Spratling calls attention "to the value of an occasional convulsion in
certain cases. In some patients the fit acts as a safety valve that
unquestionably permits escape from insanity. . . In many cases the
convulsion seems t o come as the termination of an obscure (auto-toxic)
cycle which varies in duration in different individuals and bears some
relationship to the ascending period of the folie circulaire of the French.
It seems that the specific cause of the fit in these cases is something that
permeates the entire organism; something that comes and goes; that grows
rapidly in intensity, exerting a pernicious influence on the patient by
making him act out of harmony with his normal state, until the limit is
reached and the mind loses its direction and control. The power of
inhibition being finally destroyed, the nervous storm breaks with great
force and violence." p. 361.
Although Spratling had in mind a toxic agent, one cannot but be struck with
how completely his terms describe an emotional outburst.
In a paper read in Boston last winter, Dr. L. Pierce Clark advanced the view
that the epilpetic seizure was the symbolical expression of the desire of
the patient to return to the mutterleib. The convulsive moments were such
reflect and random acts as one sees in infants or infers in the embryo.
Regard for social sanctions is lost. This, of course, suggests the first
step in criminality. Clark found that favorable cases were amenable to
psychic treatment and said that some cases had been very much helped by
psychoanalysis. I am not certain whether he claims to have cured any
particular case of pseudo-epilepsy or epileptiform attacks, by
psychoanalysis. In presenting some of my own cases let me begin with one
that certainly was not a complete success, but nevertheless was much helped
by psychoanalysis.
This case is that of a young girl, aged 14, without known inherited
tendency. Her first attacks had occurred about a year previous in the form
of fainting spells. These were afterwards followed by convulsions. In
convulsions the patient thrashed about, kicking her legs and clawing at her
chest. These convulsive movements stopped after a while and were followed
by a deep sleep, after which the patient awoke without any memory of what
had happened.
It was found that during the convulsion the patient imagined she was being
pursued by a black-faced figure with claw-like hands, of a peculiar shape
like her father's.
Public-domain text, read in full here on John Shaqi.
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