cause of it all,” and once, when the nurse tried to give her some milk, she said, in an irritated tone, “I wonder people would not let me alone some time.” Again, she bit a patient who tried to hold her. On another occasion she quickly jumped up and pulled the hair of a patient who evidently disturbed her by her noisy shouting. As was stated, she usually wet the bed, resisted being taken to the toilet, or when taken there, would not urinate or defecate, but would do so as soon as she was returned to bed; or she urinated while standing. The same perverse opposition was seen when she would refuse a glass of milk, but grab it when it was taken away and then refuse to let go. She often would grasp the bedclothes or other things and hold on aimlessly. She rarely spoke, answered almost no questions, complied, as a rule, not even with the simplest commands. To pin pricks she did not react except at times by flushing. But she did not stare, rather looked about, and was at times easily attracted by noises or happenings about her, and would then look in that direction not without some interest. Often there was then an expression of bewilderment. Her mood, however, was, as a rule, apathetic, but at times, as stated, she showed some anger. Once she wept, and a few times she smiled or snickered. As a rule, this happened without appreciable cause. But once, when a cheering remark was made, she smiled; or, when her picture was taken (to show the peculiar constrained attitude with the head raised from the pillow), she laughed loudly. Although she spoke rarely, she made a few utterances in the first few days. Thus she suddenly said: “I want to see Mr. N.--what I said to him was not right,” or “Listen! there are the priests calling,” or “You are all faking--it is me that done it--they are all dressing up downstairs,” or “I told you she was not able to nurse the baby,” or “I have nobody, I am lost--I want to know the truth--my mamma,” or she called her sister, “They are dead since last night.” Even during the more stuporous state she could, a few times, be made to write a little. Then she either wrote very slowly and not more than a letter, or if she wrote more, it was remarkably mixed up. Thus when asked to write the date, she wrote, “Jane (mother’s name) to me to Chrichst,” or when asked to write her name: “Annie take you ktusto.” As to her orientation, nothing could be made out as a rule. At first, however, a few weeks after admission, she spoke correctly of the month as January and spoke of the Island. When at that time she was asked if she had a baby, she said, in an annoyed tone, “I don’t know.”