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Smiling in the New Born Infant - Clinical Observation and Hypothesis about Etiology

Indian Journal of Psychiatry
Medknow Publications
Publication Date
  • Letters To The Editor
  • Medicine


LETTERS TO THE EDITOR 105 eradicate poverty and his plan to write a book 'Rationalism and Religion'. Informants gave the details of his beha- viour changes as follows: Patients did not work in his shop, spent Rs. 500/- lavishly, tore clothes, looked at mirror inappropria- tely, stopped taking daily bath, overtalka- tive, ran cycle aimlessly with deflated tyres, wandered to different places, refused to come for treatment. On mental status examination there was inappropriate smile present, marked delu- sion, occassional auditory hallucination, thought broadcasting, thought reading, ability as alleged by him, loosening of asso- ciation, and complete loss of insight to the extent of saying that now (present episode) he is experienceing 'GNANAODHYA'. A diagnosis of Paranoid Schizophrenia was made. He was treated with T. Chlor- promazine 200 mg., HS. T. Eskazine 5 mg. HS. and T. Pacitane 1 HS. 4 ECTS. were gi- ven. Within 15 days all the anormal ideas and singing behaviour disappeared. By this time he was showing improvement in other psychiatric manifestations. Within one month he attained premorbid state. Patient later told me " 'Those ideas' and singing ability (? disability) are not coming to my mind." S. NAGARAJ Thanjavur Medical College Tanjavur 613004 Smiling in the New Born Infant - Cli- nical Observation and Hypothesis about Etiology Sir, The new born human infants spontane- ous smile has not been adequately ex- plained in text books (Nelson 1979, Illing- worth 1980) apart from its supposed endo- genous nature. Hence this research was un- dertaken. 5 normal infants (3 Male and 2 Female) were studied. They were born as fullterm normal delivery, without any perinatal complications, febrile or non febrile fits. There was no sign of mental retardation. The smile was observed with increasing intervals of time. i.e. once in a week for one month; once in 10-15 days for next 2 months; once in 15-20 days for another 2 months and monthly till

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