normal weight, and
during the two subsequent months gained fifteen pounds.

She then recovered completely, so that three months after
discharge she made a very natural impression. She said, on
looking back over her state with impulsive excitement, that
she constantly had the idea that she wanted to punish
herself, but that _she did not know why_, and did not think
she was sad or worried.

Considering only the second phase of the psychosis, this deep stupor
showed many interruptions, due not merely to her suicidal efforts but
also to her resistiveness. The condition, too, was not so completely
affectless as one expects a deep stupor to be. In the first stage there
was much sudden laughter, reminding one of dementia praecox (except for
its never being shallow or silly) and this persisted into the first part
of the second phase. The actual attempts at self-injury brought out
emotion, for with them she scowled and frowned as well as showing
considerable energy.

To these may be added the following case. It is not unlike the ordinary
stupor in the fact that there was intense inactivity and mutism with
great tenseness. The remarkable trait was, however, that for a whole day
she forcibly held her breath until she got blue in the face. The case in
detail is as follows:

CASE 11.--_Rosie K._ Age: 18. Admitted to the Psychiatric
Institute January 24, 1907.

_F. H._ Both parents were living. The father was a loafer.
Nine brothers and sisters were said to be well, with the
exceptions of one brother who had an irritable temper, and
of a markedly inferior sister.

_P. H._ The patient was a Galician Hebrew, a shirtwaist
operator. Not much was known about her make-up, but it is
certain that she was a bright girl. The patient herself
said after recovery that her father was nagging her
constantly with complaints that she was not making enough
money, although he himself did not work and she contributed
much to the support of her family. She disliked him very
much and claimed that all her relatives worried her, except
her mother.

Nine weeks before admission a messenger came into the shop
where she worked and said, "Rosie, your father is dead"
(the message was intended for a fellow worker). In spite of
the fact that the matter was explained, she was upset and
nervous