. Dementia praecox and paraphrenia . Waxy flexibility {h). makes the conclusion very probable that there will be otherdisorders of automatic obedience. Impulsive actions.—The weakening of the dominion ofwill in the ps)chic life provides further, as it appears, theconditions favourable for the appearance cf the impulsiveactions which attain such crreat significance in dementia PSYCHIC SYMPTOMS 41 praecox. The relaxing- of those restraints, which keep theactivity of normal people in well defined paths, provideschance impulses with the freedom to turn themselves un-hesitatingly into action withou
. Dementia praecox and paraphrenia . Waxy flexibility {h). makes the conclusion very probable that there will be otherdisorders of automatic obedience. Impulsive actions.—The weakening of the dominion ofwill in the ps)chic life provides further, as it appears, theconditions favourable for the appearance cf the impulsiveactions which attain such crreat significance in dementia PSYCHIC SYMPTOMS 41 praecox. The relaxing- of those restraints, which keep theactivity of normal people in well defined paths, provideschance impulses with the freedom to turn themselves un-hesitatingly into action without regard to the end in view orto suitability. So it happens that the patients commit agreat many of the most nonsensical and incomprehensibleacts of which they themselves are usually unable to explain. 6. Waxy flexibility (c). the cause. I have a sort of feeling as if I must do that,explained a patient who was screaming and biting everything.* I had no free course left me, I had often to do thingswithout knowing why, said another. A third said. I mustshuffle and do gymnastics, a fourth, I must scream inorder not to burst ; a fifth sang, because it was desired ; 42 DEMENTIA PR^ECOX a sixth asserted that God made him spit. The patientssuddenly break a mirror in pieces, knock over tables andchairs, take down pictures, throw objects out at the window,climb on to a cupboard, set fire to their hair, run naked intothe street, ring bells, put their heads in the basin of thewater-closet, set the chamber on their head, creep under thetable, smash a lamp. Usually such senseless actions arecarried out with great violence, suddenly, and with lightningrapidity, so that it is impossible to prevent them ; the patientsalso oppose themselves in the most insolent way to everyattempt to keep them from
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