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Updated: June 18, 2025


His most important point is, perhaps, that these benign stupors showed a definite relationship to manic-depressive insanity in that some patients passed directly from stupor to typical manic excitement, while in others a “catatonicattack replaced a depression in a circular psychosis.

Then when delusions or hallucinations are eventually spoken of by the patient, an appropriate or adequate reaction is lacking. In a benign psychosis false ideas do not appear with an equable mood unless the stupor reaction has already begun. More important than this, although in benign stupors there may be a reduction or an insufficient affect, it is never inappropriate.

Except for these episodes, these three patients had the typical slight elevation of temperature. Three cases out of thirty-five, in which high fever and leucocytosis appeared episodically, are hardly enough to justify the view that stupors are the result of a specific infection.

If one compares these data with those given in the chapter on Malignant Stupors, it is seen that in the main Newington has made the same discrimination as we have. He is certainly wrong in denyingnegativismto his anergic type. Probably, too, he attempts too fine a distinction between the physical symptoms of the two groups.

Before treatment can be rational the nature of any disease process must be known, and we do not pretend to have done more as yet than outline the probable mental pathology of the benign stupors. The next step is to put theory into practice and experiment widely with various means to see if by appropriate stimulation the average duration of these psychoses cannot be reduced.

Stern mentions that acute stupors are found in this group. Wilmanns examined the records for five years in a prison and discovered that there were two forms of psychotic reaction, a paranoid and a stupor type. It is interesting psychologically that the former appeared largely among prisoners in solitary confinement, while the stupors developed preponderantly among those who were not isolated.

The majority of the stupors reported in this book were in women, but this is merely the result of chance, since it has been easier in the Psychiatric Institute to study functional psychoses in the female division, while the male ward has been reserved largely for organic psychoses.

It must also be remembered that not infrequently the more marked stupors may be followed by milder states, and it is important, if we wish to determine how much is remembered, not to confuse the two states or not to let the patient confuse them.

The slowing in these cases seems to represent an early stage of the intellectual disturbance which reaches its acme in the mental vacuity and complete incompetence of the deep stupor, just as slow movements in the partial stupors seem to represent a diluted inactivity reaction.

Here, after hours of horrible suffering, of visions more hideous than Dante's Hell, of stupors and struggles, of fits of strong shrieking, followed by weak tears, he woke one afternoon calm and coherent, to find himself lying on a straight pallet bed in a narrow stone chamber, dimly lighted by a small slit of window, through which a beam of the sun fell aslant, illumining the blood- stained features of a ghastly Christ stretched on a black crucifix directly opposite him.

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