nts' own actions. In Rosie K. (Case 11) we have at
least the evidence that she remembered her own impulses, namely, that
she refused food because she wanted to die. In other words, in these
partial stupors with impulsive suicidal tendencies the interference with
the intellectual processes seems to be moderate, and memory for external
events not markedly affected.
2. Information Derived from Direct Observation
The evidence can best be presented by considering the details of some
cases.
Rose Sch. (Case 6) was remarkable, in connection with the present
problem, in her unusually poor answers. She either merely repeated the
questions, or made irrelevant superficial replies, or said she did not
know, this even with very simple questions. When better, too, though not
quite well, she showed striking discrepancies in time relations and
incapacity to correct them. It would seem that in this case there was
something more than an acute interference with the intellectual
processes, such as we are here discussing. As a matter of fact, we have
the statement in the history that the patient herself said she was slow
at learning in school and had not much of an education. A congenital
intellectual defect and the attitude which it creates may, however, as
my experience has repeatedly shown me, very greatly exaggerate an acute
thinking disorder. The case, therefore, while it shows us an
unquestionably acute interference with the intellectual processes, does
not give us useful information about its nature. More information can be
gathered from Mary D. (Case 4). Even toward the end of her marked stupor
some replies were obtained chiefly by making her write. When asked to
write Manhattan State Hospital, she wrote Manhatt Hhospshosh, and for
Ward's Island, Ww. Iland. Again, instead of writing 90th Street, she
wrote 90theath Street. These are plainly reactions of the path of least
resistance or, in these instances, of perseveration. Of the same nature
are some of her other replies in writing or speaking. After she had been
asked to write her name, she was requested to add her address, or the
name of the hospital; she merely repeated the name. Similarly, when
asked whether she knew the examiner, she said "Yes," but when urged to
give his name, she gave her own. In the partial stupor at a time when
she knew where she was, knew the names of some people about her, the
year and approximately the date, she made mistakes in calculation and
cou
|