es, only to relapse into the state
of inactivity.
Such variations are paralleled, as we shall later show, by a suddenly
pronounced deepening of the thinking disorder. We have already seen that
the onset may be quite sudden. All this indicates that, in spite of a
certain stability, sudden changes are not uncommon. Finally, we know
that, in spite of the fact that stupor is an essentially affectless
reaction, certain influences may produce smiles or tears, or, above all,
angry outbursts, which again can hardly be interpreted otherwise than by
assuming that those influences have temporarily produced a change in the
clinical picture, in the sense of lifting the patient out of the depth
of the stupor. All these facts suggest that inconsistencies in
recollection are correlated with changes in the clinical picture.
As is to be expected, the cases with partial stupors remember much more
of what externally and internally happened during their psychoses. Rose
Sch. (Case 6), who had a partial stupor during which she answered
questions but showed a great difficulty in thinking, said
retrospectively that she felt mixed up and could not remember. Although
she recalled with details the Observation Pavilion and her transfer, she
was not clear about their time relations (how long in the Observation
Pavilion, how long in the first ward). Mary C. (Case 7), whose activity
was not entirely interfered with and who showed some thinking disorder,
said retrospectively that she could not take in things. Henrietta H.
(Case 8), who had a partial stupor, claimed to have known all along
where she was, but that she felt mixed up, that her thoughts wandered
and that she felt confused about people. In the cases where a partial
stupor was preceded by a marked one, such as in phase 2 of Anna G. (Case
1) and phase 2 of Mary D. (Case 4), we have no retrospective account
regarding the partial stupor, because emphasis in the analysis was
naturally laid on the period comprising the most marked disorder.
However, we can gather from the few cases at our disposal that the
patients retrospectively lay stress chiefly on their inability to
understand the situation.
We finally have to consider the group of suicidal cases. We have
information only in regard to two cases, namely, Margaret C. (Case 10)
and Pearl F. (Case 9). In both of these, we find that a good many things
that happened during the period under consideration were remembered, as
were also the patie
|