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Benign Stupors: A Study of a New Manic-Depressive Reaction Type

Chapter 29: Transcriber's Note:
By August Hoch
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About This Book

This study presents a clinical analysis of stupor as a distinct manic-depressive reaction type, based on case histories and systematic observation. It differentiates deep, partial, and malignant forms, examines suicidal presentations, and traces how ideational content, affective states, inactivity, negativism, and cataleptic phenomena shape the clinical picture. Physical signs, intellectual interference, and psychological mechanisms receive a combined biological and psychodynamic interpretation. Practical sections address diagnostic criteria and therapeutic measures, while a concluding synthesis argues for recognizing stupor among recoverable adaptive failure reactions rather than as inevitable deterioration.

Transcriber's Note:

The following corrections have been made:

  • p. 1: antequated to antiquated (antiquated methods)
  • pp. 11, 97, 100: period to colon (Under Observation:)
  • p. 53: extra 'when' removed (from 'In June, 1914, when she was seen smiling at times.' to 'In June, 1914, she was seen smiling at times.')
  • p. 64: period to colon (Physical condition during the stupor:)
  • p. 84: 24 italicized to match other dates (October 24)
  • p. 91: missing blank line added between Case 12 and 13
  • p. 93: aswer to answer (in answer to questions)
  • p. 145: diaeresis added to coöperation to match other instances
  • p. 150: fatiguable to fatigable (nervous and fatigable)
  • p. 153: phenomenom to phenomenon (unusual phenomenon for a stupor patient)
  • p. 159: comma added (correcting his grammar, and cried easily.)
  • p. 161: missing "in" added (appeared in the statement that her father)
  • p. 171: missing open quote added (she wants to go "to the river,")
  • p. 198: funadmental to fundamental (most fundamental symptoms)
  • p. 211: salivia to saliva (drooling saliva)
  • p. 220: inaccesibility to inaccessibility (disinterestedness and inaccessibility)
  • p. 252: dimunition to diminution (just as well in the diminution)
  • p. 256: or to of (relaxation of sphincter muscles)
  • p. 262, Footnote 19: v. to u. (Zeitschr. f. d. ges. Neur. u. Psychiatrie)
  • p. 265, Footnote 23: Zeitsch. to Zeitschr. to match other instances (Zeitschr. f. d. ges. Neur. u. Psychiatrie)
  • p. 271, Footnote 27: Archivo to Archivio (Archivio italiano per le malattie nervose)
  • p. 280, Index: catherization to catheterization
  • p. 282, Index: ophtalmic to ophthalmic (ophthalmic disease)

Irregularities in capitalization (e.g. Dementia vs. dementia) and hyphenation (e.g. off-hand vs. offhand) have not been corrected. A repetitive sentence on p. 46 (Then she became stupid, although neither sad nor happy. Then, she claimed, she got stupid, but neither sad nor happy.), and two spaced em-dashes on p. 87 have also been retained. Minor punctuation errors (e.g. missing period, missing close or open quote where intended placement is clear) have been corrected without note. The abbreviations "p.m.", "e.g." and "i.e." have been standardized, with no space.