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. In the beginning of May, i.e., four months after
entrance, her condition changed somewhat, and for two
months she presented the following state: She stood about,
or walked around slowly, usually with her arms folded. She
had a tendency to stand near the door. She had to be
assisted in dressing, pushed rather than led to her meals,
and urged to eat. For the most part, she would not answer
questions, but would either smile in a sneering way, or
just walk away, or say, “Oh, don’t bother me,” or “I don’t
want to talk,” and generally her attitude was rather sulky.
Nor was this only towards the physicians but towards the
husband, sister and child as well. When on May 17 the
sister came, she would not speak to her but said “Go away.”
The baby she simply pushed away sulkily when it was brought
to her. To the husband she said on May 31, “Go away, you
stink.” In the first part of this period, she presented
some bursts of elation, on one occasion turned somersaults,
indulged in a few pranks with laughter, or once, when a
knock at the door was heard, she called out “Holy gee,
cheese it, the cop.” But these occurred only in the first
part of the period. On June 1 she spoke to the nurse, said,
“What is the matter with these people, they must be crazy,”
asked to go home, and was then by the nurse found to be
oriented, and to know the names of people around her. But
when she was asked about the baby she would not answer, and
questioned whether she was not married, she said “I don’t
know.” Yet when the physician desired to talk to her, she
was just the same as before and remained so for two more
weeks. Another somewhat isolated occurrence was when on
June 18 she spoke a little to the physician, but she sat in
a constrained position when taken into the office and
answered many questions by “I don’t know,” namely, those
regarding her condition and feelings, the questions about
orientation, about her mother’s address, and her child’s
age; but when asked how long she had been married she said
correctly “Two years.”
At the beginning of July she improved quite rapidly, and on
July 5 appeared fairly free and gave a fair retrospective
account, with some urging, and it was thought that she
smiled somewhat too freely. However, on July 27, she seemed
perfectly well, had normal insight, and then gave the
second retrospective account, which, together with the
first, will now be taken up.
Public-domain text, read in full here on John Shaqi.
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