teria.
Another protracted case suggestive of hysteria is that reported by
Gadelius.[24] The patient was a tailor, 32 years old, who had always
been rather taciturn and slow. A year before admission he began to have
ideas of persecution and to shun people. Then he developed a stereotyped
response, "It is nice weather," whenever he was addressed. A month
before admission inactivity set in. He would sit immobile in his chair
with closed eyes and relaxed face; he resisted when an attempt was made
to put him to bed. His color was pale.
He was taken to hospital on November 1, 1882, where he was observed to
be immobile and to have little reaction to pin pricks. When a limb was
raised, it fell limply. However, he would leave bed to go to the toilet.
Tube-feeding became necessary, but when the tube was inserted in his
nose, he woke up. He then showed an amnesia not merely for his illness
but for his whole life: he did not know his father, that he was married
or that he had a mother. Towards the end of November, he became limp
again and answered, "I don't know" to most questions. In December,
however, he improved again and for a few months these variations
occurred. From April, 1883, to May, 1886, he was in deep stupor, almost
absolutely immobile and close to being completely anesthetic even with
strong Faradic currents. Towards the end of this period he walked about
_whenever he thought he was not watched_. He was very cautious about
this and became motionless any time he became aware of observation.
(Gadelius thinks this was not simulation but the expression of an
automatism on the basis of a vague fixed idea.)
This condition persisted apparently for five years more, by the end of
which time the anesthesia had turned into a hyperesthesia. A year later
he began to eat. It was now found that he had an amnesia for his illness
and former life, so that he did not even recognize a needle or pair of
scissors. He knew that he was born in the month of February and retained
some facility in calculation, in speech, walking and usual motions. Then
he regained all his memories and resumed his trade as tailor. He was
discharged in June, 1893, nearly eleven years after admission.
It seems safe to say that elements at least of hysteria appear in this
history, such as the profound retroactive amnesia and appearance of
simulation in the conduct of the patient. Accurate and rapid grasp of
the environment is necessary for such a watch as he
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