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whereas PSYCHIATRISTS and
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Treat mental disorders involving defects in emotions and thinking (both neuroses and psychoses)
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PSYCHOLOGISTS
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Focus upon intervening and correcting various defects in behavior (Such as addictions)
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Nervous System and Senses
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SUMMARY TABLE 111
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Consult Summary Table 111 for a quick review of some important words and word parts
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Summary Table 111 Words and Word Parts Write in the exact meaning (literal English translation) for up to 10 key terms selected from the preceding block of text After you are done, check your word meanings with the correct answers, which are given at the end of this chapter
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Key Terms nervous encephalon sulcus cerebellum Pre xes (none) en- within (none) (none) Roots nerv nerves cephal head sulc furrow cerebell little cerebrum centr center Suf xes -ous pertains to -on presence -us presence of -um presence of Exact Meanings 1 2 3 4
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precentral
pre- before
-al referring to
postcentral
post- after
centr center
-al relating to
contralateral
contra opposite (none)
later side
-al pertaining to
neurosis
neur nerves
-osis abnormal condition of -osis abnormal condition of -ia condition of
psychosis
(none)
psych mind
schizophrenia
(none)
schiz split ; phren mind
PHILIPPE PINEL UNCHAINS THE INSANE
Throughout the ages, even in the days of Hippocrates, psychotic individuals have sometimes shown transitory (TRANS-ih-tor-ee) mania For a short time, they go across (transit) into a severely overactive madness (mani) and frenzy
PART 5
Our Body Senses
They carry out actions that are potentially dangerous to themselves or others There are also many cases of manic depression, also known as bipolar (buypoh-lur) disorder Here the af icted person alternates between 2 poles (opposite mental states) They intermittently show a frenzied and hyperactive mania that alternates with other episodes of deep emotional withdrawal, unresponsiveness, and depression (NOTE: Since bipolar disorder occurs in varying degrees of severity, the affected individual is not necessarily psychotic) Obviously, anyone in the presence of a manic person has a very dif cult time trying to help or control them! This was especially true before the advent of tranquilizers (calming drugs) and advanced antipsychotic (an-tie-sigh-KAHTik) drugs Manic people were beaten, then strapped into chairs and repeatedly dunked into ice-cold water for shock treatments Even worse, some were burned at the stake as witches! After giving up on trying to reason with them, many doctors and caretakers simply kept these patients in chains, like violent and unpredictable animals! In 1793, however, a very sympathetic French psychiatrist named Philippe Pinel nally unchained the insane in two local asylums (ah-SIGH-lums) or sanctuaries (See Figure 115, A) To nearly everyone s surprise, many of these mentally ill people responded favorably to such kindness and compassion and were rehabilitated (re-hah-BIL-ih-tay-ted) returned to (proper) aptitude enough to leave the asylums But even when the manic had been unchained, before the advent of modern tranquilizers, straitjackets were used to temporarily restrain them (Figure 115, B) Starting in the mid-twentieth century, oral antidepressants (an-tie-de-PRESS-unts) such as Prozac (PROH-zak) helped reduce the severity of many patients manic-depressive states Pinel s pioneering attitude was carried farther by Jean Charcot (sharKOH) (1825 1893), a French physician who is often considered the Father of
Philippe Pinel (A) (B)
Fig 115 Pinel unchained the insane, but the straitjacket remained (A) Philippe Pinel
unchains the insane in mental asylum (B) An old type of straitjacket
Nervous System and Senses
Neurology His student, Sigmund Freud (FROYD), developed the psychiatric procedure known as psychoanalysis (sigh-koh-uh-NAL-uh-sis)
SPINAL CORD DISORDERS
The spinal cord is the long, narrow, cord-like, inferior portion of the CNS It lies within the vertebral column (backbone), below the brainstem (Review Figure 111 if desired) The spinal cord carries millions of sensory and motor nerve bers up and down from the brain Thus, it is critically involved in body sensations and movements Consider, for instance, the effects of a spinal transection (tran-SEK-shun) This is a cut (sect) made all the way across and through (trans-) the spinal cord (spin), as in an injury or car accident! Some degree of paralysis and anesthesia is sure to follow! Another heartbreaking damage to the spinal cord is spina (SPY-nah) bi da (BIH- h-dah) cystica (SIS-tih-kah) This is the presence of (-a) a cleft or split (bi d) backbone (spin) In spina bi da cystica, there is an open cleft or gap in the posterior wall of the vertebral column The spinal cord and some of the meninges ( membranes covering the CNS) may thus stick out (Study Figure 116) The protruding cord and meninges are enclosed within a cyst a uid lled sac or bladder The cyst (bladder) is lled with cerebrospinal uid (CSF) Spina bi da is generally a congenital (kun-JEN-ih-tal) skeletal defect one that comes with (con-) birth (genit) The affected newborn is usually paralyzed from the site of the spina bi da on down Numerous other organ system failures often make the prognosis for the child s continuing survival very poor
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