c chair.
We see, therefore, in the introductory phase of the stupor in almost
every case ideas of death, and in one case an idea belonging to the
rebirth motif, namely, of being put into a dark hole. In well-observed
cases apparently we do not find the stupor reaction without either
coincident or preceding ideas of death.
_Relation of death and rebirth ideas with affect:_ In order to
investigate the relation of these ideas to the affective condition
associated with them, it will be necessary to study not only the
abstract ideational content but the special formulation in which the
content appears. In looking over the enumeration of the ideas given
above, it is very clear that these formulations differed considerably
from each other. A priori we would say that it is, psychologically, a
very different matter whether a person expresses a desire to die, or has
the idea that he will die or is dead, or says he will be killed. We
associate the first with sadness, the last with fear, while our daily
experience does not give us so much information about the delusion of
being dead. A vivid expectation of death is usually accompanied by
either fear or resignation.
In studying the ideas which we obtained from the patients by
retrospective account after the psychosis or from a retrospective
account during freer intervals, it is, of course, difficult, especially
in the former case, to say whether they have persisted for any length of
time. Probably in most instances this was not the case, and we must
remember in this connection that in a considerable number of cases the
patients recalled no ideas whatever.
Of the five cases which we may consider as types, Henrietta H. (Case 8)
and Mary F. (Case 3) formulated their ideas simply as _accepted facts_
during the stupor. The former thought she was dead, saw dead friends
laid out for burial, and scenes from Heaven and earth. 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.
Annie K. (Case 5) was a little different. During the stupor she made a
few utterances about priests and "all being dead," and retrospectively
she said that she had thought she was in the cemetery, was going to die,
that she had repeated visions of her dead father and onc
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