housework, her sister having married about that time. At 17
her hair began to come out excessively, so that she had to
cut it, and when it grew again it was gray. She became very
sensitive about this, even refused to take positions
because she thought people would remark about it.

For two years before admission she evidently was different.
Although she did her father's housework well enough, she
turned against her sister and refused to speak to her
because, she alleged, the sister had not come to help her
in her housework. Another pronounced manifestation during
that time was her frequent talk about her bowels. She
complained of constipation, creepy, crawling sensations in
the stomach which she thought was a "tapeworm." She got
pamphlets and took patent medicines. She was taken to a
physician nine months before admission, who operated on her
for piles. While still in the hospital she asked her father
to take her home to die (although there was no reason for
such a request). Again she said the gauze had been left in
the rectum too long and that the rectum was full of wind.
Later she said the rectum was closing up. After this, the
sister stated, she was extremely nervous if she passed a
day without a movement of the bowels. She was quiet
henceforth, went out less and said little, claiming it was
better for her head if she said little. She often sat, head
in hand, in the hall. All through the summer she frequently
remarked, "I am a good girl." Four months before admission
during a period of five weeks she would let her bowels move
when standing up. This was relieved by enemas. The father
states that she was cranky to him, that sometimes when he
merely asked a question she would say, "You hurt my
feelings," and once, "You break my heart." Occasionally she
seemed to worry about the money spent for her on doctors
and medicine.

About two months before admission she said everybody was
looking at her. Ten days before admission she said, "I have
been sick all this time and thought I was going to die. Now
I think Tom (her brother) is going to die." She became
fearful of being left alone. Finally she went to the
priest, who told her to go home. Then she prayed, leaving
the candles burning