CASE HISTORIES II 



big print of advertisements naturally attracts me most. There is 

 no particular kind of news that I am most interested in." These 

 answers he gave very slowly after much waiting, and he seldom 

 looked at me. During our interviews he almost constantly moved 

 his forehead and scalp and the tops of his ears. 



He seemed to be irritable towards his sister and sometimes 

 was upset after her visits. 



Occupational therapy: He refused all attempts to interest 

 him, saying he felt tired. 



Physical examination: Slender type of skeleton. Skin pale. 

 Body surface presents scanty amount of hair. A few long hairs 

 about the nipples. None over face. Genital hair of male type. 

 Genitalia normal. Heart regular but shows incompetence of 

 valves. Respiration increased. Extremities cold and bluish. 

 Reflexes normal. 



Endocrine diagnosis: Submyxedema. 



Glandular therapy: He was given desiccated thyroid gland. 

 Coincident with the first feeding he consented to try basket 

 weaving which he was able to do well, and he continued to work 

 without urging. He did not mutter to himself as much as before 

 and he took part in the ward work on his own initiative. Form- 

 erly he did so only when ordered. He stopped lying on his bed 

 in the day time, and seemed to pay more attention to what was 

 going on around him although he kept strictly to himself. 



Four months later: He seemed unchanged. He still mut- 

 tered to himself, and felt resentful towards his family for 

 depriving him of his liberty. He said he wanted to make money 

 and be free. He would not go on excursions but preferred to 

 hang about the ward. 



Mental diagnosis: Simple schizophrenia without projection. 

 Finding the demands of reality too hard he retired into himself 

 and a life of thought. He carefully guarded the secrets of this 

 inner life. Although he said his thoughts were not unpleasant 

 he never betrayed any signs of pleasure. The only emotions he 

 gave outward expression to were irritation and resentment, par- 

 ticularly towards his family. Probably they had at times re- 

 proached him for his useless life, and his delusion that he had sup- 



