kept on the eye of
his attendants. Mental acuity of this grade combined with amnesia looks
more like an hysterical than a manic-depressive process.
Leroy[25] describes a case much like ours which is interesting from a
therapeutic standpoint. The patient was a woman who passed from a severe
depression with hallucinations and anxiety into a long stupor, from
which she recovered completely. There was no negativism and no affect,
although the latter appeared so soon as contact began to be established.
When well she had a complete amnesia for the onset of the psychosis.
Leroy attributed the recovery, in part at least, to the thorough
attention given the patient. Kraepelinian rigidity is seen, however, in
the author's refusal to regard the case as "circular" because of the
lack of all cyclic symptoms. He takes refuge in the meaningless label
"Mental Confusion."
An important group of cases is that of the stupors occurring during
warfare. Considering stupor as a withdrawal reaction, it is surprising
there were so few of them, although partial stupor reactions as
functional perpetuation of concussion were very common. The editor saw
several typical cases in young children in London who passed into long
"sleeps" apparently as a result of the air raids. Myers[26] has given
us the best account of stupors in actual warfare. A typical case was
that of a man who was found in a dazed condition and difficult to
arouse. He could give little information about himself, could neither
read nor write and never spoke voluntarily. A week later his speech was
still limited and labored and no account of recent events could be
obtained from him. Under hypnosis he was induced to talk of the accident
which had precipitated this disorder. He became excited in telling his
story, evidently visualizing many of the events. In several successive
seances, more data were obtained and a cure effected. Myers points out
that in all his cases there was a mental condition which varied from
slight depression to actual stupor, all had amnesias of variable extent
and all had headaches. The mental content seemed to be confined to
thoughts of bombardment, with a tendency for the mind always to wander
to this topic. The author thinks that pain is a guardian protecting the
patient from too distressing thoughts. An effort to speak would cause
pain in the throat of a case of mutism and, sometimes, when a
distressing memory was sought after under hypnosis, physical pa
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