I feel a vague sense of unease that some of my ideas are escaping me, or cannot be sufficiently defined. I am often troubled by a feeling of being only half awake, as if I was living in a kind of semidream state which I cannot break out of My ideas become all mixed up, and have no logical sequence or direction. There is a lack of precision or clarity, and exaggeration or distortion of ideas. Sensations are rarelyclear, often bizarre, and tend to be grossly out of proportion. Actions suffer from the same defects.