he again said that she had no
recollection of her marriage.

She then improved a great deal and finally appeared very
natural, gave the retrospective account noted in the
history, had a clear appreciation of the fact that she was
married and had a child. She claimed that she had
previously forgotten about her marriage and thought she was
still merely keeping company with Mr. F. She claimed not to
remember coming to the hospital, did not know what ward
she came to, who the doctor and nurses were, in fact
claimed that it was about a year before she knew where she
was. But she remembered having been tube-fed. She could not
say why she did not speak. But she appreciated that she had
been ill.

Ten years after discharge the husband, in answer to an
inquiry, stated that she had been perfectly well and had
had no trouble at three successive childbirths.

CASE 4.--_Mary D._ Age: 20. Admitted to the Psychiatric
Institute September 17, 1907.

_F. H._ The grandfather and the father of the patient were
alcoholics. The father died three years before the
patient's admission; he was killed in an accident. The
mother stated that she herself was nervous, but she made a
normal impression.

_P. H._ The patient was described as bright at school and
efficient in her work as a dressmaker, but she was rather
quiet, inclined to stay at home and had not much
inclination to consort with the other sex. She was rather
proud. As an example of this is stated the fact that she
was always somewhat sensitive, because the family lived in
the basement of the house in which her mother was
janitress. She did not menstruate until 16. It was about
this time that her father was killed in an accident. She
was considerably upset by this, talked a good deal about
the way he was killed, but did not break down. The patient
on recovery stated that it worried her because the father
died without having any chance to get a priest.

Six weeks before admission the patient was given a
vacation, as there was not work enough in the shop, but she
worked at home.

Two or three weeks before admission her appetite failed
somewhat, and ten days before admission, without any
appreciable cause, she began to sleep badly