here broke through a more active aggression and she would
strike. Above all, the opposition showed itself towards the
nurses' attention; in this she also showed either a
passive, aimless opposition and stiffness, or a more active
one; but even in the latter an open show of angry affect,
or plain irritation, though present at times, was by no
means constant. When it was present, she would strike quite
aimfully; once she struck the nurse and said, "You are the
cause of it all," and once, when the nurse tried to give
her some milk, she said, in an irritated tone, "I wonder
people would not let me alone some time." Again, she bit a
patient who tried to hold her. On another occasion she
quickly jumped up and pulled the hair of a patient who
evidently disturbed her by her noisy shouting. As was
stated, she usually wet the bed, resisted being taken to
the toilet, or when taken there, would not urinate or
defecate, but would do so as soon as she was returned to
bed; or she urinated while standing. The same perverse
opposition was seen when she would refuse a glass of milk,
but grab it when it was taken away and then refuse to let
go. She often would grasp the bedclothes or other things
and hold on aimlessly.

She rarely spoke, answered almost no questions, complied,
as a rule, not even with the simplest commands. To pin
pricks she did not react except at times by flushing. But
she did not stare, rather looked about, and was at times
easily attracted by noises or happenings about her, and
would then look in that direction not without some
interest. Often there was then an expression of
bewilderment. Her mood, however, was, as a rule, apathetic,
but at times, as stated, she showed some anger. Once she
wept, and a few times she smiled or snickered. As a rule,
this happened without appreciable cause. But once, when a
cheering remark was made, she smiled; or, when her picture
was taken (to show the peculiar constrained attitude with
the head raised from the pillow), she laughed loudly.

Although she spoke rarely, she made a few utterances in the
first few days. Thus she suddenly said: "I want to see Mr.
N.--what I said to him was not right," or "Listen! there
are the priests calling," or "You are al