Usually the patient was totally mute. The exceptions occurred mostly when her resistance was called forth. Thus one day when fed she said, “I wish you people would have more to do,” or on another occasion, when she had resisted being brought into the examining room, she said, “I will get out of here if I break a leg.” But once when the nurse accidentally tickled her, she said, “Since I am ticklish, I must be jealous--I should worry.” She also answered very few questions and such responses as she made were chiefly expressions of resentment. Thus, when one kept urging her, she finally would say “stop,” or after much urging “I am going to hurt you pretty quick.” Sometimes she said “Go away,” or “Let me alone.” She was just as silent with the mother and the priest as with the physicians. On one occasion she told the nurse that the priest had told her to talk to the doctors, but that she had nothing to say. Sometimes she did not even look at the visitors, but turned away from them, as she did from the physicians, but at one visit from a priest, though she scarcely said anything, she held on to him when he was about to depart and would not let him go. Throughout this period, since scarcely any answers were given, nothing was known about her orientation, except when on admission she gave a few answers. She then thought she was at the Observation Pavilion, seemed unable to tell even that the physician was a doctor, but knew the date. When asked how she came to Ward’s Island, she said “By ambulance.” The physical condition presented nothing of note, except for a certain sluggishness of the skin with marked comedones.