e in (as noise is heard)--I bet that is my
husband--my name is Regina K. (mother's name)--my mother's
name is the same--I got a little sister named Regina--she
is my husband." When she heard the word pain, she said,
"Who says paint, Pauline used paint, I used paint," etc.

Towards the end of August she had pneumonia, which did not
change her condition.

By October she was well, having gradually settled down. She
had good insight.

_Retrospectively:_ She laid very little stress on the false
report of the father's death. She claimed to remember being
at the Observation Pavilion, but to recall very little of
the other hospital. Unfortunately an inquiry was not made
regarding her memory during the stupor period under
observation with the exception of the fact that she said
she wanted to die and therefore refused food.

She was seen in March, 1913, appeared perfectly well, and
stated she had been well during the entire interval.

If this forced holding of the breath had been the only anomaly, one
would, perhaps, not be justified in drawing any conclusions as to its
significance. But the deep stupor was interrupted again for a day by
grunting and screaming of "murder." This is certainly indicative of a
compulsive death idea and retrospectively she spoke of having refused
food in order to die. The latter seems to indicate some connection
between her negativism and death. Consequently, even if we regard the
breath holding as resistiveness, it would still be related to her idea
of dissolution. Her negativism went beyond ordinary limits in that it
affected the expression of the face.

When we consider these three cases together, we see that what would
otherwise have been deep stupors with profound inactivity, were modified
by activity in two directions: suicidal and resistive. Presuming that
the symptoms of stupor are all interrelated, we can see a reason why the
affect should also have been altered. When one is modified, this should
influence the other. When the activity is increased, the emotional
concomitants of impulsive acts tend to break through as well. Hence the
changes observed in these cases in facial expression and tone of voice.
It is noteworthy, too, that all three showed a tendency for laughter to
appear, as if, the emotions once stirred, it was possible for them to be
exhibited in other than unpleasant forms