she spoke very frequently of it and always in
connection with the inconsistency of the ideas in her mind
which puzzled her. For instance, in speaking to the doctor
she said "I think of you as Bill (her husband's name)
sometimes--I get confused thinking of Bill as God, doctor,
lawyer, priest." Again, referring to her husband, she made
these curious statements: "They seemed to speak of him as
being in the wrong--the right--it seems that the right
devil is the wrong one for me--they say he is not the right
one for me; they say he went wrong from the time we were
married." Again, she said that she did not know who her
father was, and went on: "It puzzles me, this father
business, I knew my father at home and my father in
Heaven." Again, "Which God do you mean? Did you say God or
father?" A hint as to how this subjective confusion made
the environment seem uncertain comes from the statement,
"You looked like the devil and yet you were God."

Distress and anxiety appeared not infrequently and always
appropriately. The distress was usually occasioned by an
idea of injury to others, as when she cried over the
fancied accusation of drowning her husband and mother; or
in connection with accusations of herself, such as when she
reported "They called me a whore." As has been stated,
there was never any frank elation, but an element of
pleasurable expansive emotion was frequently present in
connection with her religious utterances. This came
particularly when she spoke of union with her father as
God. She seemed to swell with ecstatic emotion. It was
especially well marked once when she threw herself on the
floor and when asked what she was trying to do replied, "I
want to do what God wants me to do, drop dead or anything
at all." Perhaps the most unusual affective reaction was a
blocking which occurred when certain topics appeared. This
is a phenomenon quite unusual for stupor, where speech
seems to stimulate and arouse the patient as a rule. One
got the impression that ideas tended to come into this
patient's mind which were painful enough to disturb her
capacity for connected thought. A good example of this
reaction was when she was speaking of her father having
died and coming to life again. On b