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she clung to her husband, saying she was afraid he was going to die. After recovery the patient said that while she was at home she thought she saw bodies lying about. At the _Observation Pavilion_ she was quiet and apathetic, indifferent to environment and could not be induced to speak. She soiled, refused food, and was resistive when anything was done to her. _Under Observation:_ 1. On admission the patient was fairly well nourished but looked rather anemic and weak. The temperature was normal, the pulse a little irregular but of normal frequency, the tongue coated. She lay inactive but looked about, and the facial expression sometimes changed as she did this. Any interference met with intense resistance. There was no catalepsy. In contradistinction to this inactivity and resistance, natural, free motions were observed at times, as, for example, when she arranged her pillows. She did not speak and could not be made to answer. For the rest of the first week she made no attempt to speak, except once when she seemed to attempt to return a "good morning," or on another occasion, when the nurse tried to feed her, she said, in quite a natural tone, "I can feed myself." The resistance to interference remained in a variable degree, and was at times quite strong. It was largely passive, though not infrequently associated with a scowl, or she moved away when approached. She sometimes looked dull and stared, again she looked determined, "disdainful," or scowled; or she looked about watching others, sometimes only out of the corners of her eyes. She had to be spoon-fed at times, again she ate naturally when the food was brought. Repeatedly, when taken out of bed, though she resisted at first, she dressed with natural free motions. She always retracted promptly from pin pricks. Towards the end of the week she even complied at times with a request to do some work, but on the same day she would remain passive, with a look of disdain, or resist intensely when interfered with, e.g., when an attempt was made to make her sit down. She never soiled and never showed any catalepsy. 2. Then the condition changed, inasmuch as the marked resistance ceased entirely, and the mutism gave way fir
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