r either in dementia praecox or in manic-depressive
insanity. The matter cannot be left there, in fact it raises new
problems: what constitutes the reaction? how are the various symptoms
interrelated? are they different in deteriorating and acute cases? what
is the teleological significance of the reaction? if it be an integral
part of the manic-depressive group, how does it affect our conceptions
of what manic-depressive insanity is? More than five years have been
spent in endeavors to answer these questions and the results of the
study are now presented.

Naturally the first point to be settled is: what constitutes the stupor
reaction itself. We can say at the outset that it is seen in the purest
form in benign cases, hence they make up the material of this book. To
discover the symptoms of the disorder one cannot do better than to study
them in their most glaring form in deep stupors, where consistently
recurring phenomena may be assumed to be essential to the reaction.

CASE 1.--_Anna G._ Age: 15. Admitted to the Psychiatric
Institute July 25, 1907.

_F. H._ The mother and two brothers were living and said to
be normal. The father died of apoplexy when the patient was
seven.

_P. H._ The patient was sickly up to the age of seven, but
stronger after that. It is stated that she got on well at
school, though she was somewhat slow in her work. She was
inclined to be rather quiet, even when a child, a bit shy,
but she had friends and was well liked by others. After
recovery she made a frank, natural impression. She was
always rather sensitive about her red hair. She began to
work a year before admission and had two positions. The
last one she did not like very well, because, she alleged,
the girls were "too tough."

Three weeks before admission she came home from work and
said a girl in the shop had made remarks about her red
hair. She wanted to change her position, but she kept on
working until six days before admission. At that time her
mother kept her at home as she seemed so quiet, and when
the mother took her out for a walk she wanted to return,
because "everybody was looking" at her. For the next two
days she cried at times, and repeatedly said, "Oh, I wish I
were dead--nobody likes me--I wish I were dead and with my
father" (dead). She also called to various