It is evident then that there could be no inhibition of the sensory
centres, or suppression of their activity, or whatever else it
may be called. In spite of the apparent, profound anaesthesia,
the pin pricks were felt and perceived. Stimulations gave rise to
perception, cognition, to a sort of pseudo-hallucinations that
showed the pin pricks were counted and localized in the hand. The
results of these tests demonstrate that in psychopathic patients
all sensory impressions received from anaesthetic parts, while
they do not reach the _personal_ consciousness are perceived
_subconsciously_.
Inasmuch as the sensations are perceived, the failure of the
subject to be conscious of them must be due to a _failure in
association_. The perception of the sensation is dissociated from
the personal consciousness. More than this, these _dissociated_
sensations are capable of a certain amount of independent
functioning; hence the pseudo-hallucinations, and hence the
failure of psychopathic patients to be incommoded by their
anaesthesia. This condition of dissociation underlies psychopathic
states.
For the purpose of studying the attacks, the patient was
hypnotized. He went into a deep somnambulic condition, in which,
however, the _anaesthesia still persisted_. This showed that the
dissociation of the sensory impressions was unchanged.
In hypnosis he related again the history of the onset of the
trouble. His memory became broader, and he was able to give the
additional information, which he could not do in his waking state,
that at the time he was badly frightened, he fell on his right
side. Moreover, he recalled what he did not remember when awake,
that throughout the period of his attacks when he fell asleep,
he had vivid dreams of an intense hallucinatory character, all
relating to terror and fall.
In these dreams he lived over and over again the experience which
was the beginning of his trouble. He again finds himself in his
little native town, on a lonely road; he thinks some one is running
after him; he becomes frightened, calls for help, falls, and then
wakes up with a start, and the whole dream is forgotten. After he
wakes he knows nothing of all this; there is no more fear or any
emotional disturbance; he is then simply distressed by the spasms.
Public-domain text, read in full here on John Shaqi.
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