his was
atypical in that she sang and wrote when otherwise apparently deeply
stuporous. When persuaded to talk, her utterances, even as early as ten
days after admission, were of a malignant type and with such statements
she giggled. This last is apparently a highly important sign. Quite
frequently in our cases the first signal of a dementia praecox reaction
has been giggling in a setting of what was apparently a typical benign
stupor.

As has frequently been stated, symptoms of benign stupor are closely
interrelated. Consequently the reaction is, when benign, a consistent
one. We do not find free speech with profound apathy and inactivity,
nor do we expect to meet with unimpaired intellectual functions when
other evidences of deep stupor are present. The inconsistency of mental
operations which characterize dementia praecox, however--the "splitting"
tendency which Bleuler has emphasized in his term "schizophrenia"--is
just that added factor which may produce disproportionate developments
of the various stupor symptoms in the dementia praecox type of that
reaction. Examples of this have been given in the two cases just quoted.
The history of the following patient shows this tendency more
prominently.

CASE 22.--_Nellie H._ Age: 20. Admitted to the Psychiatric
Institute June 11, 1907.

_F. H._ The father had repeated depressions; he died of
typhus fever. The mother was living.

_P. H._ The brother of the patient stated that she was like
other girls, and very good at school. At 16 she became
quieter, less energetic. She came to America at 17. After
arriving here she has seemed low spirited, cranky and
faultfinding. She often complained of indefinite stomach
trouble and headaches; when at home she often had a cloth
around her head. The informant recalled that she said, "I
wish I could get sick for a long time and get either cured
or die." However, she worked. For one and a half years
prior to admission her "crankiness" is said to have become
much worse. She complained continually of being tired;
quarreled much with her mother; said she did not have
enough to eat. It is also stated that she was constantly
afraid of losing her job.

_History of Psychosis:_ For six months before admission she
said frequently that her boss was giving her hints that he
liked her. (She did not know him socially