. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . indications ofreturning ])rolonged insomniaassociated with mania ormelancholia, beginning re-covery is ushered in withdeep sleej) of many hours duration. The toleration of insomnia is occasionally quite remark-able. Days may pass with only a fragmentary sleep,^inall aggregating only a few short hours. Subconsciousstates usually exhibit few signs of fatigue. Von Hart-mann says; The luiconsciotis does not grow weary; butall conscious mental activ
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . indications ofreturning ])rolonged insomniaassociated with mania ormelancholia, beginning re-covery is ushered in withdeep sleej) of many hours duration. The toleration of insomnia is occasionally quite remark-able. Days may pass with only a fragmentary sleep,^inall aggregating only a few short hours. Subconsciousstates usually exhibit few signs of fatigue. Von Hart-mann says; The luiconsciotis does not grow weary; butall conscious mental activity becomes fatigued, Amongthe chronic insane there is often protracted insomnia, butusually in this class there is an adjustment as well as acompensation. Such patients may remain awake and ina state of noisy activity; but, after twenty-four or forty-eight hours, they sleep soundly for several hours aiidawake refreshed to renew their excitement and volubil-ity. These cases aic exceedingly ]irone to remain awakenights and sleep days, much to the discomfort of their as-sociates. As a rule the chrcjnic insane are good sleepers,. Fig. 2817.—(aSB XXXIII. TakenAve months later. ((tnval-escence established. Healthyideation and restoration of physi-cal healUi. (From photographtaken by author.) and the wards of a hospital in which these patients arelocated are as quiet as any private house. A reduced body weight previous to and during the ac-tive stage of the acute psychoses, and a gradual retuin tonoriualor supernormal weight during convalescence arematters of common observation in hospittils for the in-sane. Every well-regulated institution pays very closeattention to its dietary, and records from time to weights of its patients. As a rule there is markedloss of tlesh in the early stages of melancholia. Capricious and irregular eating, imperfect assimilation withscanty repair of tissue waste characterize all tlicse look thin and .sallow, their clothes hang rath
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