Her psychosis lasted but a little more than three months
under observation and was characterized by the following
symptoms: She was usually in bed, staring blankly or
appearing otherwise quite indifferent and apathetic, but
not infrequently, especially during the first few weeks,
she was quite restless, resistive, whined and suddenly
appeared startled or distressed with no occasion for this
reaction in the environment. Rarely she was suddenly
assaultive. When attempts were made to examine her, she was
frequently mute or would repeat the question with a rising
inflection, not getting anywhere, or would say, "What shall
I say," or "I, I----" never finishing her sentence. After
orientation questions she might say "This is--this is--this
is----" all this, together with a rather perplexed
appearance, gave the impression of considerable
bewilderment, but at no time did she complain of
autopsychic perplexity. It was difficult to judge of her
orientation on account of her failure to answer questions,
but it soon appeared that she knew the names of the nurses,
for she sometimes called them spontaneously by name. She
always ate reluctantly.

During these examinations, however, other symptoms often
appeared. When she was talked to, she was apt to indulge in
depressive statements and show considerable distress. Such
remarks were: "I must confess my guilt," "I am a bad girl
and I have to face my guilt," or "I have sinned," or,
standing up with a dramatic air, "I must stand up and tell
the truth." Once she said, "It is too late to live now."
She spoke of having lied and usually would not say what
about, but once on questioning replied "I said I would not
tell what happened here." She was asked, What do you mean?
and answered "I took my oath not to tell anything." Pressed
further she said that the nurses poisoned her. Another time
she said she was in prison. To her aunt who visited her she
said, "I am a prostitute," and once she remarked to the
doctor, "I have killed my honor," and on another occasion
in the middle of the night she called out, "Chinatown
Charlie, come here." She thought the doctor was her
brother.

Most of these statements were associated with painful
emotion, but ther