. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. bject, but no longer has any power of will or of love ;no consciousness of what happens to her, of what shefeels, or of what she does. She says she is as one thatis neither dead nor alive ; like one living in continualsleep, to whom objects appear as though wrapt in acloud, to whom persons seem to move like shadows, andwords to come from a world far away. Esquirol quotes the description given by a patient whowas cured of aboulia: My lack of activity, said thepati
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. bject, but no longer has any power of will or of love ;no consciousness of what happens to her, of what shefeels, or of what she does. She says she is as one thatis neither dead nor alive ; like one living in continualsleep, to whom objects appear as though wrapt in acloud, to whom persons seem to move like shadows, andwords to come from a world far away. Esquirol quotes the description given by a patient whowas cured of aboulia: My lack of activity, said thepatient, was owing to the fact that my sensations weretoo faint to exert any influence on my will. The sameauthor, adds Ribot, has also noted the profound changesuch patients experience in their general sense of exist-ence (coenoesthesia). My existence is incomplete,writes a patient to him. The functions, the powerof performing the ordinary acts of life, remain with me ;but, in the performance of them, there is always some-thing wanting, to wit, the sensation proper to each andthe pleasure that follows them. Each one of my senses,. 687 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. each part of myself is, so to speak, separated from me,nor can it now procure for me any sensation. In these cases the patients do not feel keenly enoughto act, and the trouble might be said to be affective aswell as volitional. Yet the paralysis of the will is themost striking phenomenon. In hysteria there is alwayssome disturbance of volition. The trouble here seems tobe a deficiency or torpor in the highest and energizingcentre. The centres are anaesthetic. This is shown bythe fact that such patients do not and cannot strongly re-solve ; while, on the other hand, powerful emotions some-times rouse up the dormant will and produce effectiveresults. Hysterical aboulia belongs, therefore, in themain, to this first class. II. The condition known as folic du doute or grubel-suchl, the doubti
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