The patient was put into a condition close to the hypnotic
state. There was some catalepsy of a transient character, but no
suggestibility of the hypnotic type. In this state it came to light
that the patient “many years ago” was forced to sleep in a dark,
damp cellar where it was bitter cold. The few nights passed in that
dark, cold cellar he had to leave his bed, and shaking, trembling,
and shivering with cold and fear he had to go about his work in
expectation of a severe punishment in case of non-performance of
his duties.
While in the intermediary, subwaking, hypnoidal state, the patient
was told to think of that dark, damp, cold cellar. Suddenly the
attack set in,--the patient began to shake, shiver, and tremble
all over, his teeth chattering as if suffering from intense fear.
The attack was thus reproduced in the hypnoidal state. “This is
the way I have been,” he said. During this attack no numbness, no
sensory disturbance, was present. The patient was quieted, and
after a little while the attack of shivering and fear disappeared.
The room in which the patient was put into the subconscious
state was quite dark, and accidentally the remark was dropped
that the room was too dark to see anything; immediately the
attack reappeared in all its violence. It was found later that it
was sufficient to mention the words, “dark, damp, and cold” to
bring on an attack even in the fully waking state. We could thus
reproduce the attacks at will,--those magic words had the power
to release the pent-up subconscious forces and throw the patient
into convulsions of shakings and shiverings, with chattering of the
teeth and intense fear.
Thus the apparent epileptiform seizures, the insistent psychomotor
states of seemingly unaccountable origin, were traced to
subconscious fear obsessions.
The following case is of similar nature. The study clearly shows
the subconscious nature of such psycholeptic attacks:[10]
Mr. M., aged twenty-one years, was born in Russia, and came to this
country four years previously. His family history, as far as can be
ascertained, is good. There is no nervous trouble of any sort in
the immediate or remote members of his family.
The patient himself has always enjoyed good health. He is a young
man of good habits.
He was referred to me for epileptiform attacks and anaesthesia
of the right half of his body. The attack is preceded by an aura
consisting of headache and a general feeling of malaise. The aura
lasts a few days and terminates in the attack which sets in about
midnight, _when the patient is fully awake_. The attack consists of
a series of spasms, rhythmic in character, and lasting about one or
two minutes. After an interval of not more than thirty seconds the
spasms set in again.
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