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
Just before her breakdown, because she went daily to the
Christian Science rooms in order to avoid the family, they
suspected her of immorality and accused her of going to
meet other men. Even her husband began to question her
motive. Retrospectively the patient herself said that she
now felt she was losing her mind and did not wish to talk
to any one. At the time she told her husband that she felt
confused and as if she were guilty of something and being
condemned. Repeatedly she said she knew she was going to
get the family into a lot of trouble. Once she spoke of
suicide, and for a while felt as if she were dying. Finally
she became excited and shouted so much that she was taken
to the _Observation Pavilion_, where she was described as
being restless and noisy, thinking that she was to be
burned up and that she had been in a fire and was afraid to
go back.
_On admission_ she looked weary and seemed drowsy.
Questions had to be repeated impressively before replies
could be obtained, when she would rouse herself out of this
drowsy state. She seemed placid and apathetic. She said
that nothing was the matter, but soon admitted that she had
not been well, first saying that her trouble was physical
and then agreeing that it had been mental. When asked
whether she was happy or sad, she said “happy,” but gave
objectively no evidence of elation. Her orientation was
defective. She spoke of being in New York and on
Blackwell’s Island, but could not describe what sort of
place she was in, saying merely that it was “a good place,”
or “a nice country place,” again “a good city.” Once when
immediately after her name L. had been spoken and she was
asked what the place was, she said “The L.” She knew that
she had arrived in the hospital that day but said that she
had come from Cleveland, and to further questions, that she
had come by train, but she could not tell how she reached
the Island. She claimed not to know what the month was and
guessed that the season was either spring or autumn
(August). She gave the year as 1917, called the doctor “a
mentalist,” and the stenographer “a tapper,” or “a mental
tapper.” She twice said she was single. When asked directly
who took care of her, said “Mr. Marconi,” who she claimed
at another time had brought her to the hospital. To the
question, who is he? she replied, “Wireless,” and could not
be made to explain further. That night she urinated in her
bed, and later lay quite limp, again held her legs very
tense.
Public-domain text, read in full here on John Shaqi.
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