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Updated: May 13, 2025
Faced with this dilemma psychiatrists have either called recoveries “remissions” or, like E. Meyer, claimed that one-fifth or one-fourth of catatonics really get well. As a matter of fact it seems clear that stupor is a psychobiological reaction that can occur in settings of quite varied clinical conditions.
Probably to be related to this is a tendency, present in some cases, to sudden suicidal impulses, that are as apparently planless and unexpected as the conduct of many catatonics. Finally the disease is prone to exhibit certain physical peculiarities. A low fever is common and so are skin and circulatory anomalies. A loss of weight is the rule, and menstruation is almost always suppressed.
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.
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