Psychodynamics in Parkinsonism

Abstract

66 unselected patients with the Parkinsonian syndrome were studied from the point of view of their personality structures. Objective indications of personality characteristics were obtained by analysis of Rorschach records and handwriting specimens produced before the onset of the disease. The 2 methods disclosed a common type of visual perception and common expressive movements despite the fact that the immediate pathogenetic mechanism differed in the patients investigated. It is concluded that the personality structure is decisive for the development of the Parkinsonian syndrome. The following 7 factors important in the genesis of Parkinsonism are discussed: functional dominance of the loco-motor system, aggressive disposition, identification with dominant parent image, genuine involvement in social values, low vitality, unfavorable competitive childhood situation, and hopeless defeat in the course of adult life. Illustrative examples are given from case histories. The personality type of arthritic patients is the only one that resembles in many respects that of Parkinsonism. A thorough knowledge and consideration of the personality structure in this disease leads to a more successful therapeutic approach.