ose of marked stupor, are
fairly well known and have been studied by others. Less well known and
formulated, but even more important from a practical as well as from a
theoretical point of view, are what may be called partial stupors.

The reader has noted that the states of deep stupor described in the
last chapter, did not end abruptly with a sudden return to health or a
sudden change to another type of psychosis. They all gradually passed
away, not by the disappearance of one symptom after another, but by the
attenuation of all. Sometimes a more or less stable condition persisted
for months, in which there was no stupor in a literal, clinical sense
but when apathy, inactivity, interference with the intellectual
functions and negativism all existed. Had these been the only states
observed in these patients, there might have been some ground for doubt
as to the diagnosis. As it was, it was clear that we were dealing with
mild stages of stupor. When a psychiatrist meets with an undeveloped
manic state, he calls it a hypomania and does not hesitate to make this
diagnosis in the absence of complete development into a florid
excitement. This procedure is not questioned, because the manic
_reaction_ as distinguished from a _mania_ is well recognized. We
believe that there is just as distinctive a _stupor reaction_ which may
be exhibited either in deep stupors or what we may term partial stupors.
Theoretically, complete apathy, inactivity, etc., make up the clinical
picture of a deep stupor. When these symptoms appear rather as
tendencies than as perfect states, a partial stupor is the product. That
partial stupors occur as well-defined psychoses, developing and
disappearing without the appearance of deep stupor, we shall attempt to
show in the following three typical cases:

CASE 6.--_Rose Sch._ Age: 30. Admitted to the Psychiatric
Institute August 22, 1907.

_F. H._ Both parents were living (father 74, mother 68), as
were two brothers and two sisters. All were said to be
normal.

_P. H._ Nothing was known of the patient's early
characteristics, except that she herself said she was slow
at learning in school and did not have much of an
education. But when well she made by no means the
impression of a weak-minded person. The husband had known
her for ten years. He married her eight years before
admission, by civil process, keeping this from his ow