64 CASE HISTORIES 



outward with someone, to be awkward; civil, to be civilization 

 with everyone, correspond with them, enjoy their company, be 

 kiddish ; piscatorial, pispatorial, have a steady leak out of a vein 

 or something; sudorific, to be satisfied, don't let them leave the 

 store till they are well satisfied ; lotus, you have a low test in ex- 

 amination in school. 



Occupational therapy: For the first two days he was induced 

 to cut a few basket spokes, but after that he quit absolutely and 

 just sat and lay around. 



Physical examination: Weighs 173. Tall, undeveloped type 

 of skeleton. Protuberant abdomen and general obesity of whole 

 body. Skin smooth, pink, and hairless except in genital region, 

 in which hair is scanty and of feminine type. Genitalia normal. 

 General behavior sluggish. Facial expression that of a young 

 child with small, fat rounded cheeks and pale blue eyes. Heart 

 normal. Reflexes normal. 



Endocrine diagnosis: Hypothyroidism and infantilism. 



Glandular therapy: Desiccated thyroid gland worked a veri- 

 table transformation on this boy in the three-day test. From 

 a lazy listless lump he suddenly became active, industrious, worked 

 all day long on basket weaving and planned the next day's work 

 ahead. Like a different fellow, wonderful change, shows so much 

 constructive intelligence, were the comments made by attendants 

 and occupational therapist. The improvement continued after 

 the conclusion of the thyroid test. The first Stanford Revision 

 test, in January during his listless period, gave a mental age of 

 eight years and seven months and an intelligence quotient of 

 54 per cent. The test just after the thyroid feeding, in March, 

 gave a mental age of eight years and nine months and an intelli- 

 gence quotient of 55 per cent. Later on, a moderate dose of 

 thyroid was given him daily, and he improved steadily. In 

 May, his mental age had risen to nine years and eleven months 

 and his intelligence quotient to 62 per cent. Soon afterwards he 

 was discharged as recovered. 



Mental diagnosis: Schizophrenia with projection, in a moron. 

 His homosexual cravings were evident, sometimes becoming a 

 conscious temptation, but usually being projected. His moral 



