ts. Attention was
unimpaired. He reacted well to the intellectual tests, with the
exception of the arithmetical problems, which he did poorly. Replies
to ethical questions showed a rather low grade of morality, perhaps
due somewhat to ignorance more than to anything else. In his conduct
on the ward he was absolutely normal following June 17. He spent his
time reading and in conversation with the other patients. He was
perfectly satisfied in his surroundings, frank in his conversation
with those about him, and gradually gained more and more insight into
his condition. He still persisted, however, in his statements that
ether was poured down his back. Said he remembered this distinctly as
having taken place while confined in the dungeon. He was then,
however, inclined to think that probably they did not have it in for
him, and probably they did what they thought was best. In conversation
with him today, on June 19, four days after admission, he showed
perfectly normal behavior in every respect. Was frank in his
statements, spoke of the amnesia mentioned above, and no delusions or
hallucinatory experiences or physical symptoms present on admission
could be detected.
When finally confronted with the picture sent from the War Department
for his identification he showed some degree of emotional reaction,
stated that the picture was his, but persistently denied ever having
been a recruit in the army. On the whole, he took the matter rather
lightly and good-naturedly.
The history of this attack illustrates a typical case of hysterical
psychosis. The marked stupor and confusion, the numerous and varied
neurological symptoms, the sensory disturbances, especially the profound
anaesthesia to pin pricks, the amnesia and rapid recovery after change of
environment, all point to this diagnosis. It is a form of reaction
frequently seen in prisoners, and has been designated, for want of a
better term, as prison psychosis. At any rate, there can be no doubt as
to the genuineness of the symptoms presented by the patient.
If we keep in mind that such a type of psychotic reaction is the result
of the mutual interaction between an unstable, highly vulnerable psyche
and an unfavorable environmental situation--in this instance prison
environment--we understand the more readily the later history of this
case.
On July 16, 1912, he was discharged recovered and turned over to the
naval authorit
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