She made a perfect recovery and was discharged August 7,
1907, four months after admission.
This case, although very like the last, differs from it in two
particulars. For one day her symptoms were sufficiently marked to
suggest a deep stupor. Secondly, her intellectual incapacity was not so
marked (always approximately oriented for time) and with this there was
some subjective appreciation of her defect. Apparently, however, this
insight did not cause her any worry. The affectlessness was equally
prominent in both of the foregoing cases, the fact that Mary C. (Case 7)
once admitted feeling downhearted in response to leading questions,
having little significance in the face of her expression, actions and
usual denial of worry. It is interesting to note that, during the bulk
of her psychosis, her only complaints were of mental hebetude and
dizziness. Possibly the latter was merely an expression of her
subjective confusion.
CASE 8.--_Henrietta H._ Age: 22. Admitted to the
Psychiatric Institute March 6, 1903.
_F. H._ The father stated that both parents were living and
well, also eight brothers and sisters.
_P. H._ The patient came to this country when she was a
baby. She was bright at school and industrious. From the
age of 17 on, she worked in a drygoods store and gave
satisfaction. About her mental make-up no data were
available, except for the statement that she always made a
natural impression.
When 21 (February, 1902), without known cause, she broke
down and was sent to the Manhattan State Hospital, but was
not observed in the Institute ward. She remained in the
hospital for three months. It was claimed that the attack
came on suddenly two days before she was sent away. She
suddenly appeared anxious, said something had happened and
became excited. This lasted for about a week, and then she
was, as the description says, "depressed and cataleptic."
She remained in this condition for about a month, during
which time there was a slight rise of temperature. Then she
improved gradually and was discharged three months after
admission. After recovery from the present attack the
patient stated that during the first sickness she had
visions of dead friends.
She was perfectly well in the interval.
Six days before admission she suddenly became excit
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