s. on admission to 133
lbs. on discharge. For the first two weeks of her stay in
the hospital, her temperature varied between 99 deg. and
100 deg.
_Retrospectively:_ She said in answer to questions about
her inactivity and difficulty in answering that she did not
feel like talking, felt mixed up, could not remember well,
did not want to write.
Before she was quite well she knew of her entrance to the
Observation Pavilion and her transfer to Ward's Island, of
which she could give some details, but thought she had been
in the Observation Pavilion two weeks instead of three days
and in the admission ward one month instead of a few hours.
As to the precipitating cause of the attack, she spoke of
her flowing so much after childbirth and of her operation.
She was seen again in March, 1913, when she seemed quite
normal mentally and claimed that she had been well ever
since leaving the hospital.
With the exception of negativism, which appears only in the anamnesis,
all the cardinal stupor symptoms are found in this history. Particularly
noteworthy is her intellectual deficiency which seemed to be made up of
a real incapacity plus a remarkable disinclination for any mental effort
whatever. It is important to note that her attitude towards this
disability was usually one of indifference and that, in general, there
was no show of affect whatever. Freedom of speech was the last thing for
her to regain.
CASE 7.--_Mary C._ Age 26. Single. Admitted to the
Psychiatric Institute April 7, 1907.
_F. H._ The father had repeated attacks of insanity, from
which he recovered, but he died in an attack at the age of
60. A sister also had a psychosis, from which she
recovered.
_P. H._ The patient was rather quiet and easily worried.
When 14 she had some dizzy spells, with momentary loss of
consciousness. After that time she had no such attacks,
except after a tooth extraction when about 24.
The patient came to the United States six months before
admission. She went to live with a cousin who died a week
after she arrived at his house. She worried and said that
she brought bad luck. Then she took a position, where she
was well liked, but she was not particularly efficient. In
this situation she often felt homesick and lonely.
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