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Updated: June 7, 2025
It appears to me highly worthy of observation, that Howard, before he entered on his grand projects of Public Benevolence, was subject to those little, but depressive variations of health which have betrayed many a valetudinarian into habits of inaction and inutility. Happily for himself, and for mankind, this excellent person surmounted a constitutional bias to indolence and retirement.
In the former there is frequently a feeling of unreality that is purely subjective, whereas the stupor case does not usually complain of this but does exhibit a difficulty in grasping the nature of his environment, which the typical depressive case never has. The occurrence of other mood reactions than apathy in the same patient is also characteristic.
When she was talked to, she was apt to indulge in depressive statements and show considerable distress.
We enter now that region of constitutional disturbances in which psychotherapy is of small help. It leads from epilepsy to the periodic diseases, especially the maniacal depressive insanity, the paranoia which develops late, and finally to states of idiocy which cover the whole life.
If she did not understand him she did not laugh at him, which was enough for David with the sleepy whisperings of the prairie around him, and new, strange matter stirring in his heart and making him bold. There was only one thing about her that was disappointing. He did not admit it to himself but it kept falling on their interviews with a depressive effect.
He destroys an investment of billions of dollars, people's lives and careers. He turns his back on some of the actors who seem to really be emotionally attached to him. He selfishly and vengefully goes away. He knows all this. By the time he makes his decision, he is fully informed. He knows that some people may commit suicide, go bankrupt, endure major depressive episodes, do drugs.
So far as this case is concerned, therefore, we do find a distinct tendency for the ideas which refer to the more stuporous condition to differ from those which refer to the actual situation in the freer intervals, a difference which we may formulate by saying that, though primitive ideas are expressed, the tendency seems to be to connect them more with actual life, or that the primitive character is lost and the ideas take on a more depressive character with a depressive affect.
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