. Dementia praecox and paraphrenia . al utterances; along with that very commonlystereotypies develop. The bearing of the patients is stiffand constrained ; their movements are affected, theatrical,often jerky and inelegant. They assume uncomfortablepositions, lie on their stomach, on their face, twist themselvestogether, hold their head, press their hand before their mouth,close their eyes, put out their lips like a snout. They runround in a circle for hours, beat themselves, impulsivelytouch the handle of the window, dance about, suddenlyrun through the room, pull their ears, pull at their f
. Dementia praecox and paraphrenia . al utterances; along with that very commonlystereotypies develop. The bearing of the patients is stiffand constrained ; their movements are affected, theatrical,often jerky and inelegant. They assume uncomfortablepositions, lie on their stomach, on their face, twist themselvestogether, hold their head, press their hand before their mouth,close their eyes, put out their lips like a snout. They runround in a circle for hours, beat themselves, impulsivelytouch the handle of the window, dance about, suddenlyrun through the room, pull their ears, pull at their fellow-patients, devour urine and faeces, bite their nails off, plucktheir finger-tips to pieces, sway rhythmically to and fro,spit about them, masturbate, smudge things, make adorn themselves in an extraordinary way, makesingular gestures, affected bows, walk and eat in a manneristicway, shake hands with their thumb or two fingers, smacktheir lips, and click their tongue. Pictures of these con- ISSUEâTERMINAL STATES 203. Fig. 33. Patient hopping. ditions are given in Figs. 33 and 34, which represent apatient on one leg hopping about and another sitting in adistorted attitude. Speech.âIn the speechalso of the patients manner-ism makes itself felt in mostmanifold ways. The patientsdeclaim, preach, speak in awashed-out way, mawkishly,with closed teeth, lisping, ina foreign or self-inventedspeech, with child-like pro-nunciation and accent; theygive unconnected answers, in-dulge in silly puns and clang-associations, odd expressionsand neologisms. One patientsaid he was a wicked world-begetter, another said, Downthere is Hell; she is calledMiiller; another spoke of Witch - begging- rascal - fur-nace. In many patientsautomatic obedience can be demonstrated ; but negativisticfeatures are much more frequent. Their capability for work is mostly slight, and is usuallylimited to mechanical activ-ity, copying, knitting, sawingwood, and that kind of thing,even in the most favour
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