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It had during its continuance brought on breathlessness on exertion, and what she called spasms or "grippings at the heart," no doubt the basis of her uneasy feelings in left hypochondrium. There was a slight enlargement of the thyroid gland, but no symptoms referable to it.
None of these physical conditions beyond the "grippings at the heart" it maybe, appeared to have any appreciable influence on her mental condition, which as has been noted above was normal until a month before her admission. An interesting feature of the case was the relation between her blood pressure and her varying mental states.
Here the sensations in the left hypochondrium which she had described as "grippings at the heart," became the object which, under the influence of the initial shock with its unusual and alarming sensations and feelings, she interpreted as she did. Stanley Hall on Fear The American Journal of Psychology, April 1914. Psychological Review, Vol. I, page 562.
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