at all.) Six days
before admission she came home, saying the boss had told
her he had no more work for her. Nevertheless, she went
back next day and was again sent home. At home she sat
gazing. Next day again wanted to go and see the boss, but
was prevented. At times she tried to get out of the window;
again sat gazing, repeating to herself "Always be true."
She said she was in love with the boss. When the doctor
gave her medicine she thought it was poison. Finally she
began to be talkative and elated. At the _Observation
Pavilion_ she became very quiet.

_Under Observation:_ She lay in bed indifferent, not
eating, unless spoon-fed, when she would swallow. She
soiled herself. She answered no questions as a rule, and
only on one occasion, when urged considerably, said in
answer to questions that this was a hospital, so that she
evidently had more grasp on the nature of her environment
than her behavior indicated. To her brother who called on
her during the first ten days she said she could not find
her lover here (an idea inconsistent with the benign stupor
picture).

Then she became more markedly stuporous, drooling saliva,
very stiff, often lying with head half raised, gazing
stolidly, never answering, soiling. Later, after a month,
this was less consistent. She now and then went to the
closet, sometimes she smiled, ate some fruit brought to
her, spoke a little. Repeatedly when people came she clung
to them, wanted to go home, again was seen to weep
silently. On another occasion she suddenly threw the dishes
on the floor with an angry mood, without there being any
obvious provocation. Again she got quite angry when urged
to eat her breakfast, and on that occasion pulled out some
of her own hair. Usually she had to be fed, was stiff,
sitting with closed fists, not reacting as a rule in any
other way, wholly inaccessible and has been that way for
years. The stupor merged into a catatonic state merely by
the development of the inconsistency in her affective
reactions.

We see then that inconsistencies among the stupor symptoms themselves
and the intrusion of definitely dementia praecox symptoms differentiate
the malignant from the benign reactions. As a matter of fact, we find,
as a rule, that car