val
between her feeding she would let saliva collect in her
mouth. For a time she had a tendency to hold one leg out of
bed, and when it was put back would stick the other out.
Sometimes she walked of her own accord to the toilet chair,
but on one occasion wet the floor before she got there.

During the first month after admission, this stupor was
interrupted for two short periods by a little freer action:
she walked to a chair, sat down, smiled a little, fanned
herself very naturally when a fan was given to her, though
even then did not speak.

There was, as a rule, no emotional reaction, but after some
months she several times wept when her mother came, though
without speaking. Once when taken to the tub she yelled.

Her _physical condition_ during this stupor was as follows:
She menstruated freely on admission, then not again until
she was well. Several times she had rises of temperature to
102 deg. or 103 deg. with a high pulse and respiration;
again a respiration of 40, with but slight rise of
temperature, though the pulse had a tendency to go to 130
and over. She was apt to show marked skin hyperaemia
wherever touched. With the fever there was found a
leucocytosis of from 11,900 to 15,000, with marked increase
of polynuclear leucocytes (89%). She got very emaciated, so
that four months after admission she weighed 68 lbs.
(height 5' 2").

2. About five months after admission she was often seen
smiling, and again weeping, and she began to talk a little
to the nurses, though not to the doctors. She also began to
eat excessively of her own accord, and rapidly gained
weight, so that by January she weighed 98-1/2 lbs., a gain
of 30 lbs. in two months. Yet she continued to be sluggish.

3. For two more months she was apathetic and appeared
disinterested, often would not reply, again, at the same
interview, she would do so promptly and with natural voice.
This condition may be illustrated by the summary of a note
made on January 29, 1908, which is representative of that
period. It is stated that she sat about apathetically all
day, appeared sluggish, but was fairly neat about her
appearance and cleanly in her habits. There was at no time
any evidence of affect, except when asked