s stupor, and which
belonged both to the death and the rebirth motifs were formulated as
facts (as in the cases of Henrietta H. and Mary F. above mentioned). It
was, moreover, a condition which was accepted without protest. Here
again an affect was not associated with these ideas, and when the
patient was asked whether she had not been frightened, she said herself,
"No, I just lay there." The idea that God told her she would have to die
on the cross like Christ, is, in the religious form, like the beckoning
of the father with Henrietta H. The only exception to the claim that the
ideas were formulated as facts and accepted as inevitable seems to be
the statement that she held up her arms to save the ship. This would
seem to be, in contradistinction to the rest, a formulation as a more
dangerous situation. However, this was isolated and we can do no more
than to determine main tendencies. We must expect, especially in such
variable conditions as we see in this patient, to find occasional
inconsistencies.

In summing up we may say, therefore, that so far as the stupor itself
is concerned, the ideas are formulated as a rule:--

1. As accepted facts (being dead, being in a ship, etc.).

2. As accepted prospects (going to die).

3. As the wish to die.

In the first two types the ideas are not associated with affect; in the
third, though not associated with affect, they are combined with
"impulsive" suicidal attempts.

In order not to tear apart the analysis of Charlotte W. (Case 12) too
much, we may begin our study of the intervals and the conditions
preceding the stupors with the ideas which this patient produced when
the stupor lifted somewhat. We shall see that the ideas are closely
related to those mentioned above but formulated differently.

It will be remembered that Charlotte W. had freer intervals when she
responded and was less constrained generally, and that it was in these
that the ideas above mentioned were gathered. Since they were spoken of
in the past tense, we regarded them as not belonging to the actual
situation but to the more stuporous period. It seems tempting now to see
whether the ideas which are expressed in the present tense are different
in character, the general aim being to discover whether any tendencies
can be found in regard to the types and formulations of delusions
associated with different clinical pictures. We see that on November 2
the patient, when speaking much m