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
An important group of cases is that of the stupors occurring during
warfare. Considering stupor as a withdrawal reaction, it is surprising
there were so few of them, although partial stupor reactions as
functional perpetuation of concussion were very common. The editor saw
several typical cases in young children in London who passed into long
“sleeps” apparently as a result of the air raids. Myers[26] has given
us the best account of stupors in actual warfare. A typical case was
that of a man who was found in a dazed condition and difficult to
arouse. He could give little information about himself, could neither
read nor write and never spoke voluntarily. A week later his speech was
still limited and labored and no account of recent events could be
obtained from him. Under hypnosis he was induced to talk of the accident
which had precipitated this disorder. He became excited in telling his
story, evidently visualizing many of the events. In several successive
séances, more data were obtained and a cure effected. Myers points out
that in all his cases there was a mental condition which varied from
slight depression to actual stupor, all had amnesias of variable extent
and all had headaches. The mental content seemed to be confined to
thoughts of bombardment, with a tendency for the mind always to wander
to this topic. The author thinks that pain is a guardian protecting the
patient from too distressing thoughts. An effort to speak would cause
pain in the throat of a case of mutism and, sometimes, when a
distressing memory was sought after under hypnosis, physical pain would
wake the sleeper. His view is that pains tend to preserve the mutism and
amnesia, so that there are “inhibitory processes” causing the stupor,
which prevent the patient from further suffering. He does not find
either in theory or experience reason to believe that these conditions
are the result of either suggestion or “fixed ideas.” He thinks it
natural that the last symptom of the stupor to disappear should be
mutism, as speech and vision are the prime factors in communicating with
environment. [As has been noted frequently in this book, mutism is a
common residual symptom of the benign stupor.] Myers believes that in
nearly every instance mutism follows stupor and is merely an attenuation
of the latter process. When deafness is associated with mutism, he
thinks it is often due merely to the inattention of the stuporous state.
In this connection we should mention that Gucci[27] points out that
stupor patients with mutism of long duration may, when requested, read
fluently and then relapse again into complete unreactiveness towards
auditory impressions. This, we would say, is probably an example of a
more or less automatic intellectual operation occurring when the patient
is sufficiently stimulated, although he cannot be raised to the point of
spontaneous verbal productivity.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account