44 CASE HISTORIES 



lessly a good deal and didn't stay crouched in corners so much. 

 The extroversion increased and he was soon pushing a floor 

 polisher and was even induced to do a little basket weaving. 

 The attendant reported that in taking a bath he soaped, scrubbed 

 and wiped himself well. On previous occasions he had made a 

 few passes and tried to get out of the tub and dress while still 

 wet. 



Four months later: During the summer nurses reported he 

 had seemed brighter and more alert. He would obey orders and 

 even made beds. He no longer closed his eyes and ears, hung 

 his head, or crouched in fixed positions. He became oriented 

 for place and asked why he was there. 



I found him still lost in his thoughts though his eyes and ears 

 were open. His lips were pressed tight together and protruded 

 as before. Instead of looking happy or at least contented he now 

 had a slightly troubled expression. 



Mental diagnosis: Schizophrenia with projection. In the 

 beginning at least he projected his difficulties, and believed other 

 men persecuted him, and he heard accusing voices. As the ( 

 disease progressed he appeared to give in and to indulge in his 

 dirty fancies. He showed a bit of waxy flexibility which is a 

 sign of submission. The lip tic indicated oral eroticism. He 

 tried to avoid all external stimuli by closing his eyes and ears 

 and striking off anyone who touched him. 



The thyroid feeding seemed to force him out of his comfortable 

 fantasy life somewhat into the world of reality. The troubled 

 expression may indicate that the increased pressure of reality 

 has stirred up some resistance to his fantasies, and conflict has 

 again ensued. 



JACKSON 



History: He was an enormously fat man with a huge paunch 

 and a voracious appetite. His age was forty and the last eight 

 years had been spent in the hospital. He knew very little about 

 his family. His father drank periodically and he himself had 

 drunk too much he said. An uncle had died insane. 



The patient was born in Ireland and came to this country 

 when five years old. He attended school irregularly until he was 



