Catatonia

Karl Login, Latvian, peasant-farmer, 22 years old; the closest relatives of the patient are healthy; nothing is known about distant relatives. K.L. in childhood he endured scarlet fever, but generally enjoyed good health, studied well in the village school, lingering actively helped his father in village work; character was good-natured, apathetic, played the violin well and was considered a good musician. He led a correct lifestyle, did not drink and, as far as is known, did not have sexual intercourse. I got sick in December 1895; according to the opinion of the patient's brother, the disease developed as a result of two reasons; K.L. was a witness of how the worker got into the car and was taken out dead; this circumstance seemed to have made a heavy impression on K. L; the second reason: he wanted to get married, but the father did not allow this — the son must learn some trade, get a job and then get married. Around Christmas 1895 K.L. I was extremely apathetic, "quiet", slept a lot; sometimes complained about the feeling of pressure in the head and chest. At the end of January, he stopped talking, working and playing the violin, and slept almost all day long. The patient was used by a local doctor, but without any success; all manifestations of the disease progressively intensified. Before admission to the clinic, he almost continuously merged for two or three weeks, occasionally smiling: except for “yes” and “no”, he did not say a word. He himself went up to the table and ate, was clean; if he is taken somewhere, he resists. There was no deception of feelings, no inclination to destruction.