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Occasionally, he will take vigorous action to deal with imagined emergencies. Subjects may call frantically for medical assistance to treat an illusionary woman who has supposedly just been run over by a car, or shout up at an air-conditioning vent for someone to 'throw down a shotgun and some shells' so he can protect himself from the mob he imagines coming toward his room. One subject scrambled halfway over a seven-foot-high partition, fleeing from a 'guy with a gun' and the nurse caught him by the heels just before he vanished head first down the other side.

With regards to persons in his vicinity, recognition may be accurate for individuals who he has met prior to testing, such as the doctor or nurse; other people may erroneously be greeted as old friends from his outfit, or even relatives. At times he may react to large objects possessing a vertical shape as if they were people. One subject tried to provoke a fight with a simulated gun mount; another said 'Excuse me, Sir' to the water fountain when he accidentally brushed against it. In more extreme states of confusion, he may even initiate conversations with hallucinated individuals. He conducts these one-sided conversations in such a natural, unstudied manner that acting is out of the question

Unlike schizophrenic psychosis, familiar to the clinician, delirium at its height shows no thematic consistency, no trend and no obsessional preoccupation with a single related set of delusional ideas, systematically connected in a persecutory or grandiose system. Instead there is a marked loosening of associations approaching randomness, muttered phrases, outbursts of profanity, scattered references and allusions to other times and places, brief periods of intense examination of trivial objects, facial expressions of perplexity or wonderment, chuckling amusement or tender concern, repetitious fingering of bedclothes or pajamas, sudden requests for information or personal articles (which are promptly forgotten) and so forth ad infinitum. When addressed the response is often courteous and noncommittal, such as 'Fine, Sir' in answer to the inquiry "How do you feel?.