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Updated: July 20, 2025
Wernicke wisely refrained from attempting more than a loose descriptive grouping. He called all conditions with marked inactivity and apathy “akinetic psychoses” and said that some recovered, some did not. Taxonomic zeal began to blind vision when Kahlbaum formulated his “Catatonia” and included stupor in the symptom complex.
It is not necessary to detail publications describing stupors in hysteria, epilepsy, dementia præcox or in the organic psychoses. It may be of interest, however, to cite some examples of acute, benign stupors and the discussion of them which appear in the literature of recent years. An important group is that of stupors occurring as prison psychoses.
Suggestion that allopsychic delusions are as a rule in some sense autopsychic. Work on fifth-decade psychoses. Statistical summary. Three cases of senile dementia, delusions of grandeur, and frontal lobe changes. Three cases with religious delusions. Remainder of pleasant-delusion group. Group with unpleasant delusions. Nephrogenic group.
When we say that "universals alone exist in the mind" we mean by "mind" something unknown to Berkeley; not a bundle of psychoses nor an angelic substance, but quick intelligence, the faculty of discourse.
I am sorry, moreover, that he had to mutilate his conclusions by being forced by lack of time to condense them. It strikes me he gives us a very important contribution to the mechanism of the cure of some psychoses. That mechanism of cure, may be stated as follows: How can one take the split off libido which results from the analytic technique and apply it to a better constructive synthesis?
As a matter of fact, we see in psychoses, particularly in stupor, more sharply defined regressions to different levels than we ever see in normal life. Our psychological hypothesis would be incomplete and probably unsound if it could not offer as valid explanations for the atypical features in our stupor reactions as for the typical.
From which great triad, as from a gnostic Trinity, emanates an endless procession of other logical shadows and all the Fata Morgana of philosophical dreamland. I have elsewhere proposed psychoses as a substantive name for mental phenomena.
Apparently the author has had to rely on the literature for his preparatory experience and has been fortunate only in some cases, if we may judge by his references. The most satisfactory group he describes is that of the traumatic psychoses and there he follows Meyer's admirable study.
All these facts suggest that inconsistencies in recollection are correlated with changes in the clinical picture. As is to be expected, the cases with partial stupors remember much more of what externally and internally happened during their psychoses. Rose Sch.
It may be mentioned here, as is clearly appreciated from what has been said before, that there is an interrelationship between the tics on the one hand and the symptoms which we discover in the psychoneuroses, psychoses and the mentally unstable on the other. Were I to take up any one of the tics as an illustration, this general idea could be applied very nicely.
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