empty completely every morning and to remain inactive that the brain works as a whole, he still brings forward for the following 24 hours, but hitherto the mornevidence, largely from the middle of the nineteenth ing tenet or 1!ne century, that human behaviour in its manifold bowel has been a expressions is dependent upon local development troublesome and of the cortex, and that this influences head shape. messy performWhile enthusiastic about clinical observation, he ance, owing derides laboratory technique, both physiological the diffimainly to and pathological. The work of Lashley, which heI culty of directing may know, is not mentioned. He is of the opinion the efflux of a pint that the brain is as much an organ for the expression or more of water of instinct and emotion as it is of intelligence, and f8ecal matter but he devotes his attention entirely to the cortex, into a receiver. I Messrs. Allen and ignoring the importance of the thalamus I this respect and the part played by the endocrine Hanburys, Ltd., glands in the governing of temperament. While 48, Wigmoreendorsing the general thesis of Kretschmer, he is so street, London,W. have made at my captivated by the shape of heads that he seems to ignore the fact, confirmed by biological as well as suggestion a celluby neurological studies, that behaviour is a function loid horn-shaped of the organism as a whole. The book, however, has tubee a certain value at the present time when constitution (shown on is so much discussed and cerebral localisation theories figure at are in the melting pot, and the rich bibliography is A) whioh a measure of the author’s wide reading. has proved most effici-
I
Unwin. 1931. Pp.
"
in
of
I
i
ent in use and has Par M. NATHAN, Ancien Interne des Hôpitaux de ’ the unpleasantness of the daily action of minimised Paris. Paris : G. Doin et Cie. 1931. Pp. 134. the colostomy. The wide end of the horn is placed Fr.14. over the colostomy and held in position by a webbing Dr. Nathan’s attitude to his subject may be band so devised that it can be clipped quite easily recognised from his interpolation into the famous to the tube when the patient is lying down. At a phrase. Imaginary invalids, in the literal sense, suitable site on its convexity is a wide opening closed do not exist for him ; but he is well aware of the by a removable cap. Useful accessories are the hypochondriacs and other true invalids who have collapsible stand and douche can, as illustrated, and been so regarded. His book is characteristic of a Canny Ryall metal nozzle with a thumb cock modern French psychiatry in its insistence on meta(B) at the distal end of the rubber tubing. Having bolic, endocrine, and autonomic changes. He points applied the horn, the patient takes a 26 F rubber out that many patients have been designated " malade catheter, previously attached to the metal nozzle, and " imaginaire because they did not fit into any category slowly inserts it into the bowel through the opening known to the physician, and he rehabilitates them, in the horn, at the same time regulating the flow of to use his own expression, by pointing out the signifi- water means of the thumb cock. When all the by cance of alkalosis, bile-stasis, hypersympathicotonia water has been injected, the catheter is removed, and its opposite, and disturbances of sensesthesia. the opening in the horn closed with its cap, and a There are sections on obsession and " pithiatism,"i or better still a jam-pot, containing weak receiver, and a lengthy one on hypochondria which is of under its narrow end. The patient lysol, placed especial interest. The author discusses the alleged then reads the paper and smokes until the bowel has relation between hypochondria and paranoia, of ceased acting. He then removes the cap, inserts the which Génil Perrin made so much, and describes a metal nozzle through the window in the horn, and " " hypochondries de couverture in which flushes the surface of the colostomy and surrounding group of the hypochondria is only superficial. The final section skin. The apparatus is easy to use, keeps the patient on therapeutics, though brief, is of catholic range, and clean, greatly diminishes the mental and physical and expresses well the view, so often put forward in discomfort of an evacuation. the course of the book, that physical and psychic, CYRIL A. R. NITCH, M.S., F.R.C.S. especially affective, changes cannot be separated.
Les malades dits
imaginaires.
’
’
NEW INVENTIONS. __
_———————————__.__r—-- -
——
—-
--———-
-
There are, as is natural, many references to Moliere Brain, Mind, and the External Signs of and the comic Argan he created, but Dr. Nathan Intelligence. has not mentioned the curious fact that thi’s is one By BERNARD HOLLANDER, M.D. London : George of the few instances where a disease has been named 288. 12s. 6d. Allen and after a fictitious person: in Boissier de Sauvages’s THE thesis ot this book is tile importance oi cerebral great Nosologia Methodica there is a section on localisation to- the understanding of the varying " Melancholia Argantis, seu Melancholia aegrorum abilities of man. It is richly illustrated with referDr. Nathan quotes some acute imaginariorum." ences, lengthy quotations, diagrams, and photographs remarks of Montaigne on " imaginary illnesses. of men eminent in science, literature, art, philosophy, and crime. With such a deep well of information from which to obtain facts, one would have expected NEW INVENTIONS interesting arguments in favour of a theory of localisation which closely approaches, if it does not A NEW APPARATUS FOR THE MANAGEMENT OF A COLOSTOMY. actually endorse, the teachings of phrenology. The in are inconthe book extraordinarily arguments As soon as a colostomy wound has healed the large clusive however in that, while the author at one bowel can be trained, by means of regular irrigation, to stage appears to accept the fact on eminent authority empty completely every morning and to remain inactive that the brain works as a whole, he still brings forward for the following 24 hours, but hitherto the mornevidence, largely from the middle of the nineteenth ing tenet or 1!ne century, that human behaviour in its manifold bowel has been a expressions is dependent upon local development troublesome and of the cortex, and that this influences head shape. messy performWhile enthusiastic about clinical observation, he ance, owing derides laboratory technique, both physiological the diffimainly to and pathological. The work of Lashley, which heI culty of directing may know, is not mentioned. He is of the opinion the efflux of a pint that the brain is as much an organ for the expression or more of water of instinct and emotion as it is of intelligence, and f8ecal matter but he devotes his attention entirely to the cortex, into a receiver. I Messrs. Allen and ignoring the importance of the thalamus I this respect and the part played by the endocrine Hanburys, Ltd., glands in the governing of temperament. While 48, Wigmoreendorsing the general thesis of Kretschmer, he is so street, London,W. have made at my captivated by the shape of heads that he seems to ignore the fact, confirmed by biological as well as suggestion a celluby neurological studies, that behaviour is a function loid horn-shaped of the organism as a whole. The book, however, has tubee a certain value at the present time when constitution (shown on is so much discussed and cerebral localisation theories figure at are in the melting pot, and the rich bibliography is A) whioh a measure of the author’s wide reading. has proved most effici-
I
Unwin. 1931. Pp.
"
in
of
I
i
ent in use and has Par M. NATHAN, Ancien Interne des Hôpitaux de ’ the unpleasantness of the daily action of minimised Paris. Paris : G. Doin et Cie. 1931. Pp. 134. the colostomy. The wide end of the horn is placed Fr.14. over the colostomy and held in position by a webbing Dr. Nathan’s attitude to his subject may be band so devised that it can be clipped quite easily recognised from his interpolation into the famous to the tube when the patient is lying down. At a phrase. Imaginary invalids, in the literal sense, suitable site on its convexity is a wide opening closed do not exist for him ; but he is well aware of the by a removable cap. Useful accessories are the hypochondriacs and other true invalids who have collapsible stand and douche can, as illustrated, and been so regarded. His book is characteristic of a Canny Ryall metal nozzle with a thumb cock modern French psychiatry in its insistence on meta(B) at the distal end of the rubber tubing. Having bolic, endocrine, and autonomic changes. He points applied the horn, the patient takes a 26 F rubber out that many patients have been designated " malade catheter, previously attached to the metal nozzle, and " imaginaire because they did not fit into any category slowly inserts it into the bowel through the opening known to the physician, and he rehabilitates them, in the horn, at the same time regulating the flow of to use his own expression, by pointing out the signifi- water means of the thumb cock. When all the by cance of alkalosis, bile-stasis, hypersympathicotonia water has been injected, the catheter is removed, and its opposite, and disturbances of sensesthesia. the opening in the horn closed with its cap, and a There are sections on obsession and " pithiatism,"i or better still a jam-pot, containing weak receiver, and a lengthy one on hypochondria which is of under its narrow end. The patient lysol, placed especial interest. The author discusses the alleged then reads the paper and smokes until the bowel has relation between hypochondria and paranoia, of ceased acting. He then removes the cap, inserts the which Génil Perrin made so much, and describes a metal nozzle through the window in the horn, and " " hypochondries de couverture in which flushes the surface of the colostomy and surrounding group of the hypochondria is only superficial. The final section skin. The apparatus is easy to use, keeps the patient on therapeutics, though brief, is of catholic range, and clean, greatly diminishes the mental and physical and expresses well the view, so often put forward in discomfort of an evacuation. the course of the book, that physical and psychic, CYRIL A. R. NITCH, M.S., F.R.C.S. especially affective, changes cannot be separated.
Les malades dits
imaginaires.
’
’