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Updated: May 7, 2025
It subjects the body to more abundant disorders, and especially to those of the depressive, adynamic type, which, from the want of the usual recuperative power, are more fatal than the diseases of civil life. These works may be considered generic as well as specific.
If we compare the accounts in the literature of the two conditions here in question, namely, nephritis and phthisis, we must be convinced, that aside from so-called autotoxic phenomena, renal disorder seems to be marked by a tendency to depressive emotions but that phthisis shows not only depressive emotion but also euphoric and hyperkinetic phenomena.
Kraepelin treats stupors occurring in manic-depressive insanity as falling into two groups, the depressive and manic. The former seems to be nearer to our cases, judging by the statements in his rather sketchy account. Activity is reduced, they lie in bed mute, do not answer, may retract shyly at any approach, but on the other hand may not ward off pin pricks.
At least this seems to be a definite tendency. A similar tendency may be seen later: On November 4, while generally stuporous, this suddenly lifted for a short time, and with feeble voice she uttered some depressive ideas. She said she wanted to go to a convent, that it would be better if she were dead, that she could not do anything right.
He paused, then resumed argumentatively: "Then there are other questions, too, like that of genius with its close relation to manic depressive insanity. Also, there is decrease enough in the birth rate, without adding an excuse for it.
First Attack at 25: Two or three days after giving birth to a second child, her mother burst into the room intoxicated. The patient immediately became much frightened, nervous, and developed a depressive condition with crying, slowness and inability to do things. During this state she spoke of being bad and told her husband that a man had tried to have intercourse with her before marriage.
Thus an erect, self-respecting carriage must be given, and the unfortunate association, so difficult to overcome, between effort and an involuted posture must be broken up. This means economy and a great saving of vital energy. Extensor action goes with expansive, flexor with depressive states of mind; hence courage, buoyancy, hope, are favored and handicaps removed.
She was discharged on April 29, i.e., about ten weeks after admission before she had become entirely free. The last case is interesting in that a depressive onset to a deep stupor was observed in the Institute. It was characterized by constant repetitions of a request to be killed. Meta S. Age: 16. Admitted to the Psychiatric Institute June 26, 1902.
Binswanger states that the mental disorders occurring in acute and chronic nephritis are either toxemic psychoses on uremic bases, or due to arteriosclerosis. In the latter cases, he states that the disease pictures are as a rule characterized by grave disturbances of emotions, chiefly of a depressive character.
In mental disease, of the type known as Maniac Depressive insanity, there is a curious oscillation of self-love and self-admiration. This disease is cyclic, in that two opposing groups of symptoms tend to appear and displace each other. In the manic, or excited state, there is greatly heightened activity with correspondingly heightened feeling of power.
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