CASE HISTORIES 57 



At first he was restless, incoherent, irrelevant, sometimes 

 abusive and threatening, and always complaining. He didn't 

 want to stay and demanded his release, but never seemed put out 

 when his many requests were refused. He also had quiet, stupid 

 periods which lasted for months. His own present version of 

 his psychosis was that he had been very nervous and restless, 

 and his mind wandered. A thousand different things would 

 come into it during a day, including bad thoughts that weren't 

 really so. He feared the attendants wanted to kill him, and be- 

 lieved other people called him vulgar names, and his conscience 

 bothered him. He would try to choke himself with a towel, 

 and beat his head and elbows against the wall. His clothes 

 burned his skin, so he took them off, tore them up and threw 

 them out the window. In the fourth year he asked to have his 

 throat operated on (it was thought because of tonsilitis). In the 

 eighth year he was reported to be more interested and extro- 

 verted. He was neater, tidier, began to work, and gave no trouble. 

 In the ninth year it was noticed that his thyroid was enlarged. 

 This was followed by protruding eyeballs, tonsilitis, and acute 

 articular rheumatism, and he complained of perfectly sound 

 teeth. His mental condition cleared simultaneously, and remained 

 clear. The exophthalmic goiter remained, the other maladies 

 disappearing. 



He said when a boy his neck bothered and hurt him, es- 

 pecially the " left muscle," and he noticed it most when running. 

 He also remembered stories of sheep and heifers escaping from 

 his father's knife and running wildly with bleeding throats. 



Sex life: At eight he committed mutual fellatio with a gypsy 

 boy. Soon afterwards he began masturbation. Then he attempted 

 coitus with his sister, who was one year older. He used a heifer 

 at ten. He got his first orgasm at eleven or twelve, and was 

 wearing long pants at the time (date probably not accurate; he 

 said his memory had never been good). He used to have mas- 

 turbation races with a negro boy. After puberty he had several 

 coiti interrupt! with his sister. Wet dreams frightened him. He 

 believed it was injurious to let semen remain in the body, for it 

 might corrupt the body. The semen ought to be got rid of. He 



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