ant,
saying "I don't want to stay here," turning her face away
from the doctor, generally uninterested. Though it could be
established that she was quite oriented, often her answers
were "I don't know," or she did not answer. But she was
also seen crying at times, and she was apt to bite her
finger nails. She had to be tube-fed. Gradually these
tendencies increased so that she lay in her bed with head
covered, saying in a peevish tone, when spoken to, "Oh, let
me alone." And for years she was mute, lying with her head
covered, tube-fed. When reexamined in 1914 (ten years
later), she was found lying in bed with an empty smile.
There was paper stuffed in her ears. When approached, she
turned her head away and would not talk.

CASE 25.--_Catherine W._ Age: 42. Admitted to the
Psychiatric Institute November 11, 1904.

_F. H._ The father died at 75, the mother at 44. Two
sisters died of tuberculosis. A brother wanted to marry but
was opposed by the father; he set fire to the house of the
girl and then drowned himself.

_P. H._ The patient came to this country when 20, and
worked for some years as a servant. Then she married after
a short acquaintance. The husband, according to his own
statement, drank, and there was friction from the first.
She left him a few weeks after marriage, and a few months
later he went to Ireland; she also went some time later but
did not go to see him. Then they lived together again. They
had four children, but had had no intercourse for nine
years.

_Development of Psychosis:_ Eight years before admission
the patient became nervous, slept badly, but got better. It
was claimed that for six years she had been quieter and
more sullen than before. Three years before admission the
patient had to take a place as janitress, since she needed
the money. From the first she had trouble with the tenants
and accused everybody of being in league against her. Some
six or eight weeks after she had taken the position, she
developed what was called typhoid fever, and some time
later the daughter came down with the same disease. After
the typhoid she was more antagonistic towards her husband,
accused him of infidelity, repeatedly locked him out of the
house, but co