rother visited her. It is not clear how she was during the
period immediately following the stupor.

She made a very natural impression and came willingly to
the hospital in response to a letter and was quite open
about giving information.

CASE 2.--_Caroline DeS._ Age: 21. Admitted to the
Psychiatric Institute June 10, 1909.

_F. H._ The father died of apoplexy when patient was nine.
The mother had diabetes. A paternal uncle was queer,
visionary.

_P. H._ The patient was always considered natural, bright,
had many friends, and was efficient.

Some months before admission the patient's favorite
brother, who is a Catholic, became engaged to a Protestant
girl, and spoke of changing his religion. The family and
the patient were annoyed at this, and the patient is said
to have worried about it, but was otherwise quite natural
until seven days before admission. Then, at the engagement
dinner of the brother, the psychosis broke out. She refused
to sit down to the table, and then suddenly began to sing
and dance, cry and laugh and talk in a disconnected manner.
Among other things, she said "I hate her," "I love you,
papa" (father is dead), "Don't kill me." She struck her
brother. She was in a few days taken to the Observation
Pavilion.

The patient stated after recovery that what worried her was
that the brother would marry a Protestant and that he would
leave home (favorite brother).

At the _Observation Pavilion_ she was excited, shouted,
screamed, laughed, called out "Don't kill me," again
"Brother, brother," "You are my brother" (to doctor).

_Under Observation:_ 1. On admission, and for two weeks,
the patient presented a marked excitement, during most of
which she was treated in the continuous bath. She tossed
about, threw the sheets off, beat her breasts and abdomen,
put her fingers into her mouth, bit the back of her hands,
waved her arms about, sometimes with peculiar gyration,
etc., at the same time shouting, singing, again praying,
laughing or crying, sometimes fighting the nurses and
resisting them. She also talked quite a little as a rule,
but there were periods when, although excited, she would
not talk or answer questions. She was very little
influenc