she clung to her husband, saying she
was afraid he was going to die.
After recovery the patient said that while she was at home
she thought she saw bodies lying about.
At the _Observation Pavilion_ she was quiet and apathetic,
indifferent to environment and could not be induced to
speak. She soiled, refused food, and was resistive when
anything was done to her.
_Under Observation:_ 1. On admission the patient was fairly
well nourished but looked rather anemic and weak. The
temperature was normal, the pulse a little irregular but of
normal frequency, the tongue coated. She lay inactive but
looked about, and the facial expression sometimes changed
as she did this. Any interference met with intense
resistance. There was no catalepsy. In contradistinction to
this inactivity and resistance, natural, free motions were
observed at times, as, for example, when she arranged her
pillows. She did not speak and could not be made to answer.
For the rest of the first week she made no attempt to
speak, except once when she seemed to attempt to return a
"good morning," or on another occasion, when the nurse
tried to feed her, she said, in quite a natural tone, "I
can feed myself." The resistance to interference remained
in a variable degree, and was at times quite strong. It was
largely passive, though not infrequently associated with a
scowl, or she moved away when approached. She sometimes
looked dull and stared, again she looked determined,
"disdainful," or scowled; or she looked about watching
others, sometimes only out of the corners of her eyes. She
had to be spoon-fed at times, again she ate naturally when
the food was brought. Repeatedly, when taken out of bed,
though she resisted at first, she dressed with natural free
motions. She always retracted promptly from pin pricks.
Towards the end of the week she even complied at times with
a request to do some work, but on the same day she would
remain passive, with a look of disdain, or resist intensely
when interfered with, e.g., when an attempt was made to
make her sit down. She never soiled and never showed any
catalepsy.
2. Then the condition changed, inasmuch as the marked
resistance ceased entirely, and the mutism gave way fir
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