The patient was seen about two years after this attack, and described the development of the psychosis as follows: She claimed she began to feel “queer,” “nervous,” “depressed,” got sleepless. Then (this was given spontaneously) she suddenly thought she was dying and that her father’s picture was talking to her and calling her. “Then I lost my speech.” As after the first attack, she claimed not to have any recollection of what went on during a considerable part of the stupor but recalled that she began to talk after her brother visited her. It is not clear how she was during the period immediately following the stupor. She made a very natural impression and came willingly to the hospital in response to a letter and was quite open about giving information. CASE 2.--_Caroline DeS._ Age: 21. Admitted to the Psychiatric Institute June 10, 1909. _F. H._ The father died of apoplexy when patient was nine. The mother had diabetes. A paternal uncle was queer, visionary. _P. H._ The patient was always considered natural, bright, had many friends, and was efficient. Some months before admission the patient’s favorite brother, who is a Catholic, became engaged to a Protestant girl, and spoke of changing his religion. The family and the patient were annoyed at this, and the patient is said to have worried about it, but was otherwise quite natural until seven days before admission. Then, at the engagement dinner of the brother, the psychosis broke out. She refused to sit down to the table, and then suddenly began to sing and dance, cry and laugh and talk in a disconnected manner. Among other things, she said “I hate her,” “I love you, papa” (father is dead), “Don’t kill me.” She struck her brother. She was in a few days taken to the Observation Pavilion. The patient stated after recovery that what worried her was that the brother would marry a Protestant and that he would leave home (favorite brother). At the _Observation Pavilion_ she was excited, shouted, screamed, laughed, called out “Don’t kill me,” again “Brother, brother,” “You are my brother” (to doctor).