New Study Reveals The Inner Thoughts of People Mysteriously Frozen by Catatonia
JONATHAN ROGERS, THE CONVERSATION 25 MAY 2022
... I'm a psychiatrist and a researcher specializing in a rare condition known as catatonia, a severe form of mental illness where people have problems with movement and speech.
Catatonia can last anywhere from a few hours to weeks, months or even years. Some people have recurring episodes. I've spoken to doctors, nurses, academics, patients and carers about this condition.
One question comes up more than any other: what are people with catatonia thinking? Are they even thinking?
When a person can hardly move or speak, it's easy to assume that they aren't conscious either. Research in recent years has shown that this isn't the case. In fact, if anything, it's the opposite. ...
By looking at the case notes of hundreds of patients who had experienced catatonia, we found that a few had spoken about what had happened, either at the time or later on. Many weren't aware of or didn't remember what was happening.
Some described experiencing overwhelming fear. Some were aware of the pain of staying rigid for so long, but, nonetheless, seemed unable to move. What we found most interesting, though, were those people who had – on one level – a rational explanation for the catatonia. One patient's notes read:
I met him kneeling on the floor with his forehead on the floor. He said he had adopted the position to save his life and kept asking to be seen by a neck doctor … He kept talking about his head falling off his neck.
If you actually believed that your head was at imminent risk of falling off, maybe it wouldn't be such a bad idea to hold it in place on the floor.
For others, it was voices (hallucinations) that were instructing them to do certain things. One person was being told that his head would explode if he moved – a fairly compelling reason to stay still. Another thought God was telling him not to eat or drink. ...
One theory for catatonia is that it is similar to the "death feint" that some animals show. When faced with a predator of overwhelming size or strength, some prey animals will freeze and presumably the predator may not notice them. ...
