months preceding her admission to this hospital.
There she was described as quiet, mute, tube-fed,
resistive.

When well, the patient said that in this sanatorium she was
first spoon-fed, cup-fed, later tube-fed, "I used to be
scared of them, they used to put a spoon way down my throat
and I had no appetite--I did not like them around me, they
were mean to me. They used to let me stand without clothes,
used to spite me." "If I did not want to dress myself, they
used to hit me." "I used to feel lonesome for home and I
imagined my people were there and that my sister passed the
place without stopping." She was afraid of the nurses,
thinking they wanted to kill her.

At the _Observation Pavilion_ the patient was described as
dull, but brightening up under examination. She made few
spontaneous remarks, but in answer to questions said she
was melancholy, tired of life, because she was in love with
a Gentile fellow who refused to marry her. She also said "I
get peculiar thoughts that I am going to die."

_Under Observation:_ The patient's condition lasted for
about two years. Much of the time she lay in bed, often
with the covers pulled over her, sometimes with her legs
drawn up, again in a more natural, comfortable position, or
she sat up with her head bowed. She obeyed almost no
commands. For months she soiled and wet herself, but never
drooled. For a time she refused food consistently, lost
flesh and had to be tube-fed. For the most part she said
very little and, when one accosted her, she was apt to turn
away. A few times, when further urged, she swore at the
examiner. There was also persistent marked resistance
towards any interference, sometimes merely passive or quite
often, especially at first, with wriggling or severe
scratching of her own body. There was often with this
evidence of irritation or she moaned. Again she was
described as quite affectless. One of the most striking
features throughout a large part of the course were her
suicidal attempts. She would try to strike her head against
the iron bedpost, throw herself out of bed, throw herself
about generally, try to strangle herself with the sheets,
try to pull out her tongue, all of which seemed to be done
with great im