36 CASE HISTORIES 



Glandular therapy: During the thyroid feeding he seemed to 

 improve. He grew quieter because not so much bothered by his 

 hallucinations. The masturbating nearly ceased. His mother 

 visited him and thought him improved both mentally and phys- 

 ically. 



Four months later: He knew me at once. His condition 

 seemed the same as before thyroid feeding was begun. 



Mental diagnosis: Schizophrenia with projection. His 

 struggle against his perverse cravings was plain to see. Ap- 

 parently they were all projected and he was not consciously 

 tempted. At night, however, in a hypnogogic state, they some- 

 times broke through, and he cried that he would not do these 

 things but wished he could. 



His extreme jealousy of his wife indicates that he must have 

 been impotent. The obsession of being turned over is probably a 

 passive pederasty fantasy. Unlike some of the other patients he 

 has not given in and secured peace by indulging the perverse 

 cravings, but still fights them as vigorously as in the beginning. 



HALSTED 



History: He was a clumsy, strong-bodied boy of twenty-one. 

 His parents and four brothers were living. He was the youngest 

 of the family and had been much petted. The father was 

 psychopathic and there had been much family discord. He com- 

 plained that his wife cared more for her sons than for him, and 

 when he got excited was severe with the boys. While they 

 lived in the country he used to wake as early as 3 or 4 A.M., get 

 up, and wander for hours through the fields and woods. At 

 present he got angry whenever the mother, a timid weak little 

 woman, saw another man, and the situation was getting so 

 intolerable for her that the sons were contemplating taking her 

 with them and abandoning him. None of the sons would remain 

 at home. The second son had spasms until he was five. The 

 mother described the third as nervous and impatient and intol- 

 erant of noises, and the fourth as over-active. With the excep- 

 tion of the patient the sons were able to make their way in the 

 world. 



