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CASE¡¡23
Summary£º¡¡¡¡A¡¡girl¡¡of¡¡16¡¡having¡¡been¡¡out¡¡all¡¡of¡¡one¡¡night£»¡¡related¡¡a¡¡story¡¡to¡¡the¡¡police¡¡of¡¡having¡¡been¡¡led¡¡off£»¡¡and¡¡incidentally¡¡made¡¡the¡¡statement¡¡that¡¡she¡¡had¡¡been¡¡repeatedly¡¡immoral£»¡¡once¡¡with¡¡a¡¡relative¡£¡¡¡¡She¡¡dictated¡¡and¡¡signed¡¡a¡¡detailed¡¡account¡¡of¡¡the¡¡affairs£»¡¡giving¡¡times¡¡and¡¡places¡£¡¡¡¡This¡¡was¡¡used¡¡in¡¡investigating¡¡and¡¡led¡¡to¡¡much¡¡fruitless¡¡effort¡¡even¡¡on¡¡the¡¡part¡¡of¡¡experienced¡¡peopleher¡¡story¡¡was¡¡quite¡¡untrue¡£¡¡¡¡When¡¡studied¡¡she¡¡proved¡¡to¡¡be¡¡a¡¡mild¡¡case¡¡of¡¡chorea£»¡¡exhibiting¡¡the¡¡typical¡¡psychotic¡¡tendencies¡¡of¡¡that¡¡disease£»¡¡such¡¡as¡¡we¡¡have¡¡observed¡¡in¡¡court¡¡work¡¡a¡¡number¡¡of¡¡times¡£
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The¡¡history¡¡of¡¡heredity¡¡and¡¡development¡¡shows¡¡many¡¡points¡¡of¡¡importance¡£¡¡¡¡The¡¡mother¡¡died¡¡when¡¡Nellie¡¡was¡¡a¡¡very¡¡little¡¡girl¡£¡¡¡¡She¡¡was¡¡terribly¡¡abused¡¡by¡¡a¡¡husband¡¡who¡¡was¡¡excessively¡¡alcoholic¡¡and¡¡in¡¡general¡¡a¡¡tremendous¡¡brute¡£¡¡¡¡They¡¡lived¡¡in¡¡a¡¡roadhouse¡¡where¡¡drunken¡¡fights¡¡were¡¡not¡¡uncommon¡£¡¡¡¡Nellie¡¡has¡¡been¡¡brought¡¡up¡¡since¡¡her¡¡mother's¡¡death¡¡by¡¡other¡¡relatives¡£¡¡¡¡Outside¡¡of¡¡alcoholism¡¡on¡¡the¡¡father's¡¡side¡¡there¡¡is¡¡said¡¡to¡¡be¡¡no¡¡family¡¡peculiarities¡£¡¡¡¡The¡¡mother¡¡came¡¡from¡¡a¡¡very¡¡reputable¡¡family¡£¡¡¡¡Nellie¡¡suffered¡¡early¡¡from¡¡several¡¡severe¡¡illnesses¡£¡¡¡¡When¡¡only¡¡six¡¡weeks¡¡old¡¡she¡¡is¡¡said¡¡to¡¡have¡¡been¡¡in¡¡a¡¡comatose¡¡condition¡¡with¡¡scarlet¡¡fever¡¡and¡¡diphtheria¡£¡¡¡¡Later¡¡she¡¡had¡¡measles£»¡¡whooping¡¡cough¡¡and¡¡other¡¡mild¡¡ailments£»¡¡and¡¡at¡¡one¡¡time¡¡suffered¡¡extremely¡¡from¡¡constipation¡£¡¡¡¡Walked¡¡and¡¡talked¡¡early¡£¡¡¡¡No¡¡convulsions¡£¡¡¡¡Menstruated¡¡first¡¡several¡¡months¡¡ago¡£¡¡¡¡Sometimes¡¡complains¡¡of¡¡severe¡¡headaches¡£¡¡¡¡One¡¡observer¡¡reported¡¡that¡¡the¡¡girl¡¡had¡¡been¡¡subject¡¡to¡¡slight¡¡melancholia¡¡within¡¡the¡¡last¡¡year¡£¡¡¡¡Choreic¡¡movements¡¡have¡¡been¡¡present¡¡off¡¡and¡¡on¡¡for¡¡about¡¡a¡¡year£»¡¡but¡¡have¡¡not¡¡been¡¡marked¡¡until¡¡a¡¡little¡¡while¡¡previous¡¡to¡¡the¡¡incident¡¡which¡¡brought¡¡her¡¡to¡¡us¡£¡¡¡¡The¡¡diagnosis¡¡had¡¡been¡¡made¡¡that¡¡it¡¡was¡¡a¡¡case¡¡of¡¡mild¡¡St¡£¡¡Vitus¡¡dance¡£¡¡¡¡During¡¡all¡¡the¡¡year¡¡Nellie¡¡had¡¡been¡¡regarded¡¡as¡¡in¡¡general¡¡unreliable£»¡¡but¡¡nothing¡¡of¡¡importance¡¡had¡¡happened¡¡prior¡¡to¡¡the¡¡above¡¡episode¡£
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