Benign Stupors: A Study of a New Manic-Depressive Reaction TypeHoch, August
Science
Benign Stupors: A Study of a New Manic-Depressive Reaction Type
Hoch, August
Manic-depressive illness; Stupor
In so far as inactivity is merely an expression of apathy, its causation
will be considered in connection with the psychology of the stupor
reaction as a whole. In so far as there may be specific factors,
however, it may be of interest to consider what information the patients
themselves give us from time to time as to what determined their
inactivity. It is really surprising how frequently something can be
gained either from careful notes taken during the stupor or from the
retrospective accounts of the psychotic experiences. Of course when one
considers the degree of amnesia which is usually present and the extent
of the intellectual defect in general, it becomes obvious that one
cannot think of getting anything like a complete explanation of the
behavior of any given case. Nevertheless this material is quite
suggestive in the mass; it gives one some idea of the mental state as a
whole.
Among 40 cases, 27 offered some explanation either during or following
the psychosis. Of these, 20 spoke of feeling dead, numb or drugged, or
feeling as if paralyzed or having lockjaw. This group, just half of all
the cases, apparently ascribed their disability to something which
seemed physical. One might call them somatopsychic cases. The other 7
gave more allopsychic explanations: 3 attributed their inactivity to
outside influence; 3 more said they were afraid (one of these because
she imagined herself to be in prison), which is analogous to the outside
influence; the 7th case thought she would injure people if she moved.
Public-domain text, read in full here on John Shaqi.
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