ut
wanting to die or wanting to go to Heaven, struggling
impulsively to get medicine away from the nurses, asking
for poison, trying to drink her own urine, or even the
fluid in the bed pan after she had been given an enema, all
evidently with suicidal intent.

_December 28:_ Still constant, impulsive and apparently
affectless attempts at suicide, tries to get medicine away
from nurses, to get the fire extinguisher bottles, a bottle
of ink, etc., struggling when prevented.

But when examined quiet, even smiles at a joke. When
questioned, denies feeling either worried or depressed. She
said she wanted to go home. She gave poor attention to the
questions. Later she threw a wet sheet over a patient and
laughed (this is rare). Later she slapped another patient.
Again she began to talk about wishing to go to the grave.
Calls Dr. M. "Uncle John."

_December 30:_ Talks either about wanting to die, or
wanting to go to Heaven, or wanting to go to Ireland, all
this as usual in an affectless way. Calls Dr. M. "Uncle
John." Keeps shouting "Take me to Ireland."

_January 9, 1914:_ Often quiet in bed, again goes to door,
talks about wanting to go "to Heaven" or "to Ireland." On
the whole, says little.

It seems, then, that the transition was not abrupt, that
many traits of the first period remained, but that she was
on the whole much quieter, with the exception of some
spells when she insisted on going out or killing herself.
At such times she showed an affectless, impulsive
excitement. Whether there was an element of perplexity then
is not clear from the notes. The topics of which she spoke
also changed. The idea of wealth was rarely expressed, also
the idea of marriage was much in the background, but
prominent ideas were those of death, Heaven, killing
herself, going to Ireland--all of which she produced in an
affectless way. It should be added that she persistently
wet and soiled during this, as well as in the first period.

3. Then followed three months of greater inactivity. She
lay in bed gazing, moving very little, not even when her
meals were brought. She answered but little and
consistently wet and soiled. This state lasted from about
the middle of February until the beginn