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By 1911 a Journal of the American Medical Association ( JAMA ) article, summarizing the work of a number of German psychiatrists world-renowned for their neurologic research, claimed that a constellation of mental disorders shared a common etiologic factor, namely, trauma to the head. 53 Acknowledging that not every person who was hit in the head developed the same outcomes, it was distinguished that injuries which produce an extensive, diffuse shaking up or shattering of the brain tissue, such as occurs in concussions or those which produce extensive pressures on the brain, will be followed by mental disturbances
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