d and acted quite rationally. He had a total amnesia of what had
transpired during his stuporous and agitated states and a retrograde
amnesia for several days prior to, and including the commission of the
murder. He continued clear mentally and in a more or less normal state
until the latter part of November, 1902, when he again went into a
stupor. From this time until the later part of April, 1903, he had
alternating periods of stupor and lucidity, with amnesia for the
stuporous states. On June 21, 1903, he was discharged as recovered and
returned to the Indian Territory to undergo trial for his offense.
Unfortunately, no mention is made in the hospital records of any
possible relation between his periodic stuporous states and any
environmental condition which may have provoked these; nor does there
appear in the hospital records any mention of the degree of insight,
if any, the patient possessed at the time of his release from the
institution.

He remained in jail at Ardmore, I. T., until April 8, 1904, when he
was tried and found guilty of murder in the first degree. He was then
returned to jail and after about a year's sojourn there was sentenced
to life imprisonment and transferred to the United States Penitentiary
at Leavenworth. He was readmitted to the Government Hospital for the
Insane on March 25, 1906, from the United States Penitentiary at
Leaven worth. No medical certificate accompanied him on admission and
it is therefore impossible to set, even an approximate date, for the
onset of his present mental disorder; but inasmuch as he had not been
in prison even a year before his transfer to our hospital, and as it
usually takes several months to carry out the required legal
proceedings, his mental disorder must have set in quite soon after his
confinement in the penitentiary.

He was again in a stuporous condition on his readmission to our
hospital, and absolutely oblivious to his surroundings. For about
twenty-four hours he was wholly inaccessible, would not reply when
spoken to, and had to be aroused from a sort of lethargic state before
his attention could be gained at all. On the following day
consciousness cleared up to some extent and he recognized some of the
attendants whom he had known on his previous admission. He remained,
however, more or less confused for several days, after which his
mental horizon became clear, and simultan