A neurosis, according to Gould, is an abnormal nervous action or an affection of the nerves or nerve-centres of a functional nature. Dr. Michell Clarke excludes all cases which exhibit any one or more of the definite clinical signs which are usually associated with structural change in the central nervous system. He admits, however, that present conceptions of what constitutes functional, as contrasted with organic, lesions may require modification. Several observers have noted that organic lesions of the nervous system may be produced without evidence of external injury. Usually there will be found structural changes in these cases.
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