behind door or kneel on floor
condition.) in constrained position even
for days.

_Sensory System_}--Both dull. Ditto. There seems to be a
_Reflex System_ } much greater ability to bear
severe pain.

_Pupils_--Dilated. Tendency to contraction.

_Sleep_--Generally good. Intense sleeplessness.

_General bodily condition_-- Affected _pari passu_ with
Emaciation, sometimes extreme, mental state and seems
usually rapid, with governed by it.
rapid recovery of flesh.
Often not much loss of
weight, though whole tone is
lowered.

_Vascular System_--Pulse slow, Pulse weak and often quick
sometimes almost imperceptible. and thready. Complexion
Cyanotic appearance, edema anemic and sallow. The
and iciness of extremities. other appearances may be
Great decrease of vitality present but come on later
in peripheral structures, and are less marked.
as shown by asthenic
eruptions and production of
vermin.

_Digestive System_--Tongue Tongue dry, small and furred.
clean or if furred it is moist. Refusal of food. Great
Appetite _apathetic_, bowels constipation. Dirtiness of
not irregular, but habits habits rare.
very dirty.

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 denying "negativism"
to his anergic type. Probably, too, he attempts too fine a distinction
between the physical symptoms of the two groups. His conclusions are
interesting: that in the anergic cases there is an _absence_ of
cerebration, while amongst the delusional there is an abnormal
_presence_ of intense but perverted cerebration. This is not unlike our
own view. He thinks the difference in memory is the most important
differential point. Sex is important in determining the nature of the
stupor, for he found the anergic type following mania in females only.
He observed such an end to manic attacks in 6 out of 36 cases. All his
cases were under 30 and he regards the prognosis as good on the whole.
As to treatment he emphasizes the necessity for "moral pr