sometimes there was no response, but
as a rule there were tears or flushing of the face. On the
physical side, there were marked dermatographia and, for a
time, towards the end of the period, profuse sweating.
Throughout the stupor proper her temperature was between 99
deg. and 100 deg. as a rule.

5. The period which followed and which lasted about two
months was characterized, like the one just described, by
marked stupor symptoms, associated, however, with more
resistance, while the crying practically disappeared. On
the other hand, a number of plainly angry reactions were
seen and, towards the end, smiling and laughing. She lay in
bed, on her back, staring, allowing the flies to crawl over
her face; retained uncomfortable positions without
correcting them, and her arms often showed a decided
tendency to catalepsy. Sometimes she soiled. She constantly
held saliva in her mouth, though she did not often drool.
She was totally mute, did not respond in any way except in
the manner to be presently indicated. She had to be
tube-fed a good part of the time, was quite resistive when
an attempt was made to open her mouth. When attended to by
the nurse, she was apt to make herself stiff. But as a
rule, she was not resistive to passive motions when tested.
On a few occasions she had, as was stated, marked angry
outbursts. Thus on one occasion when her temperature was
taken she angrily pushed the nurse away and then struggled
vigorously. On another occasion, when the bed-pan was put
under her, she threw it away angrily and struck the nurse;
once she did the same with the feeding tube. She struck a
patient, on another occasion, when the latter came to her
bed. On two occasions she suddenly threw herself headlong
on the floor. Towards the end of the period, when the
blood-pressure was taken, she smiled and then laughed out
loud. She could be made to smile again later.

6. The last period, before the more definite improvement,
lasted about a month. She was inactive and slow, ate slowly
(feeding no longer necessary), and was mute. But she did
not stare, was no longer resistive, no longer held saliva.
She appeared indifferent, but could be made to smile quite
readily when spoken to. On one occasion