not at all seclusive, no dreamer, helped to support the
family and was efficient. She was very much attached to her
brother and once said that if anything should ever happen
to him she thought she would die. She also cared much for
her older sister, with whom she worked, and for her mother.
Three months before the patient's admission her brother
became depressed, mute, seemed worried, cried at times. He
was sent to the country. Two months before admission, when
the mother and the patient went to bring the brother to
town, and while they were at the station, he suddenly tried
to throw himself under a train but was restrained just in
time. The patient appeared intensely frightened, but did
not talk. In fact, she seemed somewhat bewildered and at
once became dull. "Her movement and manner were much as at
present."
When the patient was able later to give a retrospective
account of the onset, she claimed that for some months
before this incident she saw that her brother was losing
his mind. She worried about this as well as about her work,
and felt worn out. She said that when the brother tried to
throw himself under the train she was terrified and could
not speak or move, and that her mind got upset at once, "I
lost my memory." The others forgot her and left her alone
on the platform. Strangers put her on another train and she
knew nothing until she arrived at home.
The mother added that at the time when the incident with
the brother happened, the patient was menstruating and that
this ceased at once.
At home she sat about inactive and did not seem even to
worry. Whenever any one asked her about her brother she
replied that he was dead. For two weeks before admission
she said she was rich, that she owned all the property
around. She also said she was married to Mattie S. In this
connection the mother says that a foolish neighborwoman,
the mother of Mattie S., told the patient since her
sickness, by way of encouragement, that she should marry
her son (the man mentioned). Finally, the patient also
expressed the idea that her mother was a stranger, that her
real mother was dead.
At the _Observation Pavilion_ she was described as
wandering about in a perplexed manner, restles
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