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The death of Nicholas Bolkonski. Neurology in Tolstoy's War and Peace.

Painstaking realism is an essential feature of the fiction of Count Leo Tolstoy. One example of Tolstoy's attention to detail is the description of the death of Prince Nicholas Bolkonski in War and Peace. The information provided in War and Peace allows the identification of the prince's terminal illness as a brain-stem stroke and is probably the first description of the one-and-a-half syndrome. Prince Bolkonski is also portrayed as suffering from a dementing process. Tolstoy used the character of Prince Bolkonski to exemplify the rationalistic, Western-influenced aristocracy that dominated Russia at the end of the 18th century. Prince Bolkonski's decline and apoplectic death parallel the fate of Enlightenment thought in Eastern Europe. The clinical detail employed in this case illustrates how Tolstoy used symbolic characters without sacrificing the realism of War and Peace.

Cerebrovascular Disorders↗

Bah humbug.

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Acidosis, Renal Tubular↗

The core conflictual relationship theme (CCRT) applied to literary works: an analysis of two novels written by authors suffering from anorexia nervosa.

OBJECTIVE: Two literary works of authors suffering from anorexia nervosa were analyzed with the method of the core conflictual relationship theme (CCRT) to prove that novels and/or personal accounts may reveal the same maladaptive relationship patterns typically revealed in psychotherapy sessions with this nosologic group. METHOD: Two novels were selected which promised applicability of the CCRT method due to the completeness of the described relationship episodes. RESULTS: After several methodologic adjustments, the application of the CCRT method revealed the different courses and developments of the novels. Both the positive and negative as well as the conscious and unconscious relationship patterns were clearly expressed. DISCUSSION: The results indicate that after certain adjustments, the CCRT method may be successfully applied to data obtained from sources other than psychotherapy sessions.

Anorexia Nervosa↗

Remains to be transmitted: Primo Levi's traumatic dream.

Drawing on the writings of Primo Levi and the psychoanalysis of Jacques Lacan, the author attempts to conceive psychic trauma as a coalescence of traumas, since this is perhaps the only way to prevent a subject from being forced back into identification with the catastrophic event, whatever that may have been. A recurrent dream of Primo Levi's suggests to the author the way that traumas may have coalesced within Levi. The hope would be to restore the entire significance of what remains from that traumatic event to the speech (parole) of the Other, to the speech of every human, even the most helpless, bruised, or destroyed among us.

Concentration Camps↗

"True clinical fictions": medical and literary narratives from the Civil War Hospital.

Where to find stories of the "real" Civil War? Since Walt Whitman, observers have suggested the place to look is the military hospital. This paper offers a comparative analysis of medical case histories and literary stories written by S. Weir Mitchell, head contract-surgeon at one of the largest Union army research hospitals. I illustrate that Mitchell's case histories and stories were at once complementary and antagonistic in their use of medical knowledge and narrative technique as a means of achieving truth-value.

History, 19th Century↗

Pathological grief: two Victorian case studies.

Despite 75 years of investigation, the concept of pathological grief remains tenuous and controversial. The author turns to the stories of two nineteenth century women, one real and the other fictitious to examine the syndrome of grief gone away. He concludes that pathological grief may be best viewed on a continuum of psychopathology, the expression of which depends upon the interaction between the personality of the patient, the nature of the lost relationship, and the circumstances of its loss.

Depressive Disorder↗