ave to
assume, therefore, that this remark referred in reality to the second
milder phase, for which, as we shall see, it is indeed quite
characteristic. It is not necessary to burden the reader with other
cases, all of which consistently gave such accounts.

We see, then, that in the marked stupor the intellectual processes are
regularly interfered with, as evidenced by almost complete amnesia for
external events and internal thoughts. In other words, this would
indicate that the minds of these patients were blank. Inasmuch as direct
observation during the stupor adduces little proof of mentation, we may
assume that such mental processes as may exist in deepest stupor are of
a primitive, larval order.

Before we examine more carefully the milder grades of stupor, it will be
necessary to say a few words about the retrospective account which the
patient gives of intellectual difficulties during the incubation period
of the psychosis. As a matter of fact, we find that these accounts are
remarkably uniform. While some patients, to be sure, speak of a more or
less sudden lack of interest or ambition which came over them, others of
them speak plainly of a sudden mental loss. Mary. C. (Case 7) claimed
she suddenly got mixed up and lost her memory. Laura A. spoke at any
rate of suddenly having felt dazed and stunned. Mary D. (Case 4) said
she felt she was losing her mind and that she could not understand what
she was reading. Maggie H. (Case 14) began to say that her head was
getting queer. We see from this that the interferences with the
intellectual processes may in the beginning be quite sudden.

In some instances a more detailed retrospective account was taken, which
may throw some light upon the interferences with the intellectual
processes with which we are now concerned. Emma K., whose case need not
be taken up in detail, had a typical marked stupor which lasted for nine
months, preceded by a bewildered, restless, resistive state for five
days. She was in the Institute ward for the first four months, including
the five days above mentioned; later in another ward. When asked what
was the first ward which she remembered, she mentioned the one after the
Institute ward, and when asked who the first physician was, she
mentioned the one in charge of the second ward. However, when taken to
the Institute ward, she said it looked familiar, and was able to point
to the bed in which she lay, though somewhat tentatively. The same