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:_ 1. On admission the patient appeared
depressed, sat with downcast expression, looking up rarely.
She spoke in a low tone and slowly. But, in spite of delay,
she answered all questions, knew where she was and gave an
account of the place where she had worked. When questioned
about trouble with men, she claimed that a man who lived in
the same house where she worked had tried to make her “lie
on the bed,” but that she refused; that later a man had
assaulted her and had after that repeatedly come to her
room when she was alone. Yet when asked whether she worried
about this, she denied it.
2. For eight days her condition was sometimes one of marked
reduction of activity, with preoccupation. She sat in a
dejected attitude, and had to be urged to do anything.
Sometimes she was very slow in greeting and slow in
answering, and said very little. But whenever spoken to she
was apt to cry and this might lead to such distress that
the reduction of activity was no longer to be seen. Thus on
June 28, when greeted, she began to cry and say, “Oh, what
have I done!--Oh, just cut my head off--Oh, please what
have I done--I have given my hand.” (Tell me the whole
story.) Imploringly and with hands clasped: “No, I can’t do
it--just cut my head off, please, please.” (Why can you not
tell me?) “Oh, what have I done!” The imploring to cut her
head off was then several times repeated, and she could not
be made to answer orientation questions. On June 29 she
became agitated spontaneously and cried loudly, saying,
“Oh, let me go home and die with my father.” She was then
put to bed, and when seen she could not be made to answer
orientation questions. But when asked whether she had seen
the physician before, she said, “I saw you yesterday.” She
could not be made, however, to say how long she had been
here, “I think a”--not finishing the sentence. Although she
would not answer further, she presently began to say “Oh,
cut my head off--oh, where is my papa and mamma?” When told
that her people were in Germany and that she could go back
to them, she said “I haven’t any money to pay it.” Then she
wanted to know if she was to pay for her board and bed and
said she could not do it.
Again, on July 1, although she had been quite preoccupied,
inactive and silent, she began to say when greeted, “Oh,
please cut my head off.” But she then answered some
questions, said she had not worked enough. On questioning,
she explained it was not that the work had been too much,
but that she had been nervous, had tried to work as much as
the servant next door, but could do only half as much, “Oh,
I ought to have worked.”
Public-domain text, read in full here on John Shaqi.
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