members of the
family, saying she wanted to tell them something, but when
they came she would only stare blankly. For a day she
followed her mother around, clung to her, said once she
wanted to say something to her, but only stared and said
nothing.

Four days before admission she became quite immobile, lay
in bed, did not speak, eat or drink. She also had some
fever.

The patient herself, when well, described the onset of her
psychosis as follows: She knew of no cause except that her
brother, some time before the onset (not clear how long),
was run over by an automobile and had his foot hurt. She
claimed that while still working she lost her ambition,
lost her appetite, did not feel like talking to any one;
that when she went out with her mother it merely seemed to
her that people stared at her. The day before she went to
the Observation Pavilion her cousin came to see her, and
she thought she saw, standing beside this cousin, the
latter's dead mother. She also thought there was a fire,
and that her sister was sweeping little babies out of the
room. Then, she claimed, she felt afraid (this still on the
day before going to the Observation Pavilion) because she
had repeated visions of an old woman, a witch. This woman
said, "I am your mother, and I gave you to this woman
(i.e., patient's real mother) when you were a baby." She
also was afraid her mother was "going away."

At the _Observation Pavilion_ she was described as
constrained, staring fixedly into space, mute, requiring to
be dressed and fed.

_Under Observation:_ 1. For five months the patient
presented a marked stupor. She was for the most part very
inactive, totally mute, staring vacantly, often not even
blinking, so that for a time the conjunctivae were dry. She
did not swallow, but held her saliva; did not react to pin
pricks or feinting motions before her eyes. Sometimes she
retained her urine, again wet and soiled the bed. Often
there was marked catalepsy, and the retention of very
awkward positions. As a rule she was quite stiff, offering
passive resistance towards any interference. She had to be
tube-fed at first. Later she was spoon-fed, and then would
swallow, in spite of the fact that during the inter