h a pin but there
was a decided hypalgesia present. He refused food; was mute, and
apparently oblivious of everything about him. This, however, was only
apparently so, as he showed by various acts that he was more or less
aware of his surroundings. For instance, during the examination he
suddenly snapped at the examiner, and upon the latter's discomfiture
he emitted a momentary giggle. When feeding-tube was placed in his
nose, preparatory to feeding, he jumped up and said, "I'll drink it,"
and drank the entire contents of the pitcher. While some parts of his
body remained absolutely fixed, restrained and immovable, his face was
constantly undergoing various grimacing motions, accompanied now and
then by the snapping of his jaws and a growl. During the following
several nights he was very noisy, excitable, singing and shouting
throughout the night. Mental content could not be determined at this
date.

June 28, 1911:--He remains in same apparent stuporous and catatonic
attitude. For past few days has exhibited various childish and silly
acts of a meaningless and monotonous nature. Still mute except for an
occasional growl. Became very untidy today, but when reprimanded and
told he must use the toilet he did so.

July 1, 1911:--Patient has been very noisy on several occasions in the
past few days, but always becomes quiet when requested to do so.
Continues negativistic, stuporous and attitudinizing. Today he was
overheard saying: "I am a monkey; want to go out in the yard and sit
on the benches; there was no plea of insanity; who are those boys?
Come in, boys; water, won't drink it because there is poison in it, it
looks good, so try it. Don't believe there is anything in it." He
persevered in repeating these phrases.

July 2:--Sang all morning in an undertone. Would stop singing and
recommence his facial grimaces when anyone entered his room.

July 3:--For the first time since admission patient answered examiner
to questions.

Q. "What is your name?"

A. "George Washington."

Q. "How old are you."

A. "36."

Q. "When born?"

A. "1884."

Q. "Occupation?"

A. "Farmer."

Q. "Where born?"

A. "Around Boston."

Q. "What day is this?"

A. "Someone says Tuesday."

Q. "What date?"

A. "June 17, 1911."

Q. "How long have you been here?"

A. "I cannot tell you."

Q. "What is the name of this place?"

A