ABSTRACT
So far, in our discussion of the manic states, there has been no mention made of the occurrence of elation without expressed content. Yet all psychiatrists are familiar not only with hypomanic conditions, where the patient expresses no delusional ideas, but also with phases of manic-depressive attacks during which elation is present without obvious content, and, finally, we all know that in normal life we have our ups and downs, so that one day we are happy, everything seems pleasant, even the sun shines more brightly, although we are unaware of anything peculiarly pleasant having happened to cheer us up. Either these states of elation must be explicable by an extension of our theory or else the theory is unsound. As a matter of fact, it is not difficult to understand how the manic reactions may occur without any relation to any conscious or expressed content.
