ed,
refused to eat, and began to talk, repeating phrases over
and over. Then she became elated and excited.

After recovery the patient described the onset of her
psychosis as follows: Six days before admission, after
having been perfectly well and without any known cause, she
was feverish and vomited, but slept well. Next day she felt
nervous, and her thoughts were clear. She constantly
thought of dead friends, heard them talking, when she tried
to do anything the voices said, "Don't do that." She also
thought somebody wanted to harm her people. Soon she
started singing and felt happy.

Then she was sent to the _Observation Pavilion_, where she
appeared to be in the same condition which was observed in
the Institute.

_Under Observation:_ 1. On admission she was in good
physical condition, except for her skin seeming greasy. She
presented for nine days the following picture: She was
essentially elated, laughing, singing, jumping out of bed,
good-natured and tractable, and very talkative. Her
productions showed a good deal of sameness and a certain
lack of progression. She spoke at times in a rather
monotonous voice, but again often in very theatrical tones,
with much, rather slow, gesturing. The following are very
representative samples:

"I have been suffering from my own blood, my own blood sent
all away from home. I just came from Bellevue. I left here
last May (correct) a healthy girl. A sister is a sister--I
wonder why shorthand is shorthand, a stenographer is a
stenographer (seeing stenographer write)--a kind brother,
Bill H.--why H. his wife is a sister-in-law to us, she has
four children--four beautiful children--sister-in-laws and
brother-in-laws--telephone ringing (telephone did
ring)--dear Lord, such a remembrance--remembrance was
remembrance, truth was truth--honesty is honesty--policy is
policy--if she married him, she is my sister-in-law and he
is my brother-in-law--Max knows me--she changed her name to
Mrs. R.--two children who are Rosie and Maud, if names were
given, names should not be mistaken--they are Julia,
Lillian--Rosie and Maud--why should wonders wonder and
wonders cease to wonder, why should blunders blunder and
blunders still blunder; sleep is