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
2. Then she improved somewhat. On January 5 she walked
about a little more, though slowly, and still looked
slightly puzzled when questioned. She spoke more readily,
counted promptly though once stopped in the middle of the
exercise. In calculation she multiplied correctly 3 × 7,
but for 4 × 9 repeated the 21, and when given 9 × 9 she did
not answer. A few days later, though she lay again
motionless with her head raised as before, and, as she had
sometimes done, smiled brightly when accosted, she gave few
replies, but when asked to write down the month she slowly
wrote “December.” Asked to write it the second time, she
did it promptly. She also replied promptly by saying “Yes”
when asked whether Christmas, and again whether New Year’s,
had passed, but did not reply to the questions how long ago
Christmas, or how long ago New Year’s, had occurred. On
January 23 she was decidedly more free and prompt in her
replies, yet she still wet and soiled (in fact this did not
cease until the end of the month, when great improvement
occurred). At this time she gave quite a number of
calculations promptly, about an equal number wrongly. She
knew where she was, knew the names of a number of people
about her, but thought she had been here about two weeks
(four months), and gave the year and the date, the latter
as the 28th of January. When then told that it was
Thursday, January 23, and that she must remember it, and
asked five minutes later what she had been told, she again
said “January 28” and left out Thursday. To some questions
to which she did not know the answers, since she had an
amnesia for the time of their occurrence (the incidents of
coming here), she simply remained silent. Even on February
7, when she was much freer, helped the nurses, and said
herself she was “smarter,” she had difficulty in thinking,
said she was 17 (21), gave the date of her birth correctly,
but the current year as 1909 (1908) and still insisted she
was 17. She then did the calculations on paper, and with
considerable difficulty got correctly “22.” But she could
not straighten out the discrepancy. At that time, also, she
still wrote “Hospitital,” calculated even simple
multiplications with some mistakes, could not get the point
of a story, and to retention tests gave poor results.
Indeed, even seven days later, when she wrote a very
rational letter and appeared quite natural, she made some
omissions in her writing, and a few mistakes in spelling.
However, she now improved rapidly, and by March 31 she made
a very natural impression, was frank, free, had good
insight, calculated well, etc., understood a story,
retention was good.
Public-domain text, read in full here on John Shaqi.
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