when she was apt to make repeated statements
about her perplexity--that she did not know what it was all
about, every one had mixed her up, everything was so
strange, "my head is mixed up, I am trying to straighten
things up." She frequently when interviewed became
lachrymose and often with her subjective confusion there
was considerable anxiety. Another unusual phenomenon for a
stupor patient was that she was frightened at a thunder
storm. On the whole, however, her apathy and indifference
were quite marked. For instance, during the latest phase of
her psychosis, when the nurses would sometimes make her
dance with them, she did so but without showing any
interest and not until immediately before her recovery did
she begin to speak spontaneously to any extent whatever. A
marked difference from the ordinary stupor was that this
apathy was invariably broken into when she was questioned
and ideas came to her mind, the nature of which seemed to
be essentially connected with her perplexity.

Not only did ideas appear more frequently than one meets
them in stupor cases, but they were present in greater
variety. The dominant stupor death idea was, it is true,
almost constantly present, but it did not come to the
direct and unequivocal expression which we are accustomed
to see in typical stupor. She did not say "I am dead," or
"I was dead," but it was always "It seems as if I were
dead," or "I think I must have died," or some such dubious
statement. Other ideas were that her mother was dead and
had been put into a box. She frequently gave her maiden
name and said that she lived in Cleveland with her mother
and that this was Cleveland. At times she thought she was
engaged and was going to be married to her husband shortly.
Again there were notions that her husband had married
somebody else or that some harm was going to come to him.
Sometimes she thought that her mother's name was her own,
that is, Mrs. L. The hospital once seemed like a convent to
her.

Her subjective and objective confusion seemed quite
definitely to be connected with the insecurity and
changeability of these ideas. It appeared as if insight and
delusion were struggling for mastery in her mind, so that
reality and fancy