nality.

He calls attention to the epileptic seizures of these individuals, which
have been so ably described by Bratz.[11] In contradistinction to the
genuine endogenetic epilepsy, these patients manifest epileptic seizures
as reactions to situations purely psychic in nature. In them, without
ever resulting in epileptic dementia, there occur along with the
epileptic seizures attacks of unconsciousness, of excitement, dream
states, and porio-maniacal outbreaks. They differ from the genuine
epilepsy by the absence of the characteristic dementia, of attacks of
_petit mal_, and by the fact that the seizures are never purely
endogenous in origin. They are always due to extraneous causes,
eminently such of a psychic nature. He believes that more frequently
even than actual epileptic seizures are the dream states, excitements,
and maniacal outbreaks brought about in these individuals by emotional
experiences, and as a result of certain ideas and concepts. He places in
this group the proverbial "wild man", the man who goes into a frenzy
upon seeing a policeman, etc. Although alcohol may in these individuals
prepare the way, the immediate causative factor, however, is the
emotional experience, or the recollection of such an experience.

These psychogenetic excitements of degenerates often simulate
symptomatologically genuine epilepsy so far as the ferocity of the
excitement and the state of consciousness are concerned. In some cases
the retention of suggestibility during the attacks shows clearly the
psychogenetic character of the disorder, while in others the tendency
toward the theatrical and exaggeration is so marked that we are forced
to think of an hysterical component. Certain slight symptomatologic
features of these psychogenetic states of excitement in degenerates
appear to furnish a differentiating point between them and the true
epileptic condition. Bonhoeffer refers to the strong tendency to
disgust-evoking manifestations, to copro-practice which manifest
themselves in the soiling of the walls and face with excrements, the
drinking of urine, etc. Another characteristic is the frequent total
misunderstanding of the situation by these individuals in that
they consider themselves to be threatened with impending grave
physical danger. In consequence of this they manifest a certain
over-aggressiveness, which goes far beyond mere protective reactions,
and manifests itself in a senseless breaking and demolishing of
furnit