kered, hands clenched, sometimes holding her eyes
tightly closed, and often with marked perspiration. For one
day she held her breath until she was blue in the face. On
the same day she was extremely rigid, so that she could be
raised by her head with only her heels resting on the bed.
Her eyes were tightly shut and she was in profuse
perspiration. Sometimes she interrupted this by a deep
breath, only again to resume the forcible holding of her
breath. On another day towards the end of the period, while
quite stiff, she kept grunting and screaming "murder." The
soiling continued. She never spoke.

_Physical condition during the stupor:_ At first she had a
coated tongue, foul breath and a fetid diarrhea. The latter
was treated with high colonic flushing and mild diet. Urine
normal--gynecologically normal. General neurological and
physical examination not possible. At the same time she had
for two weeks a temperature which often reached 100 deg. or
a little above, a weak, irregular but not rapid pulse, a
leucocytosis of 17,500 and 80% hemoglobin. When she began
to refuse food and before she was tube-fed regularly, she
twice had syncopal attacks and lost considerable flesh
which was gradually regained under tube-feeding. After the
diarrhea she was habitually constipated. Cyanosis of the
extremities seemed to have been present only at first.

3. Six months after admission she began to make very free
facial movements--winking, raising the eyebrows--and soon
developed an excitement with marked elation. She had to be
kept in the continuous bath, talked continuously, whistled,
sang, was markedly erotic towards the physician, careless
in exposing herself and often obscene in her talk. Most of
her productions were determined by the environment. She was
therefore quite distractible, very alert; sometimes she was
meddlesome, again irritable, irascible. The following
illustrates her productions: "Send for my husband, S.--He
had one sister as big as that. She likes candy.... My
father is underneath and my mother is on top because she is
fat and he is skinny.... Wait till the sun shines,
Nellie--we will be happy, Nellie--don't you sigh,
sweetheart, you and I--wait till the sun shines by and
by.... Com