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Updated: June 18, 2025
German psychiatry has tended to make the insane patient a type rather than an individual. Hence the gap in the descriptive literature of stupor. The necessity of establishing the possibility of some stupors having a good prognosis has arisen from Kraepelin’s work.
Fortunately for us his letter to the Pope has been lost, or else we should have to insert it here; and we have had quite enough of his theological stupors.
Incompleteness and slowness of intellectual operations are highly characteristic features of the partial stupors and of the incubation period of the more profound reactions.
The author, therefore, thinks it advisable to state somewhat dogmatically his view, as to the etiology of these affective reactions, merely as a starting point for the argument concerning stupors specifically.
The psychosis, Dagonet says, is not pure but more a mixture of hypochondria and depression. Relationship with mania is next considered. He says that stupor may succeed, alternate with or precede mania. His cases seem mainly to have been what we call absorbed manics or manic stupors. In fact, he uses the last term.
Some cases showed higher temperature when this was more marked, but this was not sufficiently constant to justify any conclusions being drawn. Heat loss occurs preponderantly as a result of radiation from the skin and by sweating with consequent evaporation of the secretion. These processes are functions of the skin and surface circulation. Are they disturbed in our stupors?
Knauer reports that in post-rheumatic stupors illusions are frequent an ice bag thought to be a cannon, or a child, etc. and there are bizarre misinterpretations of the physical condition, such as lying on glass splinters, animals crawling on the body, and so on. Such illusions are, in our experience, not found in stupor, and, on the other hand, are cardinal symptoms of delirium.
On the other hand, deep stupors very frequently are terminated by manic reactions, and if not by such means, recovery seems to occur merely in virtue of a gradual attenuation of the stupor symptoms. Rarely do we see a change to depression or anxiety heralding improvement.
To discover the symptoms of the disorder one cannot do better than to study them in their most glaring form in deep stupors, where consistently recurring phenomena may be assumed to be essential to the reaction. Anna G. Age: 15. Admitted to the Psychiatric Institute July 25, 1907. F. H. The mother and two brothers were living and said to be normal.
We may therefore tentatively assume that the fever which marks the onset and frequently the course of these benign stupors is the result of a failure of the heat loss function, this being due to an imbalance in the involuntary nervous system that is occasioned, in turn, by insufficient circulating adrenalin, and the final cause for the poor suprarenal function is to be traced to the most consistent symptom of the stupor, namely, apathy.
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