Abstract
Mental changes in tuberculosis relate principally to temperament and character. Tuberculous people are said to show a common range of traits. These may represent either normal temperaments or alterations of original temperaments occasioned by tox˦mia or other causes. Experimental investigation confirmed the existence of a common range of traits in tuberculous children. Differences in traits as revealed by different clinical types were noticed. Quiescence of the disease process seemed to be accompanied by quiescence in temperamental expression. The common traits revealed represent deviations from ordinary temperaments caused by the disease. Temperamental expression is thus capable of being affected by lesions, probably through the nervous system. Lack of evidence to verify the theory of efflorescent genius in tuberculous cases exists. Possibly this phthisical genius is a matter, not of cognitive changes, but of temperamental changes. A peculiarly refined temperament must be postulated. This is all too rare. The psychological effects of tuberculosis possess prognostic value. When they become further determined, they will provide a valuable aid to diagnosis.
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