tle on the piano, but said
little to any one.

By _August_, 1915, she still was inactive, shy, standing
about, or sitting picking her fingers, occasionally going
to the piano, but evidently unable to finish anything. She
had to be coaxed to come to the examining room and talked
in a low tone. Often she commenced vaguely to speak and
then stopped and could not be made to repeat what she had
been saying. Affectively she was remarkably frank,
sometimes a little surly, or she showed a slight empty
uneasiness. She could, however, be made to laugh heartily
at times, or did so spontaneously on very slight
provocation.

Some of her utterances were in harmony with her apparent
indifference. It was difficult to get her to say how she
felt even when thorough inquiries were made. Once she said,
when asked about worrying, "I don't worry," or again "I get
angry sometimes," or "I used to worry about my health, I
don't now," or, when asked what her plans were, she said
directly: "I don't care what happens." Again she said "I
guess I am disagreeable," or "I guess I am a crank."
Another interesting indication of her state was expressed
in her repeated statement, "I don't know what I want." But
she was oriented in a way, though not sure of her data. She
would give most of her answers with a questioning
inflection, "This is the Manhattan State Hospital, isn't
it?" or she would say, "I don't know exactly where I am,
it's Ward's Island, isn't it?" and in the same way she gave
the day, date and year correctly. But she did not know the
names of the physicians. At that time she could give many
data about her family correctly, but was slow, even if
correct, in calculation, and, though she got the gist of a
test story, she left out some important details.

A retrospective account at that time showed she was
uncertain about the Observation Pavilion, that she was not
certain how she came to Ward's Island, "On a boat, I
believe." It was clear that she did not remember the
admission ward, about the Institute ward (in which she had
been for the first two and a half months and in which she
was again examined); she said it was familiar to her, but
she was not certain that she had been in it. About the
phy