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family because he was a Jew and she a Christian. He said
that this undoubtedly worried the patient at times and that
she often asked him when he would take her to his family.
The patient herself later also said that this used to worry
her. Finally, one and a half years before admission she
agreed, on account of the children, to accept the Hebrew
faith, and they were then married in the synagogue. But he
still did not take her to his family.
There were four pregnancies: the first child died; of the
survivors one was 8, a second 5 years old. Finally, a year
before admission, she became again pregnant. During the
pregnancy one of the children had whooping cough and she
herself was thought to have caught it. The baby was born
three months before admission. It was a blue baby which
died two days after birth. The patient flowed heavily for
three weeks and was taken to a hospital, where she
continued to flow intermittently for some weeks more.
Finally, three weeks before admission, a hysterectomy was
performed. Several days after this, when the sister-in-law
visited her, the patient begged her to take her home, said
the doctor wished to shoot her and to give her poison.
Later the patient confirmed this, saying that she thought
they wanted to give her saltpeter, and that she heard them
say they wanted to shoot her.
When taken home she refused food; gazed about, was
absorbed, seemed obstinate, and several times tried to jump
out of the window. Retrospectively the patient stated that
she heard children on the street call "Katie." She thought
they meant her child, heard that it was to be taken away
from her, and a similar idea again came out later in her
psychosis, namely, that somebody was going to harm her
children.
At the _Observation Pavilion_ she appeared stupid, rather
immobile, her attention difficult to attract.
_Under Observation:_ On admission the patient appeared
sober, impassive, moved very little, was markedly
cataleptic, though not resistive. On the other hand, her
eyes were wide open and she looked about freely, following
the movements of those around her not unnaturally. When
questioned, she looked at the questioner rather intently,
and was apt to breathe a
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