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
By _January_, 1915 (i.e., a year after the second phase had
commenced), she began to dress herself and eat, and also
became clean. But she remained for the most part very
inactive, sitting stolidly about all day and still without
interest in her environment. The impulsive attempts at
killing herself disappeared. Although she remained for
months to come still inactive, she gradually began to talk
a little, began to play a little on the piano, but said
little to any one.
By _August_, 1915, she still was inactive, shy, standing
about, or sitting picking her fingers, occasionally going
to the piano, but evidently unable to finish anything. She
had to be coaxed to come to the examining room and talked
in a low tone. Often she commenced vaguely to speak and
then stopped and could not be made to repeat what she had
been saying. Affectively she was remarkably frank,
sometimes a little surly, or she showed a slight empty
uneasiness. She could, however, be made to laugh heartily
at times, or did so spontaneously on very slight
provocation.
Some of her utterances were in harmony with her apparent
indifference. It was difficult to get her to say how she
felt even when thorough inquiries were made. Once she said,
when asked about worrying, “I don’t worry,” or again “I get
angry sometimes,” or “I used to worry about my health, I
don’t now,” or, when asked what her plans were, she said
directly: “I don’t care what happens.” Again she said “I
guess I am disagreeable,” or “I guess I am a crank.”
Another interesting indication of her state was expressed
in her repeated statement, “I don’t know what I want.” But
she was oriented in a way, though not sure of her data. She
would give most of her answers with a questioning
inflection, “This is the Manhattan State Hospital, isn’t
it?” or she would say, “I don’t know exactly where I am,
it’s Ward’s Island, isn’t it?” and in the same way she gave
the day, date and year correctly. But she did not know the
names of the physicians. At that time she could give many
data about her family correctly, but was slow, even if
correct, in calculation, and, though she got the gist of a
test story, she left out some important details.
Public-domain text, read in full here on John Shaqi.
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