IO2 CASE HISTORIES 



came erotic and began to masturbate. Sometimes he started to 

 leave my office, saying he was going home, and I had to lead 

 him back to his chair and sit him down in it. He usually mistook 

 this for a homosexual assault, but made hardly any resistance. 



It was evident that he had burning sensations in many parts 

 of his body, particularly the erogenous zones. He fingered his 

 left nipple until it was big and stiff, and he occasionally mastur- 

 bated. 



It was not possible to keep him in the fairly open endocrine 

 ward, because he tried to escape and also made sexual advances 

 to the occupational therapist and women nurses. 



Occupational therapy: His attempt to break out of our ward 

 on the second day brought his short visit to an end. He was 

 willing to try basket weaving but his diffuse energy prevented his 

 concentrating on learning it. He continually dropped his work 

 and wandered away, and failed to master the simplest weave. 



Physical examination: Tall, slender, showing pronounced 

 psychomotor activity. Muscular development poor. Actiniform 

 eruption present over back and neck which are much scarred 

 from old acne infections. Skin in general very poorly nourished. 

 Genital hair tends to masculine type. A little tuft of hair in 

 mid-sternal region. Genitalia normal. Abdomen protuberant. 

 Heart very rapid. Reflexes not reliable. 



Endocrine diagnosis: Hyperthyroidism. 



Glandular therapy: Suprarenal gland was fed him. No 

 change was noticed in his behavior. 



Four months later: He was still talking steadily but in a 

 very low tone of voice, and he was quieter physically. He was 

 easier to control because he was much less restless. It was harder 

 to talk with him however, for he seemed to be cut off more com- 

 pletely from outside stimuli. In a low, dull voice he talked of 

 the same subjects, hugging, kissing, getting new brains and teats, 

 sucking eyes, and wanting an automobile, a gift of money, and 

 to go home. 



Mental diagnosis: Manic depressive with schizophrenic 

 features seems the best diagnosis for this unusual psychosis. 

 After his disgrace in France he became "listless, depressed and 



