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Updated: May 22, 2025
If one compares these data with those given in the chapter on Malignant Stupors, it is seen that in the main Newington has made the same discrimination as we have. He is certainly wrong in denying “negativism” to his anergic type. Probably, too, he attempts too fine a distinction between the physical symptoms of the two groups.
It is more apt to occur in those where the exalted period is acutely maniacal. The stupor is usually melancholic in form.” Since he claims that the anergic is a “very curable form of mental disease,” while only 50% of the melancholic cases recover, it seems clear that this division is not prognostically final.
His conclusions are interesting: that in the anergic cases there is an absence of cerebration, while amongst the delusional there is an abnormal presence of intense but perverted cerebration. This is not unlike our own view. He thinks the difference in memory is the most important differential point.
Sex is important in determining the nature of the stupor, for he found the anergic type following mania in females only. He observed such an end to manic attacks in 6 out of 36 cases. All his cases were under 30 and he regards the prognosis as good on the whole.
He makes a division into two stupors: Anergic Stupor and Delusional Stupor. When one examines his points of difference between these two types, it becomes clear that Newington really gave an excellent differentiation of benign and malignant stupor in fact, it is the only serious attempt at such discrimination prior to this present work.
He thinks stupor usually follows depression or mania and says that “the ‘Confusional Insanity’ of German and American authors is just a lesser degree of stupor.” Omitting his stupors in general paralysis and epilepsy he makes three clinical divisions: melancholic or conscious stupor, which is not a product of delusions, although delusions of death or great wickedness may be present, impulsiveness and fits may be observed; anergic or unconscious stupor, which corresponds roughly to our deep, benign stupor; and secondary stupor after acute mental disease, which resembles our partial stupor.
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