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
The problem of sleep is, of course, bound up with the physiology of
rest, and as recuperation, in a physical sense, necessitates temporary
cessation of function, so in the mental sphere we see that relaxation is
necessary if our mental operations are to be carried on with continued
success. This is probably the teleological meaning of sleep in its
psychological aspects, for in it we abandon diurnal adaptive thinking
and retire to a world of fancy, very often solving our problems by
“sleeping over them.” The innate desire for rest and a fresh start is
almost as fundamental a human craving as is the tendency to seek release
in death. In fact the two are closely associated both in literature and
in daily speech, for in many phases we correlate death with new life. If
one is to visualize or incorporate the conception of new life in one
term, rebirth is the only one which will do it, just as death is the
only word which epitomizes the idea of complete cessation of effort.
Not unnaturally, therefore, we find in the mythology of our race, in our
dreams and in the speech of our insane patients, a frequent correlation
of these two ideas, whether it comes in the crude imagery of physical
rebirth or projected in fantasies of destruction and rebuilding of the
world. Many of our psychotic patients achieve in fancy that for which
the Persian poet yearned:
“Ah Love! could you and I with Him conspire
To grasp this Sorry Scheme of Things entire,
Would we not shatter it to bits--and then
Re-mold it nearer to the Heart’s Desire!”
A vision of a new world is a content occurring not infrequently in manic
states, but before the universe can be remolded it must be destroyed.
Before the individual can enjoy new life, a new birth, he must die, and
stupor often marks this death phase of a dominant rebirth fantasy. In
this connection it was not without significance to note that stupors
almost universally recover by way of attenuation of the stupor symptoms,
or in a hypomanic phase where there seems to be an abnormal supply of
energy. Antæus-like, they rise with fresh vigor from the Earth. They do
not pass into depressions or anxieties.
Rebirth fancies unquestionably, then, contain constructive and
progressive elements, but, as has been stated above, any thinking which
implies a lapse of contact with the environment is, in so far as that
lapse is concerned, regressive, and in consequence rebirth fancies, as
dramatized by the stupor patients, are regressive, just as are the
delusions of death itself.
Public-domain text, read in full here on John Shaqi.
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