For two years before admission she evidently was different. Although she did her father’s housework well enough, she turned against her sister and refused to speak to her because, she alleged, the sister had not come to help her in her housework. Another pronounced manifestation during that time was her frequent talk about her bowels. She complained of constipation, creepy, crawling sensations in the stomach which she thought was a “tapeworm.” She got pamphlets and took patent medicines. She was taken to a physician nine months before admission, who operated on her for piles. While still in the hospital she asked her father to take her home to die (although there was no reason for such a request). Again she said the gauze had been left in the rectum too long and that the rectum was full of wind. Later she said the rectum was closing up. After this, the sister stated, she was extremely nervous if she passed a day without a movement of the bowels. She was quiet henceforth, went out less and said little, claiming it was better for her head if she said little. She often sat, head in hand, in the hall. All through the summer she frequently remarked, “I am a good girl.” Four months before admission during a period of five weeks she would let her bowels move when standing up. This was relieved by enemas. The father states that she was cranky to him, that sometimes when he merely asked a question she would say, “You hurt my feelings,” and once, “You break my heart.” Occasionally she seemed to worry about the money spent for her on doctors and medicine. About two months before admission she said everybody was looking at her. Ten days before admission she said, “I have been sick all this time and thought I was going to die. Now I think Tom (her brother) is going to die.” She became fearful of being left alone. Finally she went to the priest, who told her to go home. Then she prayed, leaving the candles burning in the room. That night she was found kneeling before a church in her nightgown. Again she threw a lot of articles into the yard, saying a curse had been put on her by her father, and she did not wish to give him anything. When she was taken to the Observation Pavilion she said, “I am a good girl--my mother is dead--it is all my father’s fault.” At the _Observation Pavilion_ she put her arm under a hot water faucet “to save the world,” prayed and laughed--again sank back and appeared as if asleep. She said, “I hear angels telling me how to pray when I lose my thoughts--sisters and nuns are all around me here, to save and purify the world now and forever, and at the hour of our death.”