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When he tried to say something he did not find his words." An awful fit of "epileptiform convulsions," the result of suppressed gout, followed, and the local doctors who were called in came to the conclusion that Burton could not recover. They thought it better, however, that their opinion should be conveyed to him by a perfect stranger, so they deputed Dr.
My aim is much more modest. The immediate purpose of my paper is to study some of the problems of therapy, from the psychoanalytic point of view, of that small class of patients on the borderline between hysteria and epilepsy, or patients with epileptiform attacks. The first publication of studies of this general nature was made by Dr. James J. Putnam and Dr.
"It looks to me," he replied quietly, "like a sort of hystero-epilepsy. It is well known, I believe, to demonologists those who have studied this sort of thing. They have recognized the contortions, the screams, the wild, blasphemous talk, the cataleptic rigidity. They are epileptiform." Vaughn said nothing, but continued to weigh Kennedy as if in a balance.
During the fever the pulse is greatly increased in frequency, the head aches and throbs, and if the attack be very severe restlessness, sudden startings, irregular muscular twitchings, or even violent epileptiform convulsions and stupor, delirium or coma, indicate the disturbance of the nervous system.
If he is pressed to recollect the incident of the viper, a violent epileptiform crisis puts a sudden end to this phase of his personality." This carries us a good deal further. Here we have not only two distinct personalities, but two distinct characters, if not three, in one body. According to the side which is paralysed, the man is a savage reprobate or a decent modest citizen.
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.
On the basis of these, and a number of other similar cases, I should like to suggest, from a descriptive point of view, that the epileptiform seizure is of the nature of an orgasm. An orgasm is a sudden, explosive, discharge of nervous energy, raised to the breaking point of nervous tension. I should like to generalize the idea of orgasm. Ordinarily, of course, it is confined to the sexual sphere.
That the epileptiform attacks did not take place until after actual sexual orgasms had been experienced, lends weight to the conception I am presenting here. The first case is not so clear. This is partly due to the fact that it was impossible to make anything like a complete analysis.
Soon afterwards she had strong convulsions of an epileptiform character and then other spasms of a clearly hysterical form, during which her body was bent in the form of a bow as in tetanus, the head and heels only touching the bed. Then the muscular spasm ceased and she fell at full length on the bed.
She complained most of her head, which felt "queer," would not go to sleep as formerly, and often gave her turns, in which there was a mingling of dizziness, semi-consciousness, and fear. Her education and work, or rather method of work, had wrought out for her anemia and epileptiform attacks.
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