. A text-book of medicine for students and practitioners . tightly closed or occasionallyopen. There is almost always trismus, and there is often grinding of theteeth. Jhe trunk usually twists and turns the most of any part of the i)atient often hits her head violently against the wall or the bed. Thewhole body nuiy assume positions which a healthy person can scarcely imitatewithout special practice. The best known, and in fact one of the commonestand most characteristic, is the arched position {arc de cercle), of which theaccompanying illustration (Fig. 281) gives an idea. Many patie
. A text-book of medicine for students and practitioners . tightly closed or occasionallyopen. There is almost always trismus, and there is often grinding of theteeth. Jhe trunk usually twists and turns the most of any part of the i)atient often hits her head violently against the wall or the bed. Thewhole body nuiy assume positions which a healthy person can scarcely imitatewithout special practice. The best known, and in fact one of the commonestand most characteristic, is the arched position {arc de cercle), of which theaccompanying illustration (Fig. 281) gives an idea. Many patients rest fora time on the floor supported only by the head and toes. At intervals theyfling or roll their bodies to and fro, drum on the floor with their legs, throw HYSTERIA 631 llieinsclvos into tlie air, otc. Anyone wlio has onec seen sncli a errand hys-terical convulsion will never forget ihc picture. A (lilferent hut yet a coninion form of hysterical convulsion is character-ized by a pronounced implication of the respiratory muscles. Tlie attack he-. Fiu. 221.—IlyatLiit-ul arc de ccrcic (Boukneville and UeGxNaud). gins Avilli a spasmodic accelci-atiou of respiration, and tlie hreatliing becomesprogressively shorter and more rapid. We have ourselves counted two hundredrespirations a minute. Other peculiar spasms of tlie res])iratory muscles, whichoccur in this way only in hysteria, are also common—hiccough, loud sol)bing,grunting, etc. The muscles of the pharynx are usually implicated in pro-
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