form results from (a) intense melancholia, (b) from general
paralysis in which it may be intercurrent, (c) from epileptic seizures.
When one examines his points of difference between these two types, it
becomes clear that Newington really gave an excellent differentiation of
benign and malignant stupor--in fact, it is the only serious attempt at
such discrimination prior to this present work. What is more remarkable
is the fact that, although he clearly saw the clinical differences, he
failed to see that the two types differed prognostically. His
description is given in a table sufficiently concise to justify its
quotation _in extenso_.

_ANERGIC STUPOR_ _DELUSIONAL STUPOR_

_Etiology_--Hereditary and Hereditary.
individual liability to
sudden loss of _vis nervosa_.

_Onset_--Rapid. Usually insidious, may be almost
instantaneous.

_Symptoms_--Intellect greatly Conduct shows reasoning power.
impaired.

_Memory_--Seems to be swept Found after recovery to have
away as far as possible. been preserved to a great
extent.

_Emotional Capacity_--Nil or Evidence of grief, fear, etc., in
almost so. Tears frequent facial expressions and wringing
but due to relaxation of and clasping of hands.
sphincter muscles. Features Tears rare. Great contraction
relaxed, eyes vacant and not of features [grimacing?].
constantly fixed. Eyes fixed on one
point, usually upwards or
downwards, or else obstinately
closed.

_Volition_--Almost absent. Frequently great stubbornness,
refusal to do what is
wanted. On the other hand,
intense determination in
following out own plan.

_Motor System_--Weak and uncertain. But little interfered with,
Patient has to be independently of sheer
led about and if placed on a asthenia, produced by
seat or in some position does patient's conduct. May stand
not move. ("Cataleptoid"