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
5. The period which followed and which lasted about two
months was characterized, like the one just described, by
marked stupor symptoms, associated, however, with more
resistance, while the crying practically disappeared. On
the other hand, a number of plainly angry reactions were
seen and, towards the end, smiling and laughing. She lay in
bed, on her back, staring, allowing the flies to crawl over
her face; retained uncomfortable positions without
correcting them, and her arms often showed a decided
tendency to catalepsy. Sometimes she soiled. She constantly
held saliva in her mouth, though she did not often drool.
She was totally mute, did not respond in any way except in
the manner to be presently indicated. She had to be
tube-fed a good part of the time, was quite resistive when
an attempt was made to open her mouth. When attended to by
the nurse, she was apt to make herself stiff. But as a
rule, she was not resistive to passive motions when tested.
On a few occasions she had, as was stated, marked angry
outbursts. Thus on one occasion when her temperature was
taken she angrily pushed the nurse away and then struggled
vigorously. On another occasion, when the bed-pan was put
under her, she threw it away angrily and struck the nurse;
once she did the same with the feeding tube. She struck a
patient, on another occasion, when the latter came to her
bed. On two occasions she suddenly threw herself headlong
on the floor. Towards the end of the period, when the
blood-pressure was taken, she smiled and then laughed out
loud. She could be made to smile again later.
6. The last period, before the more definite improvement,
lasted about a month. She was inactive and slow, ate slowly
(feeding no longer necessary), and was mute. But she did
not stare, was no longer resistive, no longer held saliva.
She appeared indifferent, but could be made to smile quite
readily when spoken to. On one occasion she laughed out
loud when a comical toy was shown her, again was amused at
a party. In the beginning of the period she was once seen
to cry a little when sitting by herself, and at the same
time wept a little when spoken to, but this was now
isolated. Towards the end of the period she spoke a little,
asked for paper and pencil and wrote: “Dear Mother.--I only
take up the pencil in order to write you a few lines. We
are all cheerful and in good health and hope that you are
the same and we congratulate you on your birthday 19th of
December that I have not written to you for a long time
were in the same ...” (Translated.) This was written very
slowly.
Public-domain text, read in full here on John Shaqi.
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