88 CASE HISTORIES 



not been so emotionally upset. Throughout life this has seemed 

 to be his customary reaction to his failures, and he projected the 

 blame on other people. His mental age was twelve years, in- 

 telligence quotient 75 per cent., that is, low average intelligence, 

 nearly a moron. 



Occupational therapy: He began without urging but was 

 handicapped by his self-consciousness. He was shy about asking 

 questions and when things went wrong went to pieces. His work 

 showed no improvement but was of fair quality. Sometimes he 

 was so ugly that the instructor left him alone. 



Physical examination: Short in stature, heavy type, large 

 head and neck. Skin dry and covered with fine white scars and 

 a papular eruption. Normal distribution of hair about genitals 

 with moderate amount over chest. Beard heavy. Genitalia 

 normal. Heart normal. Eyes very sensitive to light. Deep 

 reflexes markedly hyperactive with wide extensions and rein- 

 forcements. 



Endocrine diagnosis: Submyxedema. 



Glandular therapy: Thyroid made him somewhat more active 

 physically. Nurses and attendants said he seemed pleasanter and 

 more contented and didn't look so mean or mutter curses as 

 before. One of them noticed he acted apprehensive and looked 

 back over his shoulder, but he said people didn't bother him as 

 much as they used to. Then he began to masturbate at every 

 opportunity and became depressed. 



Four months later: He had been transferred to a state hos- 

 pital nearer his home. The record stated he had improved 

 remarkably. He stopped masturbation, lost his fearfulness, and 

 became pleasant and courteous. His mind seemed clear, and he 

 paid attention to his personal appearance. When asked why he 

 was so much better humored he replied, " Nobody bothers me 

 now. That's why I don't swear and curse as before." 



Mental diagnosis: Schizophrenia paranoid. He was too 

 suspicious and resistant for one to learn much of his sexual diffi- 

 culties, but since he projected his more apparent difficulties of 

 every day life onto others, it is more than probable that he did 

 the same with his deeper sexual troubles. That he had them 



