Benign Stupors: A Study of a New Manic-Depressive Reaction Type — John Shaqi
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
1. _On admission_ the patient had a slightly elevated
temperature, which soon subsided, full breasts but without
inflammation. Sordes were not mentioned.
For a few days she was essentially somewhat restless,
getting out of bed, disarranging her clothes, wandering
about--all in a rather deliberate, aimless way, sometimes
vaguely resistive, again with free movements. She looked,
dazed, sometimes stared straight ahead and looked “dreamy.”
Occasionally there was a tendency to close her eyes. With
the restlessness she looked at times “a little
apprehensive,” or shrank away when approached. She spoke
slowly, with initial difficulty, but answered quite a
number of questions. The mental content of this period was
displayed in the following utterances: She would ask for a
priest, or say “Have I done something?” or “Do people want
something?” or, when asked why she was here, she said “I
have done damage to the city, didn’t I?” (What have you
done?) “I don’t know.” Or she spoke of people watching her.
When asked the day, she said “Judgment Day,” yet she knew
the month. Once when asked what the place was she said,
“This is the hereafter.” When asked what had happened at
home, she said: “Voices told me I was to be killed.” She
was not clearly oriented, called the place Bellevue, asked
“Isn’t this a hospital?” yet again said, “Ward’s Island,
where they work.” On the day of admission she thought she
came “the day before,” but knew she had come in a boat.
When asked her address, she said slowly, “Didn’t I live at,
etc.,” giving the address correctly. To the physician she
said, “Are you my brother?” And on another occasion, “My
God! You are Charlie” (brother). It was difficult to get
her to eat, and she had to be spoon-fed.
Public-domain text, read in full here on John Shaqi.
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