by
Seelig.[20] A man of 20 with bad inheritance tried to steal 100 marks.
When sent to jail he became ill shortly before his trial was due and was
sent to a hospital. There he seemed anxious, was shy, and gave slow
answers, with initial lip motions and had to be urged to take hold of
objects. All this sounds more like a pure depression than a stupor. But
he also had paralogia. This might make one think of a Ganser reaction on
the background of depression. S., however, calls it an hysterical
stupor, although he agreed with Moeli that it was hard to differentiate
from a catatonic state.

Loewenstein[21] reports an interesting case of a degenere who had had
hysterical attacks. He suddenly developed stupor symptoms, which lasted
with interruptions for nearly two years. After recovery and during the
interruptions the patient explained his mutism, refusal to swallow, his
filthiness and general negativism as all occasioned by delusions. He was
commanded by God to act thus, the attendants were devils, and so on. He
spoke, too, of being under hypnotic influence. In addition there were
other delusions such as that he had killed his brother. The attack came
on with the belief that he was going to die, otherwise none of the ideas
were typical of the stupors we have studied. Another incongruous symptom
was that he did not seem to be really apathetic, he reacted constantly
to the environment. The author comments on the absence of senseless
motor phenomena, such as would be expected in a "catatonic." His
complete memory of the psychosis also speaks against the usual form of
stupor. It seems possible that this psychosis was neither hysterical nor
a benign stupor in our sense, but, rather, an acute schizophrenic
reaction such as one occasionally sees. From the account which
Loewenstein gives, one gathers that the patient was absorbed in a wealth
of imaginations.

Gregor[22] tells of a stupor which is unusual in that it consisted only
of symptoms connected with inactivity, which did not affect the
intellectual processes. The patient was a rubber worker who suddenly
developed a depression with self-accusation and convulsions. She was
soon admitted to a clinic and then showed mutism and catalepsy. Later
she became totally immobile with no apparent psychic reactions, and
soiled. Gregor studied pulse, respiration and respiratory volume in
their reflex manifestations and found nothing unusual. Next he tried to
discover if there were volunt