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A little later he had given his card to the servant at the door and was waiting in a darkened and most depressive library for the coming of the master of the house. The five minutes of waiting nearly finished him.
Sometimes he fails to get it, and then he becomes an unemployed problem. This type of uncontrolled energy reaches its height in the manical or manic phase of the disease already described as manic depressive insanity. The "manic personality," which need not become insane, is characterized by high energy, vivacious emotions, rapid flow of thought and irrelevant associations.
But I soon observed, to my inexpressible concern, that while Gratitude and Admiration were busy in exciting the various ranks of the vast assembly, to accomplish this favourite design, they were followed by two earthy fiends of a dark and malignant influence: these were Detraction and Indifference, who shed such a chill and depressive mist around them, that all the ardour of the Assembly seemed to sink.
The destructive effects of fasting are intensified by solitude, grief, worry, introspection, religious exaltation or any other form of depressive or destructive mental and emotional activity. Spirit controls often force their subjects to abstain from food, thus rendering them still more negative and submissive.
Let us consider these three groups separately. The most important difference between stupor and depression lies in the affect. Although inactive and sometimes appearing dull the depressive individual is not apathetic but is suffering acutely.
"Safe, my darling, thank God," said Mr. Martell, taking her into his arms; "and they have pulled our stout oarsman in, too. So we are all safe." "Well, I hope so," said the ex-sailor, with a little depressive dubiousness. "We shipped a sight o' water comin' out. There's a deal of ice runnin', and so chopped up one can skerce see it. I must be skipper and all, mind, if we are to come safe out.
I saw at once that he was taking this subterfuge as a way of securing information which might otherwise have been withheld if asked for directly. Maude Schofield also saw it, I fancied, but this time said nothing. "They had a grandfather who was a manic depressive on the Atherton side," said Crafts slowly. "Now, no attempt has ever been made to breed that defect out of the family.
The origin of many cases of Graves' disease is closely associated with some of the causes of the discharge of nervous energy, depressive influences especially, such as nervous shocks, worry and nervous strain, disappointment in love, business reverses, illness and death of relatives and friends.
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.
Certainly the severity of the symptoms alone does not decide it. As the treatment is entirely empirical, no one can foresee whether or not the situation may change to-morrow. We may find psychotherapeutic schemes by which epilepsy or maniacal depressive insanity or traumatic neuroses may become accessible.
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