of 1909, when at the instigation of a fellow sailor he
deserted from the Navy in company with the latter. On August 20, 1910,
they held up the captain of a ship with the intention of obtaining
some money which was stored on board the vessel. In the encounter the
captain was killed by the patient's companion, who made his escape,
while the patient was apprehended and held on a charge of murder. On
August 24th, he was placed in jail at Oakland, California. From the
beginning he was regarded by the jail officials as rather silly and
defective. He did not appear to be very much interested in his case,
and never spoke of his own initiative to his attorney about it. On
May 8, 1911, he was seen for the first time by a psychiatrist. He was
then found to be very distractible and inattentive, seemed suspicious
and excited and assumed stiff attitudes. He was well oriented, and
recognized that he was on trial for murder. It might be mentioned here
that although the jail officials apparently noted from the first that
the patient was not right, the legal proceedings were continued, and
it was only on the 4th or 5th day of his trial that his conduct became
such as to strongly suggest that he was insane. A psychiatrist was
then called in and he pronounced the patient insane, whereupon the
proceedings were stopped at this juncture. Examination at that time
revealed the following:--General sensation markedly reduced;
hypalgesia, he allowed needles to be stuck into his tongue without
flinching; walked in a stiff and stooping fashion; no Romberg;
moderate vaso-motor stasis, with bluish, cold hands. Gait
uncharacteristic. Eyes reacted to light, directly and consensually,
and to accommodation. Patellar, Achilles and arm reflexes markedly
exaggerated and equal. No foot clonus, no Babinski; abdominal
reflexes present, cremasteric not elicited; catalepsy not always
present.

Mental Examination:--Attitude was variable, but was distinctly that of
one in a stupor. Arms, hands and legs, placed in uncomfortable
positions, would remain fixed indefinitely, _i.e._, so observed from
20 to 30 minutes. Did not resent liberties taken with him; smiled in a
silly fashion at each person. Orientation perfect; no insight;
hallucinations and delusions could not be elicited. Attention could
only be gained with great difficulty, and held for a very short time.
Retardation was present; movemen