wing
fevers. Bonhoeffer[34] describes a type that follows a febrile
Daemmerzustand of a few hours or a day at most. The affect suddenly
goes, disorientation sets in. Although outbreaks of anxiety may be
intercurrent, the dominant picture is of stupor. Reactions are slowed,
often there is catalepsy. Sometimes there is a retention defect and
confabulation to account for the recent past. Again the retention may be
good. In the foreground stands a strong tendency to perseveration. This
may affect speech to the point of an apparent aphasia or produce
paragraphia. Plainly organic aphasia and focal neurological symptoms are
sometimes seen.

As Knauer[35] has gone thoroughly into the question of the febrile
stupors, the reader is referred to his paper for a digest of the
literature on this topic. Mention has already been made in Chapter IX to
this publication, where the close resemblance of these rheumatic, to our
benign functional, stupors has been noted. Discrimination seems to be
possible only on the basis of delirium-like features being added in the
organic group.

FOOTNOTES:

[C] This chapter has been written mainly from material in Dr. Hoch's
notes which was manifestly incomplete. No claim is made for its
exhaustiveness.

_The Editor._

[13] Dagonet, M. H.: "De la Stupeur dans les Maladies Mentales et de
l'Affection mentale designee sous le Nom de Stupidite." _Annales
Medico-Psychologiques_, T. VII, 5e Serie, 1872.

[14] Newington, H. Hayes: "Some Observations on Different Forms of
Stupor, and on Its Occurrence after Acute Mania in Females." _Journal of
Mental Science_, Vol. XX, 1874, p. 372.

[15] Clouston: "Mental Diseases." J. & A. Churchill, 1904.

[16] Stern: "Ueber die akuten Situations-psychosen der Kriminellen."
Abstracted, _Zeitschr. f. d. ges. Neurol. u. Psychiatrie_, Referate Bd.
V, S. 554.

[17] Wilmanns, K.: "Statische Untersuchungen ueber Gefaengnisspsychosen."
_Allgemeine Zeitschr. f. Psychiatrie_, Bd. LXVII, S. 847.

[18] Kutner: "Ueber katatonischer Zustandsbilder bei Degenerierten."
_Allgemeine Zeitschr. f. Psychiatrie_, Bd. LXVII, S. 375.

[19] Chotzen: "Fall von degenerativem Stupor." Abstracted, _Zeitschr. f.
d. ges. Neur. u. Psychiatrie_, Referate, Bd. VI, S. 1077.

[20] Seelig: "Psychiatrischer Verein in Berlin, 1904." _Neurol.
Centralbl._, 1904, S. 421.

[21] Loewenstein: "Beitrag zur Differentialdiagnose des katatonische u.
hysterische