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
Then her condition changed a little. She spoke a little
more freely but was similarly vague. The following
interview of September 9, is characteristic: When asked how
she was, she said, “Belle.” (Are you sick?) “No.” (Is your
head all right?) “Yes.” (Is your memory all right?) “Yes.”
(Do you know everything?) “Yes.” (Understand everything?)
“Yes.” (Are you mixed up?) “No.” (Do you feel sick?) “No.”
But when asked where she was, how long she had been here,
what the name of the place was, what was the occupation of
those about her, she said, “I don’t know.” (How did you
come here?) “I couldn’t tell how I came up here.” (What are
you here for?) “I am walking around and sitting on
benches,” but finally, when again asked what she was here
for, she said, “To get cured.” She now gave and wrote her
name and address correctly when requested, also gave the
names of her children. Yet when asked about the age of the
girl, said, “I don’t know, my head is upside down.” When an
attempt was made to make her repeat the name of the
hospital, or the date, or the name of the examiner, she did
so all right, but even if this was done repeatedly and she
was asked a few minutes later, she would say “I couldn’t
say,” or “I forget things,” or “I have a short memory,” or
she would give it very imperfectly, as “Manhattan Island,”
or “Rhode Island” for “Manhattan State Hospital, Ward’s
Island.” (How is your memory?) “All right.” But when at
this point the difficulty was pointed out, she cried.
(Why?) “Because I forget so easily.” All this was while her
general activity was much reduced, and she seemed to take
very little interest in her surroundings.
Then she improved somewhat, asked the husband some
questions about home, and on one occasion cried much and
clung to him and did not want to let him go without taking
her. She also began to work quite well, but still said very
little spontaneously. During this period when asked
questions, she spoke freely enough, but seemed somewhat
embarrassed. What was still quite marked were striking
discrepancies in giving dates, and her utter inability to
straighten them out when attention was called to them, as
well as to her inability to supply such simple data as the
ages of her children. Her capacity was later not gone into
fully but it was certainly less defective on recovery than
at this time. She was rather shallow in giving a
retrospective account during this period. Even later, when
she had developed a clear insight and made, in respect to
her activity and behavior, a natural impression, she was
not able to give much information about her psychosis,
although she apparently tried to do so.
Public-domain text, read in full here on John Shaqi.
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