English: Identifier: diseasesofnervo00jell

Title: Diseases of the nervous system : a text-book of neurology and psychiatry Year: 1915 (1910s) Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937 Subjects: Mental Disorders Nervous System Diseases Publisher: Philadelphia : Lea & Febiger Contributing Library: Columbia University Libraries Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image: estlessness and irritability. She has been unable to adjust to reality, the effort at compensationby delusional formation has also failed, with the resulting progressivedilapidation of coherence in the stream of thought. III. Catatonia.—This variety of precox, like the hebephrenic, maycome on suddenly with symptoms of confusion or depression, or maybe of somewhat slower onset. It is more apt than the other forms tobe of relatively acute onset, in which case it sometimes follows a sud-den shock of a highly emotional character. It is characterized more CATATONIA 695 especially by a predominance of motility disturbances and tends toexpress itself in alternating conditions of catatonic stupor and catatonicexcitement. In the conditions of catatonic stupor negativism reaches a very highdegree. The patients are perfectly immobile, sitting off in corners bythemselves or lying in bed without paying any apparent attention towhat goes on about them, are quite inaccessible, fail to answer ques-

Text Appearing After Image: FiG. 308.—Catalepsy; flexibilitas cerea. tions, and do not react at all to stimulii from the outer world. Theycharacteristically often refuse to speak at all. This mutism is amanifestation of the negativism. Besides this the patients oftenrefuse food, pay no attention to the promptings of the bladder andthe rectum which become overloaded. with urine and fecal matter,often to a serious extent. Saliva may be permitted to accumulate inthe mouth where, if attention is not paid to it, it may undergo putre-factive changes. The patients quite characteristically show peculiar 696 DEMENTIA PRECOX GROUP theatrical attitudinizing, make grimaces, occupy peculiar positions,and if they speak the productivity is often incoherent and apparentlysenseless, with a tendency to constant repetition of the same phrases—perseveration—which may also manifest itself in the movements ofthe body, such as a constant swaying movement or the like. The muscular system may be in a condition of waxy flexibility,

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