Two weeks before admission an uncle died, which affected
her considerably. She spoke of his leaving three children,
and would not go to the funeral. Then she thought she was
going to die. She felt dizzy, weak, walked with a stooped
position, was sleepless. In the midst of this she suddenly
felt frightened and walked into her mistress' room, to
whom she complained that some one was talking outside but
could not tell what was said. She heard shooting.
Retrospectively, after recovery the patient said that at
that time she suddenly got "mixed up," and that her "memory
got bad."

She was taken to a general hospital, where she thought
there was a fire, and screamed "Fire!" She was soon
transferred to the _Observation Pavilion_, where she
appeared dazed, moving slowly, yet showing a certain
restlessness. She spoke of "the boat" being shut up so that
no one could go out. Again, she said "The boat went down
and all the people keep turning up." Retrospectively the
patient stated about this condition that she remembered
going to the general hospital but not her stay at the
Observation Pavilion. (The trip to the Manhattan State
Hospital was again clearer to her.) About the ideas she had
at the time, she remembered only that the room seemed to go
around, and that after she had come to the Manhattan State
Hospital and was clearer, she thought she was in Belfast,
was on a ship, and that people were drowning.

_Under Observation:_ On admission she had a temperature of
100 deg., a coated tongue, suffused conjunctivae. There
were herpes of the lower lip, a general appearance of
weariness and exhaustion, a flushed face, trace of albumen
in the urine, which was absent on the third day, no
leucocytosis, but 41 per cent. lymphocytes.

Then and henceforth she was inactive and very slow in all
her movements; she never stirred spontaneously, and had to
be pushed to the toilet and to the table; she ate slowly.
She did not speak spontaneously, and her replies were very
slow in coming. She had to be urged considerably before she
would speak and, as a rule, she did not answer. On one
occasion she was for a day totally inactive and looked
duller. That day and on a few other occasions she wet the
bed. The