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
_F. H._ The father was dead, and the mother living abroad.
Not much could be learned about them and the immediate
family.
_P. H._ An aunt who gave the anamnesis had known the
patient only since she came to the United States, a year
before admission. After her arrival the patient at once
went to work as a servant. It was claimed that her employer
liked her, but that she was rather slow about the work. The
only trouble known was that she sometimes complained of
indigestion. She went to see her aunt about once every two
weeks.
Three weeks before admission, when the patient visited her
aunt, she seemed quieter than usual. Further, she spoke
about sending money home on the _Kaiser Wilhelm der
Grosse_, which was thought peculiar because she had no
money, and on a walk through a cemetery said “I would like
to be here too.” At the time this did not impress the aunt
as very peculiar. The patient continued to work until nine
days before admission. The employer then sent for the aunt
and said the patient had been very quiet for about two
weeks, and that she now had become more abnormal. She
suddenly had begun to cry, said the police had come,
claimed, without foundation, that she had “stolen,” and
kept repeating “I have done it, I will not do it again.”
The aunt took her home with her. There she was quite
dejected, cried, spoke of killing herself (wanted to jump
out of the window, wanted to get a knife). On the whole,
she said very little, but when the aunt pressed her to say
why she was so worried, she said she had allowed men to
kiss her and had taken money from them. It is claimed that
she never menstruated.
After recovery the patient herself described the onset as
follows: Ever since she came to this country she had been
homesick, and felt especially lonesome for some months
before admission. She knew, however, of no precipitating
cause, in spite of what she had said to the aunt and what
she said at first under observation. She consistently
denied that anything had happened with young men. A short
time before she left her place (she left it nine days
before admission) she could not work, began to accuse
herself of being a bad girl and of having stolen. Then she
was taken to the aunt’s house. There she wanted to die.
Public-domain text, read in full here on John Shaqi.
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