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Updated: May 15, 2025
Of course it leaves the problem at that interesting point, Why the restriction of consciousness? If stupor be a psychobiological reaction, it should occur, occasionally, in organic conditions just as the deliria of typhoid fever may contain many psychogenic elements. Gnauck reports such a case. The patient, a woman, was poisoned by carbon dioxide. At first there was unconsciousness.
Thus the analytic tendency of the Freudian school is to be highly commended. But this analysis should not be limited to sexual analysis, but should include a consideration of all of man's instincts. Nor should the analysis be limited to present-life psychic factors alone, but should be viewed from a psychobiological standpoint.
Frequently, I am inclined to believe usually, these movements result rather merely because there has been effected a psychobiological reaction, following the theory of psychophysical-progression, fixation and regression with involvement of the nervous paths most seriously affected or most easily disturbed.
In many instances the habit has become rather fixed, and, as a relief from the struggle to do or not to do the movement, and because of fatigue in the effort to inhibit or control the movement, the individual adopts the path of least resistance, best for immediate relief from mental struggle; and as a psychobiological effort at self-preservation and self-gratification, as immediately as possible and at any cost to be paid in the future, he gives vent, as it were, to the movement.
Visits of relations often initiate recovery in a striking way. From occurrences such as these, psychiatrists should gain hints for valuable therapeutic experiments. So much for the technical, psychiatric aspects of the stupor problem. We have frequently spoken of it, however, as a psychobiological reaction.
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.
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