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Updated: May 22, 2025
Wernicke, unhampered by classifications of catatonia and manic-depressive insanity with inelastic boundaries, calls all stupor reactions akinetic psychoses with varying prognosis. He does not make Kraepelin’s mistake of confusing the apathy of stupor with the retardation of depression, stating distinctly that the processes are different. Bleuler also has grasped this discrimination.
Consequently, he says, one can observe the external features of stupor in all akinetic catatonics, in marked depressive retardation, when there is a lack of interest, affect or will, in autism, with twilight states, as a result of negativism or, finally, when numerous hallucinations distract the patient’s attention into a world of fancy.
Wernicke wisely refrained from attempting more than a loose descriptive grouping. He called all conditions with marked inactivity and apathy “akinetic psychoses” and said that some recovered, some did not. Taxonomic zeal began to blind vision when Kahlbaum formulated his “Catatonia” and included stupor in the symptom complex.
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