dy. Another cause for worry was that her father was home
and out of work. She reached a point where she did not care what
happened but continued working. Ten days before admission she was not
feeling well. The next morning she woke up confused and frightened,
speedily became dazed, stunned, could not bring anything to her memory.
This rather sudden stupor onset was not accompanied by any false ideas,
at least none which the family remembered.
Mary C. (Case 7) was an immigrant who felt lonely in the new country.
Two weeks before admission her uncle with whom she was living died. She
thought she had brought bad luck, complained of weakness and dizziness,
then suddenly felt mixed up, her "memory got bad," and she thought she
was going to die. Next she was frightened, heard voices, thought there
was shooting and a fire. For a short time she was inactive and later
began shouting "Fire!" When taken to the Observation Pavilion, she was
dazed, uneasy, thought she was on a boat or shut up in a boat which had
gone down; all were drowned. Then came a mild stupor.
Maggie H. (Case 14), while pregnant, fancied that her baby would be
deformed and that she would die in childbirth. Three weeks before
admission this event took place. For five days she worried about not
having enough milk, about her husband losing his job (he did lose it)
and thought her head was getting queer. On the fifth day she cried, said
she was going to die, that there was poison in the food, that her
husband was untrue to her. She became mute but continued to attend to
her baby. She saw dead bodies lying around, and by the time she was
taken to the Observation Pavilion was in a marked stupor.
Turning now to the symptoms of the stupor proper, we note, first, the
effects of the loss of energy which regression implies. The inactivity
and apathy which these patients show is too obviously evidence of this
to require further comment. Another proof of the withdrawal of the
libido or interest is found in the thinking disorder. Directed, accurate
thinking requires effort, as we all know from the experience of our
laborious mistakes when fatigued. So in stupor there is an inability to
perform simple arithmetical problems, poor orientation is observed, and
so on. Similarly what we remember seems to be that which we associate
with the impressions received by an active consciousness. Actual events
persist in memory better than those of fancy, in proof of which one
thinks
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