Patient.
—Woman, aged 50, brunette, of medium height, weight 150 pounds, the mother of one child. This child died at the age of nine and the patient continually mourned its loss.
History.
—I was this patient's medical adviser for fifteen years. While she was never very strong, she had fairly good health, until about four years ago, at which time she learned that she had a fibroid tumor of the uterus and was advised to have it removed. She refused operation, and since then had suffered with a variety of obscure symptoms, seemingly neurasthenic in character. She has always lived a sedentary life of luxury at hotels, both at home and abroad. She rode around the country a great deal in a motor car. I first treated her about fifteen years ago for constipation, and at intervals during eleven years I treated her for attacks of suppression of urine and