A few times tears
were seen. On other occasions she whispered "peace," or
"peace for hazing," or "pray--peace," or "I like to be
good." Usually no responses could be obtained.

After some months she was at times seen laughing. This
gradually passed into a state of total disinterestedness
and inaccessibility. She could finally be made to polish
the floor in an automatic fashion, but never spoke, and
five years after admission she was transferred to another
hospital, where she died (eleven years after admission to
the ward of the Institute) without any change in her mental
condition having taken place.

CASE 24.--_Adele M._ Age: 22. Admitted to the Psychiatric
Institute November 11, 1904.

_P. H._ The father stated that the patient was always
"cranky," had outbursts of temper, even when a small child
and was quarrelsome; also said that she was "seclusive,"
had few friends, was averse to meeting people, never had a
beau. She was taken out of school at 14 because she was not
promoted on two successive occasions from the same class.
Then she was put to work, but she was usually discharged
for incompetency.

_Onset of Psychosis:_ Three years before admission it was
noted that she laughed occasionally without cause. She was
idle. This laughing, and also crying, was sometimes more
frequent, again less noticeable.

Six months before admission she began to say she wanted to
leave home, but made no move to do so. Then she began to
speak of bad odors, made some remarks about the neighbors
talking about her--saying she should kill herself; again
she said the family would be brought to death, or the
mother was falling to pieces, the father looked sick. She
also said her head was swelling and was getting thick.
Finally she wanted to hire a furnished room and kill
herself and asked if 75 cents which she had was enough to
do it with.

Two weeks before admission she left home, wandered about
all night, was picked up by the Salvation Army, and
returned to her home. She said she wanted to die.

At the _Observation Pavilion_ she stated that her mother
was falling to pieces and her father sick. She also said
she wanted to die.

_Under Observation:_ The patient was at first petul