ot care to speak." She claimed that
she remembered being pricked with a pin but that she did
not feel it. She remembered yelling when taken to the tub
(towards end of the marked stupor) and claimed she thought
she was to be drowned.

When she went home (March 24, 1908) she got into a more
elated condition. She was talkative, conversed with
strangers on the street, said to her mother that she was
now sixteen years old and wanted "a fellow." When the
mother would not allow her to go out, she said it would be
better if they both would jump out of the window and kill
themselves. She then was sent back to the hospital. In the
first part of this period after her return, she was
somewhat elated and overtalkative, though she did not
present a flight of ideas, and was well behaved. She soon
got well, however, and was discharged, four months after
her readmission, fully recovered.

After that, it is claimed, she was perfectly well and
worked successfully most of the time with the exception of
a short period in the spring of 1909, when she was slightly
elated.

In 1910 she had a subsequent attack, during which she was
treated at another hospital. From the description this
again seems to have been a typical stupor (immobility,
mutism, tendency to catalepsy, rigidity). According to the
account of the onset sent by that hospital (it was obtained
from the mother), this attack began some months before
admission, with complaints of being out of sorts, not being
able to concentrate and fearing that another attack would
come on. Finally the stupor was said to have been
immediately preceded by a seizure in which the whole body
jerked. She made again an excellent recovery.

The patient was seen about two years after this attack, and
described the development of the psychosis as follows: She
claimed she began to feel "queer," "nervous," "depressed,"
got sleepless. Then (this was given spontaneously) she
suddenly thought she was dying and that her father's
picture was talking to her and calling her. "Then I lost my
speech." As after the first attack, she claimed not to have
any recollection of what went on during a considerable part
of the stupor but recalled that she began to talk after her
b