1. Traumatic psychoses, (a) Traumatic delirium. (6) Traumatic constitution, (c) Post-traumatic mental enfeeblement.

2. Senile Psychoses.

(a) Simple deterioration. (6) Presbyophrenic type.

(c) Delirious and confused states.

(d) Depressed and agitated states in addition to deterioration.

(e) Paranoid states. (f) Pre-senile types.

3. Psychoses With Cerebral Arteriosclerosis

(This includes psychoses following cerebral softenings or hemorrhage if due to arterial disease.)

4. General paralysis, (a) Tabetic type. (6) Cerebral type.

5. Psychoses with Cerebral Syphilis.

6. Psychoses with Huntington's Chorea.

7. Psychoses with Brain Tumor.

1 Reprinted by permission from the Statistical Guide of the New York State Hospital Commission, fourth edition, Utica, 1918.

8. Psychoses With Other Brain Or Nervous Diseases

(The following are the more frequent of these diseases and should be specified in the diagnosis):

Cerebral embolism.

Paralysis agitans.

Meningitis, tubercular or other forms (to be specified).

Multiple sclerosis.


Acute chorea.

Other conditions (to be specified).

9. Alcoholic Psychoses.

(a) Pathological intoxication. (6) Delirium tremens.

(c) Korsakow psychoses.

(d) Acute hallucinosis.

(e) Chronic hallucinosis. (f) Acute paranoid type. (g) Chronic paranoid type. (h) Alcoholic deterioration.

(i) Other types, acute or chronic.

10. Psychoses Due to Drugs and other Exogenous Toxins. (a) Opium (and derivatives), cocaine, bromides, chloral, etc., alone or combined (to be specified). (6) Metals, as lead, arsenic, etc. (to be specified).

(c) Gases (to be specified).

(d) Other exogenous toxins (to be specified).

11. Psychoses with Pellagra.

12. Psychoses with other Somatic Diseases.

(a) Delirium with infectious disease (specify). (6) Post-infectious psychosis.

(c) Exhaustion-delirium.

(d) Delirium of unknown origin.

(e) Cardio-renal diseases.

(f) Diseases of the ductless glands.

(g) Other diseases or conditions (to be specified).

13. Manic-Depressive Psychoses. (a) Manic type.

(6) Depressive type.

(c) Stupor.

(d) Mixed type.

(e) Circular type.

14. Involution Melancholia.

15. Dementia Praecox.

(a) Paranoid type.

(b) Catatonic type.

(c) Hebephrenic type.

(d) Simple type.

16. Paranoia or Paranoic Conditions.

17. Epileptic Psychoses.

(a) Deterioration.

(6) Clouded states.

(c) Other conditions (to be specified).

18. Psychoneuroses and Neuroses.

(a) Hysterical type. (6) Psychasthenic type.

(c) Neurasthenic type.

(d) Anxiety neuroses.

19. Psychoses with Constitutional Psychopathic Inferiority.

20. Psychoses with Mental Deficiency.

21. Undiagnosed Psychoses.

22. Not Insane.

(a) Epilepsy without psychosis. (6) Alcoholism without psychosis.

(c) Drug addiction without psychosis.

(d) Constitutional psychopathic inferiority without psychosis.

(e) Mental deficiency without psychosis. (f) Others (to be specified).

Definitions and Explanatory Notes

The definitions and explanatory notes accompanying the classification were prepared by Dr. George H. Kirby, Director of the Psychiatric Institute, Ward's Island, N. Y.