other would tie
her down during these attacks to prevent her from injuring members of
the family. Physical examination on the first admission was negative.
Mentally she complained of being nervous and easily awakened at night;
consciousness was clear; she was well oriented; no hallucinations or
delusions could be elicited. Intellectually she appeared to be above
the average negro in intelligence; she read and wrote, spelled
correctly and used good English. Her memory was good for both past and
recent events. Throughout her entire sojourn here she was oriented to
time, place and person; except for having stated at one time in a sort
of careless and apparently indifferent way that she had heard someone
calling her by name, and upon looking for the person could find no
one, she manifested no hallucinatory disturbances. No delusional ideas
were elaborated at any time. Her conduct here was characterized
throughout by marked irritability; she frequently threatened to get
even with the ward physician, saying she did not propose to fight
open-handed any more and would not enter into a fight without a
weapon. She frequently broke window lights without any apparent
reason; often was very surly in manner; then again was pleasant and
agreeable and assisted with the work on the ward. She assaulted
several of the nurses when an attempt was made to restrain her, in
order to prevent her breaking window lights. When spoken to about
these outbursts of temper she would deny all knowledge of them, saying
that she never threatened nor assaulted anyone. She was discharged as
recovered on January 12, 1909, and returned to Moundsville
Penitentiary. She was again admitted to the Government Hospital for
the Insane on June 18, 1909, on a medical certificate which stated
that she was very irritable and had a mania for breaking windows; that
she was suffering from delusions. No further evidence of insanity was
given. On admission she was sullen and disagreeable, had a frown on
her face, sat on a chair looking out of the window and was exacting in
her demands. She requested to be removed to another ward, where she
thought it would be livelier; asked for various medicines, etc. When
told that her requests could not be granted, she became very cross and
abusive, making threats of things she would do. In the afternoon
scratched her arm with a pin and quite a flow of blood was produced,