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Stupor: a conceptual history

Published online by Cambridge University Press:  09 July 2009

G. E. Berrios*
Affiliation:
From Ribinson College, Cambridge
*
1Address for correspondence: Dr G. E. Berrios, Robinson College, Cambridge.

Synopsis

The concept of ‘stupor’ is subjected to historical analysis. Particular attention is given to the nineteenth-century, during which three evolutionary stages are identified. During the first stage stupor is considered as a simple state of non-responsiveness. The second stage recognizes that some stupors are accompanied by rich subjective experiences and separates them as ‘psychiatric stupors’. During the third stage some of its symptoms are reinterpreted as resulting from an interaction between patient and environment. A number of historical sources are reviewed in an attempt to illustrate the evolution of the concept and its association with cognate behavioural states.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1981

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References

REFERENCES

Ackerknecht, E. H. (1957). Kurze Geschichte der Psychiatrie. Ferdinand Enke Verlag: Stuttgart.Google Scholar
Ajuriaguerra, J. de (1975). The concept of akinesia. Psychological Medicine 5, 129137.Google Scholar
Ajuriaguerra, J. de, Hécaen, H., Lagani, E. & Sadoni, R. (1953). Maladie de Schilder-Fox, étude anatomoclinique d'un cas. Presse médicale 61, 17561759.Google Scholar
Akhtar, S. & Brenner, I. (1979). Differential diagnosis of fugue like states. Journal of Clinical Psychiatry 40, 381385.Google Scholar
Albert, M. L. (1978). Subcortical dementia. In Alzheimer's Disease (ed. Katzman, R., Terry, R. D. and Bick, K. L.), pp. 173–180. Raven Press: New York.Google Scholar
Alexander, F. & Selesnick, S. (1966). The History of Psychiatry. Harper & Row: New York.Google Scholar
Alonso, Fernández F. (1977). Fundamentos de la psiquiatria actual (2 vols.) (3rd edn). Editorial Paz Montalvo: Madrid.Google Scholar
Auzovy, T. (1861). Mélancholic, catalepsie. Archives cliniques des maladies mentales et nerveuses 4, 2732.Google Scholar
Baillarger, M. J. (1843). De l'état désigné chez les aliénés sous le nom de stupidité. Annales médico-psychologiques 1, 76256.Google Scholar
Ball, B. (1881). De la torpeur cérébrale. L'encéphâle 1, 369378.Google Scholar
Ball, B. & Chambard, E. (1883). Démence. In Dictionnaire encyclopédique des sciences médicales (ed. Dechambre, A.), pp. 454469. Asselin: Paris.Google Scholar
Barrough, P. (1583). The Methods of Phisicke. Vautrollier: London.Google Scholar
Baruk, H. (1967). La psychiatrie française de Pinel à nos jours. Presses Universitaires de France: Paris.Google Scholar
Baruk, H. (1972). Automatisme et troubles des mécanismes de la pensée intérieure dans la psychiatric française et dans la psychologie interprétative de Freud. In Les sciences de la folie (ed, Bastide, R.), pp. 115143. Mouton: Paris.Google Scholar
Baruk, H., Launay, J. & Berges, J. (1958). Experimental catatonia and psychopathology of neuroleptics. Journal of Clinical and Experimental Psychopathology 19, 277291.Google Scholar
Bash, K. W. (1955). Lehrbuchder allgemeinen Psychopathologie. Georg Thieme: Stuttgart.Google Scholar
Baumann, E. D. (1938). Die Katalepsie der Antiken. Janus 42, 724.Google Scholar
Bayfield, R. (1663). A Treatise de Morborum capitis essentiis et prognosticis. Tomlins: London.Google Scholar
Bédard, P., Larochelle, L., Poirier, L. J. & Sourkes, T. L. (1970). Reversible effect of l-dopa on tremor and catatonia induced by α-methyl-ρ-tyrosine. Canadian Journal of Physiology and Pharmacology 48, 8286.Google Scholar
Berrios, G. E. (1981 a). Disorders of motility in psychiatry: a conceptual history. Submitted for publication.Google Scholar
Berrios, G. E. (1981 b). Stupor revisited. Comprehensive Psychiatry 22, 446478.Google Scholar
Berrios, G. E. (1981 c). Delirium and confusion in the 19th century. A conceptual history. British Journal of Psychiatry 139, 439449.CrossRefGoogle ScholarPubMed
Bleuler, E. (1911). Dementia Praecox or the Group of Schizophrenias (English edn. 1950). International Universities Press: New York.Google Scholar
Bleuler, E. (1934). Textbook of Psychiatry. Macmillan: New York.Google Scholar
Bloch, O. & Wartburg, W. von (1950). Dictionnaire étymologique de la langue française. Presses Universitaires de France: Paris.Google Scholar
Bloom, F., Segal, D. S., Ling, N. & Guillemin, R. (1976). Endorphins: profound behavioural effects in rats suggest new aetiological factors in mental illness. Science 194, 630632.CrossRefGoogle ScholarPubMed
Bolton, J. S. (1908). Manic depressive insanity. Brain 31, 301323.Google Scholar
Cairns, H., Oldfield, F., Pennybacker, J. & Whitteridge, D. (1941). Akinetic mutism with an epidermoid cyst of the third ventricle. Brain 64, 273290.Google Scholar
Carlsson, A., Lindqvist, M. & Magnusson, T. (1957). 3,4-Dihydroxyphenylalanine and 5-hydroxytryptophan as reserpine antagonists. Nature (London) 180, 12001201.Google Scholar
Castel, R. (1977). L'ordre psychiatrique. Minuit: Paris.Google Scholar
Chaslin, P. (1892). La confusion mentale primitive. Annales médico-psychologiques (seventh series) 16, 225273.Google Scholar
Clouston, T. S. (1887). Clinical Lectures on Mental Disease. Churchill: London.Google Scholar
Critchley, M. (1929). Arteriosclerotic parkinsonism. Brain 52, 2383.Google Scholar
Dagonet, M. H. (1872). De la stupeur. Annales médico-psychologiques (fifth series) 7, 161359.Google Scholar
Dagonet, M. H. (1876). Nouveau traité élémentaire et pratique des maladies mentales. J. B. Baillière et fils: Paris.Google Scholar
Darwin, E. (1796). Zoonomia (3 vols.). Johnson: London.Google Scholar
Dercum, F. X. (1914). A Clinical Manual of Mental Diseases. W. B. Saunders: Philadelphia.Google Scholar
Dilthey, W. (1883). Einleitung in die Geistwissenschaften (Werke), Vol. 1. Von Duncker & Humblot: Leipzig.Google Scholar
Duensing, F. (1949). Das Elektroenzephalogramm bei Störungen der Bewusstseinslage. Archiv für Psychiatrie und Nervenkrankheiren 183, 71115.CrossRefGoogle Scholar
Economo, C. von. (1931). Encephalitis Lethargica. Oxford Medical Publications: Oxford.Google Scholar
Esquirol, J. E. (1820). De la lypémania ou mélancholie (ed. Fedida, P. and Postel, J.). Sandoz Editions: Paris (1976).Google Scholar
Esquirol, J. E. (1838). Des maladies mentales. J. B. Baillière: Paris.Google Scholar
Etoc, Demazy G. (1833). De la stupidité considerée chez les aliénés. Recherches faites à Bicétre et à la Salpetrière. Didot le Jeune: Paris.Google Scholar
Ey, H. (ed.) (1950). Confusion et délire confuso-onirique. In Études psychiatriques, Vol. 3, pp. 325428. Desclee de Brouwer & Cie: Paris.Google Scholar
Facon, E., Steriade, M. & Wertheim, N. (1958). Hypersomnie prolongée engendrée par des lesions bilatérales du système activateur médial et le syndrome thrombotique de la bifurcation du tronc basilar. Revue neurologique 98, 117133.Google Scholar
Falret, J. (1857). De la catalepsie. Archives Génerales de Médecine (fifth series) 10, 206221.Google Scholar
Ferrus, G. (1838).Leçon sur la stupidité. (Quoted in Ritti.)Google Scholar
Fishgold, H. & Mathis, P. (1959). Obnubilations, comas et stupeurs. Études electroencephaliques. Electroencephalography and Neurophysiology, Suppl. 2.Google Scholar
Gallup, G. G. & Maser, J. D. (1977). Tonic immobility: evolutionary underpinnings of human catalepsy and catatonia. In Psychopathology: Experimental Models (ed. Maser, J. D. and Seligman, M. E. P.), pp. 334357. W. H. Freeman: San Francisco.Google Scholar
Garmany, G. (1955). Acute anxiety and hysteria. British Medical Journal ii, 115117.Google Scholar
Gauchet, M. & Swain, G. (1980). La pratique de l'esprit humain. Gallimard: Paris.Google Scholar
Gelenberg, A. J. & Mandel, M. R. (1977). Catatonic reactions to high-potency neuroleptic drugs. Archives of General Psychiatry 34, 947950.CrossRefGoogle ScholarPubMed
Georget, M. (1820). De la folie. Considérations sur cette maladie. Crévot, librairie: Paris.Google Scholar
Gómez, J. (1980). Hysterical stupor (letter). British Journal of Psychiatry 136, 105.Google Scholar
Griesinger, W. (1878). Die Pathologie und Therapie der psychischen Krankheiten. Friedrich Wrode: Braunschweig.Google Scholar
Gruhle, H. W. (1949). Desorientierheit. Nervenarzt 20, 531533.Google Scholar
Guislain, V. (1833). Traité sur les phrénopathies, p. 255. Doin: Brussels.Google Scholar
Hartmann, H. & Schilder, P. (1924). Zur Klinik der Amentia. Zeitschrift für die gesamte Neurologie 92, 531596.Google Scholar
Hassler, R. (1978). Striatal control of locomotion, intentional actions and integrating and perceptive activity. Journal of Neurological Science 36, 187224.Google Scholar
Herman, M., Harpham, D. & Rosenblum, M. (1942). Non schizophrenic catatonic states. New York State Journal of Medicine 43, 643647.Google Scholar
Hobbes, T. (1659). Quoted in ‘Stupor’ entry of Oxford English Dictionary. Oxford University Press: London. (Compact edn 1971.)Google Scholar
Hoch, A. (1921). Benign Stupors. Cambridge University Press: Cambridge.Google Scholar
Hoenig, J., Toakley, J. G. & Meyer, A. (1959). The diagnosis of stupor. Psychiatrie et neurologie 137, 128144.Google Scholar
Hollander, B. (1912). The First Signs of Insanity. Stanley Paul: London.Google Scholar
Illing, E. (1934). Des états délirants et confusionnels oniriques dans la psychose maniaco-dépressive. Annales médicopsychologiques 93, 592.Google Scholar
Ingram, W. R., Barris, R. W. & Ranson, S. W. (1936). Catalepsy. An experimental study. Archives of Neurology (Chicago) 35, 11751197.Google Scholar
Jaspers, K. (1913). General Psychopathology (transl. Hamilton, M. and Hoenig, J.). Manchester University Press: Manchester. (4th edn 1963.)Google Scholar
Jaspers, K. (1957). Autobiography. In The Philosophy of Karl Jaspers (ed. Schilpp, P. A.), pp. 594. Open Court: Illinois.Google Scholar
Jefferson, G. (1944). The nature of concussion. British Medical Journal i, 15.CrossRefGoogle Scholar
Jellinger, K., Gerstenbrand, F. & Pateisky, K. (1963). Die protrahierte Form der posttraumatischen Enzephalopathie. Nervenarzt 34, 145163.Google Scholar
Jennett, W. B. & Plum, F. (1972). The persistent vegetative state: a syndrome in search of a name. Lancer i, 734737.Google Scholar
Jong, H. de (1956). Experimental catatonia in animals and induced catatonic stupor in man. Diseases of the Nervous System 17, 137139.Google Scholar
Joyston-Bechal, M. P. (1966). The clinical features and outcome of stupor. British Journal of Psychiatry 112, 967981.CrossRefGoogle ScholarPubMed
Kahlbaum, K. L. (1874). Die Katatonie oder das Spannungsirresein. Kirschwald: Berlin.Google Scholar
Katzenstein, R. (1963). Karl Ludwig Kahlbaum und sein Beitrag zur Entwicklung der Psychiatrie. Zurcher medizingeschichtliche Abhandlung. (New series, no. 14.) Juris: Zürich.Google Scholar
Kelp, N. (1867). Mélancholic cataleptique. Annales médicopsychologiques (4th series) 9, 336338.Google Scholar
Kendell, R. E. (1978). Diagnosis and classification. In Companion to Psychiatric Studies (2nd edn) (ed. Forrest, A. D.), pp. 234249. Churchill Livingstone: Edinburgh.Google Scholar
Kiloh, L. G., McComas, A. J. & Osselton, J. W. (1972). Clinical Electroencephalography. Butterworths: London.Google Scholar
Kraepelin, E. (1919). Dementia Praecox and Paraphrenia. E. & S. Livingstone: Edinburgh.Google Scholar
Kraepelin, E. (1921). Manic Depressive Insanity and Paranoia. E. & S. Livingstone: Edinburgh.Google Scholar
Krafft-Ebing, R. Freiherr von (1888). Lehrbuch der Psychiatrie (2nd edn). Stuttgart.Google Scholar
Kretschmer, E. (1934). A Textbook of Medical Psychology. Oxford University Press: Oxford.Google Scholar
Kretschmer, E. (1940). Das apallische Syndrom. Zeitschrift für Neurologie und Psychiatrie 169, 576579.Google Scholar
Lee, C. & Lance, J. W. (1977). Migraine stupor. Headache 17, 3238.CrossRefGoogle ScholarPubMed
Leibbrand, W. & Wettley, A. (1961). Der Wahnsinn. Karl Alber: Freiburg and Munich.Google Scholar
Leonhard, K. (1979). The Classification of the Endogenous Psychoses. John Wiley & Sons: New York.Google Scholar
Levin, M. (1945). Delirium disorientation. Journal of Mental Science 91, 447450.Google Scholar
Lewis, C. T. (1891). A Latin Dictionary. Clarendon Press: Oxford.Google Scholar
Lishman, W. A. (1978). Organic Psychiatry. The Psychological Consequence of Cerebral Disorder. Blackwell: Oxford.Google Scholar
Littré, E. (1878). Dictionnaire de la langue française (5 vols.) Hachette et Cie: Paris.Google Scholar
López Piñero, J. M. & Morales Meseguer, J. M. (1970). Neurosis y Psicoterapia. Un estudio histórico. Espasa Calpe: Madrid.Google Scholar
Llopis, B. (1954). La psicosis unica. Archivos de neurobiologia 17, 139.Google Scholar
Marcé, L. V. (1862). Traité pratique des maladies mentales. Paris. (Quoted in Ritti.)Google Scholar
Marie, P. (1906).La démence. Doin:Paris.Google Scholar
Masshoff, W. (1963). Allgemeine und spezielle Pathologie der Vita Reducta. Verhandlungen der Deutschen Gesellschaft für innere Medizin 69, 5964.Google Scholar
Maudsley, H. (1866). Certain varieties of insanity which are frequently confounded. Lancet i, 363364.Google Scholar
Maudsley, H. (1895). The Pathology of Mind. Macmillan: London.Google Scholar
Mavrojannis, M. (1903). L'action cataleptique de la morphine chez les rats. Contribution à la théorie toxique de la catalepsie. Comptes rendus de la Société de Biologie 55, 10921094.Google Scholar
Meduna, L. J. (1950). Oneirophrenia. University of Illinois Press.Google Scholar
Middleton, E., Turnbull, W., Ellis, T. & Davison, J. (c. 1780). The New Complete Dictionary of Arts and Sciences. Alex Hogg: London.Google Scholar
Mollaret, P. & Goullon, M. (1959). Le coma dépassé. Revue neurologique 101, 315.Google Scholar
Monro, H. (1856). On the nomenclature of the various forms of insanity. Asylum Journal 2, 286305.Google Scholar
Mora, G. (1973). Introduction to the English translation of Catatonia (K. L. Kahlbaum). Johns Hopkins University Press: Baltimore.Google Scholar
Morel, B. A. (1860). Traité des maladies mentales. Librairie Victor Masson: Paris.Google Scholar
Neustatter, W. L. (1942). A case of hysterical stupor recovering after cardiazol treatment. Journal of Mental Science 88, 440443.Google Scholar
Newington, H. H. (1874). Some observations on different forms of stupor and on its occurrence after acute mania in females. Journal of Mental Science 20, 312386.Google Scholar
Peters, V. H. (1977). Psychopathology of the apallic syndrome. In The Apallic Syndrome (ed. Ore, G. Dalle), pp. 5968. Springer-Verlag: Berlin.Google Scholar
Pinel, P. (1809). Traité médico-philosophique sur l'aliénation mentale (2nd edn). J. A. Brosson: Paris.Google Scholar
Platter, F. (1656). Praxeos Medicae opus. Basileae.Google Scholar
Plum, F. & Posner, J. B. (1972), Diagnosis of Stupor and Coma (2nd edn). F. A. Davis: Philadelphia.Google Scholar
Posner, J. B. (1978). Coma and other states of consciousness. In Brain Death (ed. Korein, J.). Annals of the New York Academy of Sciences 315, 215234.Google Scholar
Postel, J. (1972). In De la folie (ed. Georget, E.). Privat: Paris.Google Scholar
Rachlin, H. L. (1935). A follow up study of Hoch's ‘benign stupor’ cases. American Journal of Psychiatry 92, 531558.Google Scholar
Raskin, D. E. & Frank, S. W. (1974). Herpes encephalitis with catatonic stupor. Archives of General Psychiatry 31, 544546.Google Scholar
Ratner, S. T. (1967). Comparative aspects of hypnosis. In Handbook of Clinical and Experimental Hypnosis (ed. Gordon, J.). Macmillan: New York.Google Scholar
Regis, E. (1923). Précis de psychiarrie. Doin: Paris.Google Scholar
Riese, W. (1969). The Legacy of Phillippe Pinel. Springer: New York.Google Scholar
Riklin, T. (1906). Beitrag zur Psychologie der kataleptischen Zustünde bei Katatonie. Psychiatrie und Neurologie Wochenschrift no, 32.Google Scholar
Ritti, A. (1883). Stupeur, stupidité. In Dictionnaire encyclopédique des sciences médicales (ed Dechambre, A.), pp. 454469. Asselin: Paris.Google Scholar
Roccatagliata, G. (1973). Storia della psychiatria antica. Ulrico Hoepli: Milan.Google Scholar
Ruff, R. L. & Russakoff, L. M. (1980). Catatonia with frontal lobe atrophy. Journal of Neurology, Neurosurgery and Psychiatry 43, 185187.Google Scholar
Sackellares, J. C., Lee, S. I. & Dreiffus, F. E. (1979). Stupor following administration of valproic acid to patients receiving other antiepileptic drugs. Epilepsia 20, 697703.Google Scholar
Sarro Burbano, R. (1960). Psicopatologia general. In Tratado de patologia y clinical medicas Vol. 4. (ed. Pons, A. Pedro), pp. 461493. Salvat: Barcelona.Google Scholar
Savage, G. H. (1898). Insanity and Allied Neuroses. Cassell:London.Google Scholar
Scharfetter, C. (1976). Allgemeine Psychopathologie. Georg Thieme: Stuttgart.Google Scholar
Searles, P. (1952). Concerning a psychodynamic function of perplexity, confusion, suspicion and related phenomena. Psychiatry 4, 351363.Google Scholar
Siegel, R. E. (1973). Galen on Psychology, Psychopathology and Function and Diseases of the Nervous System. S. Karger: Basle.Google Scholar
Société Médico-Psychologique (1869). Séances 22 02, 29 March, 26 April, pp. 454, 56, 61.Google Scholar
Stengel, E. (1941). On aetiology of fugue states. Journal of Mental Science 87, 572599.Google Scholar
Straus, E. W. & Griffith, R. M. (1955). Pseudoreversibility of catatonic stupor. American Journal of Psychiatry 111, 680685.Google Scholar
Strub, R. L. & Black, F. W. (1977). The Mental State Examination in Neurology. F. A. Davis: Philadelphia.Google Scholar
Swain, G. (1977). Le sujet de la folie. Privat: Paris.Google Scholar
Teasdale, G. & Jennett, B. (1974). Assessment of coma and impaired consciousness. Lancet ii, 8184.Google Scholar
Tuke, D. H. (ed.) (1892). Stupor, mental. In Dictionary of Psychological Medicine, pp. 12081213. Churchill: London.Google Scholar
Vigoroux, R., Naquet, R., Baurand, C., Choux, M., Salomon, G. & Khalil, R. (1964). Evolution électro-radio-chimique de comas graves prolongés post-traumatiques. Revue neurologique 110, 7281.Google Scholar
Walshe, M. O'C. (1951). A Concise German Etymological Dictionary. Routledge & Kegan Paul: London.Google Scholar
Ward, N. G., Rowlett, D. B. & Burke, P. (1978). Sodium amylobarbitone in the differential diagnosis of confusion. American Journal of Psychiatry 135, 7578.Google Scholar
Weitbrecht, H. J. (1968). Psychiatrie im Grundriss. Springer-Verlag: Berlin.Google Scholar
Wernicke, K. (1906). Grundriss der Psychiatrie. Thieme: Leipzig.Google Scholar
Westmoreland, B. F., Klass, D. W., Sharbrough, F. W. & Reagan, T. J. (1975). Alpha coma. Archives of Neurology 32, 713718.Google Scholar
Whitwell, J. R. (1889). A study of stupor. Journal of Mental Science 35, 360373.Google Scholar
Wille, C. (1888). Die Lehre von der Verwirrtheit. Archiv für Psychiatrie 19, 328351.Google Scholar
Willi, J. (1966). Delir, Dämmerzustand und Verwirrtheit bei körperlich Kranken. In Akute psychische Begleiterscheinungen körperlicher Krankheiten (ed. Bleuler, M., Willi, J. and Bühler, H. R.), pp. 27158. Georg Thieme: Stuttgart.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Zilboorg, G. (1941). A History of Medical Psychology. Norton: New York.Google Scholar