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Updated: June 20, 2025
During it she remained the same. But during convalescence she began to speak and eat. A period followed lasting six months during which she was up and about, but sat or stood around a good deal. On the other hand, she helped the nurses a little when urged. Her face was often stolid, again she looked about. She said little. At no time was she resistive.
Nov. 10. She is still fairly free. Nov. 11. Inactive, inaccessible, but for the most part not rigid. Nov. 14. Varies between mutism with resistance and more relaxed inactivity. To-day lies in a position repeatedly assumed by her, namely, on her stomach with head raised, resistive towards any interference, immobile face, totally inaccessible. Nov. 15. Freer. Nov. 17.
This morning lies in bed staring, resistive, again she is markedly cataleptic. She has to be spoon-fed, and is totally unresponsive. In the afternoon she was found staring and resistive. Presently she said with tears: “I am waiting to be put on the cross.” Nov. 4. Still has to be catheterized. Nov. 5. During the night she is said to have been restless and wanted to go to church.
She had to be tube-fed, was usually very resistive to any passive motions; quite often she retained her urine, but she did not hold her saliva. Yet there was some quick responses at least in the beginning.
In some instances a more detailed retrospective account was taken, which may throw some light upon the interferences with the intellectual processes with which we are now concerned. Emma K., whose case need not be taken up in detail, had a typical marked stupor which lasted for nine months, preceded by a bewildered, restless, resistive state for five days.
At the Observation Pavilion she was very inactive, so that she had to be fed and cared for in every way, mute, often covering her head with a sheet, turning away when questioned and resistive when the physical examination was attempted. But at times she smiled or laughed. Under Observation: 1.
When we consider these three cases together, we see that what would otherwise have been deep stupors with profound inactivity, were modified by activity in two directions: suicidal and resistive. Presuming that the symptoms of stupor are all interrelated, we can see a reason why the affect should also have been altered. When one is modified, this should influence the other.
There she remained in bed, with all her muscles relaxed, her mouth constantly open, saying nothing and indeed resisting efforts which were made to get her to open her eyes. Under Observation: She sat or lay down with her eyes closed and usually limp, although occasionally resistive. There was practically no reaction to pin pricks.
It is not a fortress church, yet it was evidently built for defence; it is Gothic, yet the lightness and grace of that art are sacrificed to the massiveness and resistive strength, imperatively required by southern Cathedrals in times of wars and bellicose heretics. The whole building seems a compromise between necessity and art.
After recovery the patient said that while she was at home she thought she saw bodies lying about. At the Observation Pavilion she was quiet and apathetic, indifferent to environment and could not be induced to speak. She soiled, refused food, and was resistive when anything was done to her. Under Observation: 1. On admission the patient was fairly well nourished but looked rather anemic and weak.
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