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
Distress and anxiety appeared not infrequently and always
appropriately. The distress was usually occasioned by an
idea of injury to others, as when she cried over the
fancied accusation of drowning her husband and mother; or
in connection with accusations of herself, such as when she
reported “They called me a whore.” As has been stated,
there was never any frank elation, but an element of
pleasurable expansive emotion was frequently present in
connection with her religious utterances. This came
particularly when she spoke of union with her father as
God. She seemed to swell with ecstatic emotion. It was
especially well marked once when she threw herself on the
floor and when asked what she was trying to do replied, “I
want to do what God wants me to do, drop dead or anything
at all.” Perhaps the most unusual affective reaction was a
blocking which occurred when certain topics appeared. This
is a phenomenon quite unusual for stupor, where speech
seems to stimulate and arouse the patient as a rule. One
got the impression that ideas tended to come into this
patient’s mind which were painful enough to disturb her
capacity for connected thought. A good example of this
reaction was when she was speaking of her father having
died and coming to life again. On being asked what she
meant, she became quite blocked and the question had to be
repeated several times, when finally the apparently
unrelated statements appeared: “I dreamed my mother
died--they had a quarrel.” Who had a quarrel? she was
asked, and replied “My mother and father.” Apparently her
thinking about her father coming to life for some one not
her mother stimulated deeply unconscious ideas concerning
the separation of her mother and father, and her taking the
mother’s place, and these ideas were sufficiently
revolutionary to upset her capacity of speech for the time
being.
She recovered completely about six and a half months after
her admission.
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