112 CONCLUSIONS ON PSYCHOANALYTIC TREATMENT 



into the psychosis after he had recovered from the infection. 



Nolan was of such limited intelligence and vocabulary that it 

 was practically impossible to explain mental mechanisms to him. 

 After his talks with me however, he lost his delusions and he 

 was immensely relieved when I removed his fear of being preg- 

 nant. His psychosis was gone before he began glandular treat- 

 ment. 



Carhart was struggling desperately to suppress his unworthy 

 cravings, but he could not overcome his resistance and make a 

 clean breast of his troubles. I hoped to win his confidence 

 enough to enable him to break down his reserve and talk freely 

 with me, but I failed. 



Dixon was perfectly willing to talk freely, but he had de- 

 veloped in self-defense such disgust for homosexual perversions 

 that he could not face the possibility that cravings of this kind 

 might originate in himself. Consequently he would not even 

 consider the hypothesis of projection. He clung tenaciously to 

 his belief in " influence " and gained no insight whatever. 



Quitner, as compensation for a sense of physical inferiority, 

 had built up great conceit of intellect and believed he knew more 

 than the doctors. This attitude made him resistant to psycho- 

 analysis. Furthermore, after the unpleasant cravings had been 

 once more repressed, he so enjoyed the now innocuous conversa- 

 tion of his projected voices that he was reluctant to give them up. 

 But he loved freedom even more, and when he saw that this 

 schizophrenic habit stood between him and liberty he either 

 concealed it or reasoned his way out of it. Probably psychoanaly- 

 sis aided him in his recovery. 



Although psychoanalytic treatment showed no conspicuous 

 results in this particular group of men, I have seen other psy- 

 chotic patients in St. Elizabeths greatly benefited by its use. 



