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
_Under Observation:_ On admission the patient appeared
sober, impassive, moved very little, was markedly
cataleptic, though not resistive. On the other hand, her
eyes were wide open and she looked about freely, following
the movements of those around her not unnaturally. When
questioned, she looked at the questioner rather intently,
and was apt to breathe a little more rapidly, and made some
ineffectual lip motions but no reply. To simple commands
she made slow and inadequate responses. She flinched when
pricked with a pin, but made no attempt at protecting
herself. She had to be spoon-fed. The catalepsy persisted
only for two days.
After this she continued to show a marked reduction of
activity, moved very little, said nothing spontaneously,
had at first to be spoon-fed (later ate naturally enough).
But she never soiled herself and went to the closet of her
own accord.
Emotionally she seemed dormant for the most part, though
for the first few days she appeared somewhat puzzled, and
one night when a patient screamed she seemed afraid and
did not sleep, whereas other nights she slept well. She
answered only after repeated questions and in a low tone.
Very often, though her attention was attracted easily
enough, her answers were remarkably shallow and also showed
a striking off-hand profession of incapacity or lack of
knowledge. This was often without any admission of
depression or concern about her incapacity. She would
usually say “What?” or “Hm?” or repeat the question, but
most often would say, “I don’t know,” this even to very
simple questions. For instance, when asked, “What is your
name?” she answered, “My name? I don’t know myself” (but
she did give her husband’s name), or when asked to write
her name, she said, “I don’t know how to write,” or “Call
Annie, she will write my name.” When requested to read or
write (even when asked for single letters), she would make
such statements as “I can’t read.” However, she finally
named some objects in pictures. This condition was
characteristic of her for two weeks.
Public-domain text, read in full here on John Shaqi.
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