These findings were indicative of functional rather than organic
disease. The _previous history_ of the case was significant. The
first attack came on after peculiar circumstances, when the patient
was sixteen years of age and living in Russia. After returning from
a ball one night, he was sent back to look for a ring which the
lady, whom he escorted, had lost on the way. It was after midnight,
and his way lay on a lonely road which led by a cemetery. When near
the cemetery he was suddenly overcome by a great fright, thinking
that somebody was running after him. He fell, _struck his right
side_, and lost consciousness. The patient did not remember this
last event. It was told by him when in a hypnotic state.
The patient was a Polish Jew, densely ignorant, terrorized by
superstitious fears of evil powers working in the dead of night.
By the time he was brought home he regained consciousness, but
there existed a spasmodic shaking of the right side, involving the
arm, leg, and head. The spasm persisted for one week. During this
time he could not voluntarily move his right arm or leg, and the
right half of his body felt numb. There was also apparently a loss
of muscular sense, for he stated that he was unaware of the shaking
of his arm or leg, unless he looked and saw the movements. In other
words, there was right hemiplegia, anaesthesia, and spasms.
For one week after the cessation of the spasms his right arm and
leg remained weak, but he was soon able to resume his work, and he
felt as well as ever. Since then every year, as already stated,
about the same month the patient has an attack similar in every
respect to the original attack, with the only exception that there
is no loss of consciousness. Otherwise the subsequent yearly
attacks are _photographic pictures, close repetitions, recurrences
of the original attack_.
A series of experiments accordingly was undertaken. First,
as to the anaesthesia. If the anaesthesia were functional,
sensory impressions ought to be felt, even though the patient
was unconscious of them, and we ought to be able to get sensory
reactions.
Experiments made to determine the nature of the anaesthesia
produced interesting results. These experiments show that the
anaesthesia is not a true one, but that impressions from the
anaesthetic parts which seem not to be felt are really perceived
subconsciously.
Different tests showed that the subconscious reactions to
impressions from the anaesthetic hand were more delicately plastic
and responsive than the conscious reactions to impressions from
the normal hand. We have the so-called “psychopathic paradox” that
_functional anaesthesia is a subconscious hyperaesthesia_.
Public-domain text, read in full here on John Shaqi.
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