.
Her answers were rarely relevant. To the usual orientation
questions she gave no answers that would indicate that she
knew where she was. Sometimes she said "Jimmy" when asked
her name, and replied to another question, "Jimmy big smile
on." Once she said, "I don't know myself--what I am talking
for--what I am doing." In general her speech seemed to
indicate that her thought was directed entirely inward and
that she paid no attention whatever to the questions. In
most benign cases such a condition is accompanied by
perplexity or a dreamy, dazed expression. This the patient
had not. On the other hand, she was sometimes definitely
scattered. For example, when asked, How do you feel? she
replied, "Large all name." Again to the command, Tell me
your trouble, her answer was, "I couldn't tell my mother
last night and I can't tell her this night and I can't tell
my _proud_." She referred in a fragmentary way to being
crazy and to having been dead. She admitted hearing voices
but may not have understood the question.

A week after admission, when visited by her mother, the
latter asked her to kiss her. The patient opened her mouth
widely and put out her tongue. This is a type of response
which we have never seen in our benign cases.

Two days later repeated questioning made it evident that
the patient knew more about her environment than would be
expected, judging from her other symptoms. She gave the
month correctly knew that she was in a hospital and told of
having recently been visited by her father. At the same
interview she spoke of masturbation, of wanting to marry
her uncle, and of having been in bed with her father. The
last she referred to as a "fall." Such frank incest ideas
are never found in benign psychosis in our experience.
Other dementia praecox ideas appeared quite soon, for
within three days, when she was talking slightly more
freely, she spoke of having often imagined she was having
sexual experiences as a result of the influence of a man
who lived upstairs, and that even when sitting with her
family at the table she felt sexual sensations.

Her condition then remained essentially the same for some
time. Then about six weeks after admission she became
somewhat less r