O'Connor Maree
University of Waikato, Hamilton, New Zealand
Hist Psychiatry. 2015 Mar;26(1):64-79. doi: 10.1177/0957154X14542729.
This article examines the diagnosis of general paralysis of the insane (GPI) at the Auckland Mental Hospital, New Zealand, between 1868 and 1899, and changes in the identified causes of this condition. It argues that despite long-standing evidence citing the role of syphilis, asylum doctors working in New Zealand were as reluctant as their English and Scottish colleagues to blame syphilis alone for GPI. It also argues that although syphilis became a more popular cause in the aetiology of GPI by the end of the nineteenth century, medical and non-medical sources continued to cite other causes for GPI.
本文考察了1868年至1899年间新西兰奥克兰精神病院对精神错乱性全身麻痹（GPI）的诊断，以及该病症已确认病因的变化。文章认为，尽管长期以来有证据表明梅毒起了作用，但在新西兰工作的精神病院医生与他们的英国和苏格兰同行一样，不愿将GPI完全归咎于梅毒。文章还指出，尽管到19世纪末梅毒在GPI病因中变得更受关注，但医学和非医学资料仍继续列举GPI的其他病因。
