_December 15:_ Quiet as a rule, then for a time at the door, pulling at it and with whining voice but affectlessly saying “Give me the key--I want to go to the river--you can’t keep me from Heaven--it is either Heaven or the river, give me the keys, give me the keys, open the door,” “The niggers are taking possession.” To the physician to whom she had claimed to be married, often repeats “You don’t belong to me, I don’t belong to you.” (What about the niggers?) “A band of niggers, that is all they are.” (Are the nurses niggers?) “That is all they are.” Asked about her people, she says “They are in Heaven.” (Where are you?) “I am in Heaven” (without change of expression). Again, when asked where her people are, says “At home.” Then she went willingly back to bed and was quiet. In the afternoon she again went to the door and tried to get out. When questioned, she said “I don’t want to be an animal,” “Everybody is making an animal of me” (pointing to an animal picture). Then again, while trying the door, repeats in the same affectless manner that she wants to go “to the river,” “to the bottom of the river,” “to Heaven to see my mother.” This last was said in a whining tone, with some tears. She kept turning the knob, tried to get the keys, and struggled impulsively when prevented. _December 23:_ Though quiet on the whole, when a visitor came yesterday, she ran after this woman saying “I want my generations,” and clung to her, and to-day at intervals keeps talking about wanting to see her generations but is often quiet. (Retrospectively she said she wanted to see all her ancestors from the beginning of time.) _December 27:_ Of late often talks affectlessly about wanting to die or wanting to go to Heaven, struggling impulsively to get medicine away from the nurses, asking for poison, trying to drink her own urine, or even the fluid in the bed pan after she had been given an enema, all evidently with suicidal intent. _December 28:_ Still constant, impulsive and apparently affectless attempts at suicide, tries to get medicine away from nurses, to get the fire extinguisher bottles, a bottle of ink, etc., struggling when prevented. But when examined quiet, even smiles at a joke. When questioned, denies feeling either worried or depressed. She said she wanted to go home. She gave poor attention to the questions. Later she threw a wet sheet over a patient and laughed (this is rare). Later she slapped another patient. Again she began to talk about wishing to go to the grave. Calls Dr. M. “Uncle John.”