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If benign stupors belong to this group, then we should be able to find some specific psychology for this type of reaction. All speech and all conduct, except simple reflex behavior, are presumably determined by ideas.
Malignant symptoms are grimacing with prolonged negativism but without essential affect anomaly, decided echopraxia and echolalia and protracted catalepsy. We would agree with this, although command automatisms have not been prominent either in our benign or malignant stupors.
He leant down upon a rail, and covered his face with his hands. Stupors, however, do not last for ever, and Farmer Oak recovered from his. It was as remarkable as it was characteristic that the one sentence he uttered was in thankfulness: "Thank God I am not married: what would SHE have done in the poverty now coming upon me!"
The stupors recovered more quickly. He describes the psychosis thus: The prisoner becomes rather suddenly excited, destructive and assaultive; then soon passes into an inactive state, where he lies in bed, mute, with open expressionless eyes. He is clean, however; eats spontaneously and attends to his own hygienic needs.
An important “catatonic” symptom is a tendency to sudden, impulsive, unexplainable acts. Such actions occur occasionally in benign stupors and, since we attempt an understanding of the reaction as a whole, an effort should be made to study these phenomena as well. The cases chosen showed persistent, quite affectless, yet very impulsive attempts at self-injury.
Naturally any physical disease reduces the capacity for normal response to mental difficulties; hence physical illness may facilitate the production of a psychosis. But this intercurrent factor is also non-specific. Such is our view of the etiology of manic-depressive insanity as a whole. When we approach the study of benign stupors, however, difficult problems appear.
All these facts suggest that inconsistencies in recollection are correlated with changes in the clinical picture. As is to be expected, the cases with partial stupors remember much more of what externally and internally happened during their psychoses. Rose Sch.
We believe that there is just as distinctive a stupor reaction which may be exhibited either in deep stupors or what we may term partial stupors. Theoretically, complete apathy, inactivity, etc., make up the clinical picture of a deep stupor. When these symptoms appear rather as tendencies than as perfect states, a partial stupor is the product.
Weariness produces indifference, physical sluggishness, inattention and a mild thinking disorder such as are seen in partial stupors. The phenomena of the midday nap are strikingly like those of stupor. In everyday life there are more protracted states where the comparison can also be made.
For a time the sea proved very beneficial to Kate's health, but the never-ending surprises and expectations she was exposed to finished by so straining and sharpening her nerves that the stupors, the assuagements of drink, became, as it were, a necessary make-weight.
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