and physical health following the psychosis than she had
been for years.

Essentially, then, this case shows what was at first a typical partial
stupor, but soon became complicated by a tendency for questioning to
provoke rather a free flow of ideas and a distressed perplexity. This
symptom of perplexity soon grew to dominate the clinical picture, so
that the psychosis was really a perplexity ushered in by a brief stupor
reaction with a background of stupor symptoms running through it. The
second case shows similar tendencies but different from the one whose
history has just been cited in that the perplexity was never complained
of by the patient herself and that her emotional reactions were more
marked and varied.

CASE 17.--_Celia C._ Age: 18. Admitted to the Psychiatric
Institute May 2, 1914.

_F. H._ Four years after this attack her mother was a
patient in the hospital with an atypical manic-depressive
psychosis from which she apparently recovered.

_P. H._ The patient herself was described by superficial
observers as being bright, sociable, well-informed and very
ambitious.

When 18 years of age she was working very hard preparing
for some examinations, and worried lest she should fail in
them. Some years later the patient accounted for her
psychosis by saying she had a quarrel with her sister,
immediately after which she began to feel depressed. The
anamnesis states that she was slow, complained of not being
able to think and feeling as if she had no brain. She was
sent to a general hospital, where she was apprehensive,
wanted her mother to stay with her and one night called out
"Mother."

The case being recognized after a few days as a psychosis,
she was sent to the _Observation Pavilion_, where she was
described as jumping about in bed in a jerky, purposeless
manner, resistive when anything was done for her, and mute.
Her sister reported that when she visited her the patient
said "Go away, I am dead."

_On admission_ she looked dazed, stared vacantly and had a
tendency to draw the sheet over her. When put on her feet
she let herself fall limply. At times she became agitated,
sobbed and cried loudly, especially when attempts were made
to examine her physically, or, when she was asked
questions, she scarcely spoke.