In the eighth meeting, sandy became increasingly manic. She behaved in a bizarre, irrational manner, insulted members of the group, openly flirted with the male members to the point of stroking their bodies, and finally lapsed into punning, clang associations, inappropriate laughter, and tears. One of the therapists finally escorted her from the room, phoned her husband, and arranged for immediate psychiatric hospitalization. Sandy remained in the hospital in a manic, psychotic state for a month and then gradually recovered.