, seemed
somewhat nervous, became a little "fidgety" and said she
worried because her mother had to work so hard. Later she
began to speak about people saying that the ambulance would
come for her and she heard voices saying "You will be
dead." It is not known in what emotional setting these
remarks were made. Her mother took her to a dispensary. On
the way she asked the mother where she was going and said
"I can't tell the number and I don't know where I am going.
I think I am losing my mind." She also said she could not
understand any more what she read. She was put to bed. She
then talked less, appeared stupid, and was inclined to
refuse food.

Four days before admission she claimed that she could see
her dead father beckoning to her, again she said a certain
young man was God. She was sent to the Observation
Pavilion. On the day she went there she was reported to
have shown a slight jaundice.

The patient, after her recovery, added to the above account
of the mother, that about two weeks before admission, for
no reason which she could state, she began to feel quiet,
and that after that her father's death began to prey on her
mind, and that later she had a vision of her father. She
claimed that in this period she had no fear but that her
head felt dizzy and her vision seemed dim.

At the _Observation Pavilion_ the patient was described as
constrained, refusing food, mute, resistive of attention,
sometimes muttering to herself and having the appearance of
uneasiness.

_Under Observation:_ 1. On admission the patient had a
slight jaundice, which disappeared in a few days, and the
bile test in the urine was negative on admission. She was
rather thin, but otherwise in good physical condition. Her
temperature was 99.2 deg.

For three months the patient was very inactive, moving very
little. She had to be dressed and undressed, when taken out
of bed. She often was markedly constrained, either lying
with her head raised from the pillow, or for long periods
of time holding her arms or hands in rather constrained
positions on her body. But there was at no time any
catalepsy when tested by moving her arms. In the beginning,
however, before she lay so persistently with her head