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Updated: May 18, 2025
Gabriele could never empirically detect the existence of a second personality that the girl purportedly had, and as such she could not believe that one personality came out in manic stages and the other during depression.
She was discharged recovered a month later, after having been sent to another ward. In this case, then, we find that the two months of stupor were ushered in by a brief state in which, in addition to the usual inactivity, there was a certain bewilderment, increased by questions, while the orientation which in the preceding manic state had been good became seriously interfered with.
Some five years later she had another somewhat similar attack, again following a quarrel, this time with a fellow employee. In this second psychosis, however, manic elements were much more prominent.
After a second confinement, at the age of 26, the patient had her first attack of manic excitement, from which she recovered in four months. She had, subsequently, at the ages of 28, 30, 32, 35, 43, and 45, other attacks of the same nature, each one lasting about four months. No precipitating cause was known for any of them. At the end of this attack she was said to have been “dull” for a month.
These formulations of the death idea may occur as tentative solutions of the patient’s problems leading to temporary manic episodes while the psychosis is incubating. It seems that stupor as such appears only when death and nullity are accepted. The above are more or less a priori reasons for regarding the stupor as a regressive reaction.
The man let loose an expletive at the top of his lungs that woke the downstairs neighbor who was napping in front of a hockey game. And with manic grin born of angst and momentary abandon, he struck out the last line and its corresponding box on the 12F. His pen capped with a momentary sense of triumph, the man disappeared.
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.
You don't know what happened this morning-Oh, you've got to hear it. Do you want to hear everything?" She began an ongoing laughter as she narrated her anecdote, pausing in certain moments to release her manic chortles. "He came by this morning-you should have seen him-'Rita, my darling, he said-and I said, 'Rita's not home.
He credits Pinel with being the first to call attention to stupor. This author claimed that some persons with extreme sensibility could be so upset by any violent emotion as to have their faculties suspended or obliterated. He noted, too, that stupors frequently terminated in manic phases of 20 to 30 days’ duration. Pinel also emphasized the apathy of these cases.
In any condition, therefore, such as that of perplexity or of an absorbed manic state, the patient may be objectively in the same condition as a typical stupor. The histories of the two psychoses differentiate the two reactions which may be indistinguishable at one interview.
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