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bout her, I saw people putting cold water on her, and I could hear her scream. It was awful. I dreamt I went upstairs, opened the door and met her. I was badly frightened. I jumped out of the window.” This is an extract from a letter sent t

o me by the patient’s husband: “ ... She had another attack. It did not last long, and it was not severe. She dreamt several t

r on m is an example of a e. Ano caption with ther tim.

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imes a week. I shall try to relate them as accurately as possible. She dreamt that I left the room for a while. Our baby was asleep in the next room. All of a sudden she heard baby cry out: ‘Mamma, I am afraid.’ She told the baby to[215] come to her as she herself was afraid to leave t

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he bed. Baby came to her. The child looked frightened, her face pale with fear, exclaiming ‘Mamma, a devil.’ As the child cried out, my wife heard a noise in the room, something moved close by. She became scared. It seemed to her that something terrible and unknown was after her. She wanted to scream

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for help, but could not. A hand was stretched out after her to catch her. She woke up in great terror. Another time she dreamt that she was in a hall way. She saw a woman and became frightened. It was the same crazy woman. My wife is exceedingly nervous, and is in fear that something

e I dreamed

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awful is going to happen to her or to the family.” A rich, subconscious dream-life of agonizing fears was thus revealed, a life of terrors of which the patient was unaware in her waking state. The dreams referred to the same central nucleus, the shock and fears of her early childhood. Worries about self and family kept up and intensified the present fear states. Her selfish

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ness has no bounds, her fears have no limits. The symptoms of the “fear set,” as in all other psychopathic cases, took their origin in the impulse of self-preservation with its accompanying fundamental fear instinct. This patient was cured after a long course of hypnotic treatment. CHAPTER XXII RECURRENT FEAR STATES,—PSYCHOLEPSY There are cases in whi

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ch the nature of the psychopathic states stands out more clearly and distinctly than in others. They occur periodically, appearing like epileptic states, in a sort of an explosive form, so that some authorities have mistaken them for epilepsy, and termed them psychic epilepsy. My researches have shown them to be recurrent explosions of subconscious states, which I t

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ermed psycholepsy. They really do not differ from general psychopathic states, but they may be regarded as classic pseudo-epileptic, or psycholeptic states; they are classic fear-states—states of panic. M. L. is nineteen years of age, of a rather limited intelligence. He works as a shopboy amidst surroundings of poverty, and leads a hard life, full of priv

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ations. He is undersized and underfed, and looks as if he has never had enough to eat. Born in New York, of parents belonging to the lowest social stratum, he was treated with severity and even brutality. The patient has never been to any elementary school and can neither read nor write. His[217] mathematical knowledge did not extend beyond hundreds; he can hardly accomplish a

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simple addition and subtraction, and has no idea of the multiplication table. The names of the President and a few Tammany politicians constitute all his knowledge of the history of the United States. Family history is not known; his parents died when the patient was very young, and he was left without kith and kin, so that no data could be obtained. Physical examination is neg

that I was i

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ative. Field of vision is normal. There are no sensory disturbances. The process of perception is normal, and so also is recognition. Memory for past and present events is good. His power of reasoning is quite limited, and the whole of his mental life is undeveloped, embryonic. His sleep is sound; dreams little. Digestion is excellent; he can digest anything in the way of eatables. He is of an easy-going, gay disposition, a New York “street-Arab.” The patient complains of “shaking spells.” The attack sets in with tr

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emor of all the extremities, and then spreads to the whole body. The tremor becomes general, and the patient is seized by a convulsion of shivering, trembling, and chattering of teeth. Sometimes he falls down, shivering, trembling, and shaking all over, in an intense state of fear, a state of panic. The seizure seems to be epileptiform, only it lasts

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sometimes for more than three hours. The[218] attack may come any time during the day, but is more frequent at night. During the attack the patient does not lose consciousness; he knows everything that is taking place around him, can feel everything pretty well; his teeth chatter violently, he tremb

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les and shivers all over, and is unable to do anything. The fear instinct has complete possession of him. He is in agony of terror. There is also a feeling of chilliness, as if he is possessed by an attack of “fear ague.” The seizure does not start with any numbness of the extremities, nor is there any anaesthesia or para

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    esthesia during the whole co

    urse of the attack. With the excep

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    tion of the shivers and chills

    the patient claim

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    s he feels “all right.”

    The patient was

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    put into a condition close

    to the hypno

she began to

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t in case of non-performance of his duties. While in the intermediary, subwaking, hypnoidal state, the patient was told to think of that dark, damp, cold cellar. Suddenly the attack set in,—the[219] patient began to shake, shiver, and tremble all over, his teeth chattering as if suffering from intense fear. The attack was thus reproduced in the hypnoidal state. “This is the way I have been,” he said

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. During this attack no numbness, no sensory disturbance, was present. The patient was quieted, and after a little while the attack of shivering and fear disappeared. The room in which the patient was put into the subconscious state was quite dark, and accidentally the remark was dropped that the room was too dark to see anything; immediately the attack reappeared in all its violence. It was found later that it was sufficient to mention the words, “dark, damp, and cold” to bring on an attack even in th

e fully waking state. We could thus reproduce the attacks at will,—those magic words had the power to release the pent-up subconscious forces and throw the patient into convulsions of shakings and shiverings, with chattering of the teeth and i

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  1. an entered the room
  2. where her father was
  • and ran up to him,
  • evidently with the int
ention of hurting
him. Her father ran away
, and she hid hers
elf in a closet in the n

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ntense fear. Thus the apparent epileptiform seizures, the insistent psychomot

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y from her.

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ediate or remote members of his family. The patient himself has always enjoyed good health. He is a young man of good habits. He was referred to me for epileptiform attacks and anaesthesia of the right half of his body. The attack is preceded by an aura consisting of headache and a general feeling of malaise. The aura lasts a few days and terminates in the attack which sets in about midnight, when the patient is fully awake. The attack co

nsists of a seri



tch me. I sh