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Updated: July 18, 2025
She recovered completely about six and a half months after her admission. If we consider together the common features of these three cases, we see that they resemble stupors only in the presence of inactivity and apparent apathy. It is true that death appears in the ideational content but not with that prominence, bordering on exclusiveness, which characterizes such delusions in the true stupors.
The last can be studied better than in the deep stupors because these partial cases are more or less accessible to examination. There is a tendency for the patient to think much of death either in the onset or during the psychosis. Negativism seems much less prominent than in the deep stupors. A natural criticism is that these cases merely had retarded depressions.
Stupors, however, do not last for ever, and Farmer Oak recovered from his. It was as remarkable as it was characteristic that the one sentence he uttered was in thankfulness: "Thank God I am not married: what would she have done in the poverty now coming upon me!" Oak raised his head, and wondering what he could do listlessly surveyed the scene.
For example, there are religious and erotic fancies or ambitious schemes dominating the thoughts of manic patients, fears of aggression and injury met with in anxiety cases, and so on. In stupors, death seems to be a state of non-existence with other meanings lacking or only hinted at occasionally.
Having discussed in detail the various symptoms and theoretic aspects of the benign stupors, it may be well to have these observations and speculations summarized. It being established that stupors occur as a temporary form of insanity psychiatry is faced at once with the problem of describing these conditions accurately in order to ascertain their nosological position.
To discriminate the cases with good outlook from those with bad, he discerned no difference in the stupors themselves, but observed that the mental make-up and initial symptoms differed sufficiently for diagnosis to be made.
Now, in stupor we have an analogous reaction where, although consciousness is not disturbed in the sense in which it is in epilepsy, it is nevertheless considerably affected, inasmuch as contact with the environment is practically non-existent. The coincident thinking disorder is quite similar, both in epileptic dementia and the torpor following seizures and in these benign stupors.
The extraordinary perspicacity of the police who had nailed and returned the violin instanter, this wizardry that would have thrown any one else into stupors of bewilderment, interested him not at all. He had the violin. That sufficed. The rest did not matter. It mattered though and monumentally to Cassy.
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.
The latter spoke, during the stupor, of being in “Calvary,” “the hereafter,” or “Heaven.” We have seen that these stupors were essentially affectless reactions and we can therefore say that, so far as these two cases are concerned, the ideas thus formulated were not associated with any affect.
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