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
_Nov. 24._ When the husband and sister came a few days ago
she said she was glad to see them, embraced them, cried and
is said to have spoken quite freely. To-day she speaks more
freely than usually. When asked why she had answered so
little, she said she could not bring herself to say
anything, though she added spontaneously, “I knew what was
said to me.” When shown a picture of her cataleptic
attitude with hands raised, she said dreamily, “I guess
that must have been the day I went to Heaven, everything
seemed strange, things seemed to be going up and down.”
(Did you know where you were?) “I guess that was the day I
thought I was on the ship.” When the sister spoke to her,
she seemed depressed and said, “If only I had not done
those things I might be saved, if I had only gone to church
more.”
_Dec. 3._ Seems depressed. She weeps some, says she is sad,
“There seems to be something over my heart, so I can’t see
my little girls.” Again: “I should have told you about it
first--I should not have bought it”--(refers to buying
carbolic acid). She wrote a natural letter but very slowly.
4. There followed then a state lasting for six months,
during which the patient was rather inactive, preoccupied,
even a little tense at times. Sometimes she did not answer,
again at the same interview spoke quite promptly. For the
most part the affect was reduced, at other times she
appeared a little uneasy, bewildered, or again depressed.
She said that sometimes a mist seemed to be over her. Now
and then spoke of things looking queer and she asked, when
the room was cleaned, “Why do they move things about?” and
she added irrelevantly: “I thought the robbers broke into
my house and stole my wedding dress and my children’s
dresses” (refers to the condition during the onset of her
psychosis). In the beginning of this state, when asked
about the stupor, she spoke again of the “ship” and about
going “down, down,” but also said that on one occasion she
heard beautiful music, was waiting for the last trumpet and
was afraid to move. Moreover, she had some ideas referring
to the actual situation which were akin to those in the
more marked stupor period. Although she admitted she was
better, she said on December 8 that she still had queer
ideas at times, “I sometimes think the doctor is Uncle Jim”
(long dead). She also spoke of other patients looking like
dead relatives, and added, “Are all the spirits that are
dead over here?” “We never die here, the spirits are here.”
But after that date no such ideas recurred, in fact this
whole period seems to have been remarkably barren of
delusions. Exceptionally isolated ones were noted. Thus, on
Public-domain text, read in full here on John Shaqi.
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