84 CASE HISTORIES 



He said he wanted to go away off into the wilds after regain- 

 ing his freedom, so that he wouldn't get locked up again. He 

 came to see clearly that no one had interfered with him so long 

 as his spirit beliefs hadn't affected his behavior or led him to do 

 forbidden things like forcing himself on the captain. He had 

 previously argued that if belief in spirit voices was sufficient 

 grounds for incarceration in a hospital for the insane, why 

 weren't Sir Oliver Lodge and other spiritualists locked up too. 

 He learned to see that if he behaved in a manner acceptable to 

 his f ellowmen and could do his work, no one would bother much 

 about his beliefs. 



Occupational therapy: He was only mildly interested but 

 could do good work. He preferred arguments to basket weaving. 



Physical examination: Slender type of skeleton. Skin 

 smooth, dark brown over entire body. Hypertrichosis. Hyper- 

 hidrosis. Extreme sensitivity to heat and electricity. Front 

 teeth protrude outward from alveolar process. Reflexes hyper- 

 active. Fine tremor of fingers. Eyes protrude, pupils dilated 

 and active. Heart irregular. Thyroid gland slightly enlarged. 



Endocrine diagnosis: Hyperthyroidism with associated pitui- 

 tary dysfunction. 



Glandular therapy: Thyroid rather increased his nervous- 

 ness and argumentativeness. Suprarenal had a better effect. 



Four months later: A month previous to my return he had 

 been discharged as a social recovery from dementia precox. The 

 records stated that his physical health and his mood improved 

 steadily. Finally no psychotic symptoms were seen. He said 

 his behavior during his insanity had been like that of a drunken 

 man, he wasn't responsible for his acts. 



Mental diagnosis: Schizophrenia paranoid. His long 

 struggle with the feminine side of his nature is evident. The 

 insulting voices were without doubt his projected perverse crav- 

 ings. After he had confessed his sins, the voices lost their disturb- 

 ing quality and became a means of recreation inside his own 

 head, or in other words the perverse cravings were again re- 

 pressed deeper into the unconscious. But the habit of projection 

 kept alive a paranoid fear of hostility from mankind in general. 



