32 CASE HISTORIES 



years he apparently ceased the struggle against his unworthy 

 tendencies and began to indulge them in fantasy, for the voices 

 no longer annoyed him and he became contented. His laughter 

 was probably over his formerly resisted fancies now freely in- 

 dulged and not at the unlikely external objects he cited in excuse. 



GARLAND 



History: He was so deteriorated that he could not give any 

 of his history. The following facts were selected from the hos- 

 pital records. The family history was negative. He attended 

 school till he was fourteen, and failed towards the end in the 

 sixth and seventh grades. His longest job was in an optical shop 

 where he ground lenses for seven years at low wages. At the 

 age of twenty-four he married. He was extremely jealous and 

 suspicious of his wife, and finally began accusing her of having 

 sexual relations with almost every man in the neigborhood. He 

 lost his job in the optical shop because he continually quit work 

 early to spy on her. He heard voices call him vile names and 

 feared his brother-in-law wanted to kill him. After losing the 

 optical job he worked as elevator man and park laborer until 

 he was committed at the age of twenty-nine. His wife had not 

 lived with him for two years previous. 



The above information came from the family. His own 

 version at the time of commitment was that noises, like buzzing 

 bugs or jumbled voices as if several people were speaking at 

 once, annoyed him and kept him awake. Sometimes he could 

 distinguish what they said, and it was both pleasant and un- 

 pleasant. Some told him to do right and others called him bad 

 names. He could carry on conversations with them. He had 

 seen unnatural things, but wouldn't say what. He believed his 

 wife's mother poisoned his food. He felt discontented and was 

 easily angered, but didn't understand why he was sent to an 

 insane hospital, for he wasn't insane. The examiner commented 

 that he was much absorbed in his own thoughts, and was rest- 

 less and suspicious. He had no insight. 



During his nine-year stay in the hospital he had gradually 

 deteriorated. He didn't associate with other patients but had no 



