Skip to main content

The Clinical Value of Consciousness in Disease

  • T. Clave Shaw

One cannot but be struck with the fact that in many (if not in most) attacks of acute insanity the patient, on recovery, has no recollection of the incidents of the illness. She may have answered our questions in a way showing that at the time there was not only a consciousness of a certain kind present, but also the capacity for understanding and replying in accordance with her ideas (however unfounded they may, in fact, be), and yet on recovery, or even in a temporary lucid interval, all remembrance of the disordered state has passed away, and that, too, beyond the capacity of recall—nothing but a misty, hazy remembrance of some condition which has been passed through remains, just as one finds it impossible to re-instate the details of a dream, the reality of which was at the time vivid in consciousness. We have here to deal with a dual consciousness, a knowledge of states apparently incompatible with, and distinct from, each other. We are all familiar with states of acute mental disturbance where there is difficulty in making the patient understand what we are saying—not neces sarily difficult or involved questions, but simple queries relating to what we think are matters in the patient‘s consciousness, such as it is. Here it is doubtful if the patients really under stand what we are saying, though there is no doubt about their hearing the question, e.g., they may hear the question but the reply will be merely the reiteration of some particular delusion which has no connection with the question, or there need not be any reply at all, as if we were addressing them in a foreign language which they did not understand, or as if what is said to them has a different meaning from what is intended.

Hide All
A paper read at the Meeting of the South-Eastern Division at Croydon Mental Hospital, April 27th, 1909.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: -
  • EISSN: 2514-9946
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Full text views

Total number of HTML views: 0
Total number of PDF views: 2 *
Loading metrics...

Abstract views

Total abstract views: 7 *
Loading metrics...

* Views captured on Cambridge Core between 19th February 2018 - 20th June 2018. This data will be updated every 24 hours.

The Clinical Value of Consciousness in Disease

  • T. Clave Shaw
Submit a response


No eLetters have been published for this article.


Reply to: Submit a response

Your details

Conflicting interests

Do you have any conflicting interests? *