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
_Emotional Capacity_--Nil or Evidence of grief, fear, etc., in
almost so. Tears frequent facial expressions and wringing
but due to relaxation of and clasping of hands.
sphincter muscles. Features Tears rare. Great contraction
relaxed, eyes vacant and not of features [grimacing?].
constantly fixed. Eyes fixed on one
point, usually upwards or
downwards, or else obstinately
closed.
_Volition_--Almost absent. Frequently great stubbornness,
refusal to do what is
wanted. On the other hand,
intense determination in
following out own plan.
_Motor System_--Weak and uncertain. But little interfered with,
Patient has to be independently of sheer
led about and if placed on a asthenia, produced by
seat or in some position does patient’s conduct. May stand
not move. (“Cataleptoid” behind door or kneel on floor
condition.) in constrained position even
for days.
_Sensory System_}--Both dull. Ditto. There seems to be a
_Reflex System_ } much greater ability to bear
severe pain.
_Pupils_--Dilated. Tendency to contraction.
_Sleep_--Generally good. Intense sleeplessness.
_General bodily condition_-- Affected _pari passu_ with
Emaciation, sometimes extreme, mental state and seems
usually rapid, with governed by it.
rapid recovery of flesh.
Often not much loss of
weight, though whole tone is
lowered.
_Vascular System_--Pulse slow, Pulse weak and often quick
sometimes almost imperceptible. and thready. Complexion
Cyanotic appearance, edema anemic and sallow. The
and iciness of extremities. other appearances may be
Great decrease of vitality present but come on later
in peripheral structures, and are less marked.
as shown by asthenic
eruptions and production of
vermin.
_Digestive System_--Tongue Tongue dry, small and furred.
clean or if furred it is moist. Refusal of food. Great
Appetite _apathetic_, bowels constipation. Dirtiness of
not irregular, but habits habits rare.
very dirty.
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