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Updated: June 24, 2025
The fact that the lower animals are excited by the same emotions as ourselves is so well established that it will not be necessary to weary the reader by many details. Terror acts in the same manner on them as on us, causing the muscles to tremble, the heart to palpitate, the sphincters to be relaxed, and the hair to stand on end.
Bodily inactivity is present in all degrees, and in some forty consecutive cases was recognizable in every one. In its most extreme form there is complete flaccidity of all the voluntary muscles, and relaxation of some sphincters. As a result of the latter we see wetting, soiling and drooling.
The cold water draws the blood from brain and spinal cord and thereby insures better rest and sleep. It cools and relaxes the abdominal organs, sphincters, and orifices, stimulates gently and naturally the action of the bowels and of the urinary tract, and is equally effective in chronic constipation and in affections of the kidneys or bladder.
Frequently wetting and soiling are due to negativism, when the patient has been led to the toilet but relaxes the sphincters so soon as he leaves it. A constant feature is a thinking disorder. On recovery memory is largely a blank even for striking experiences during the psychosis and, when accessible during the stupor to any questioning, a failure of intellectual functions is apparent.
The left arm became paralyzed, then the right leg. The tongue deviated to the right on protrusion. The sphincters were unaffected. The heart sounds were faint and without added sounds. The man was moved to a water-bed, his body and head being kept horizontal, and great care being taken to avoid sudden movement.
The symptoms of this condition are fighting for breath, giddiness, relaxation of the sphincters, and convulsions. Post mortem, cadaveric lividity is well marked, especially in nose, lips, ears, etc.; the right cavities of the heart and the venæ cavæ are found gorged with dark fluid blood.
The relaxation of the sphincters is apt to persist even after control of the rest of the body is exercised to the point of permitting the patient to stand or walk about. The first phase of obvious conscious control is seen in those patients who will retain a sitting posture in bed or in a chair.
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