He was readmitted to the Government Hospital for the Insane on
February 6, 1913. Physical examination on this admission was negative,
except for some impairment of vision, for which he was given
eye-glasses. Mentally he was found to be disoriented for time, though
perfectly clear mentally, as was shown later in the examination; he said
he did not know the name of the institution, though a minute later he
gave correctly the name of the building in which he was located. He
spoke in a very vindictive manner of the naval officials, who he said
were persecuting him in various ways, and who he reckoned were then
working to send him to some other d---- prison. On February 7, the day
after admission, he wrote the following letter to the Secretary of the
Navy:
HOWARD HALL, January 29, 1913.
MR. SECRETARY OF THE NAVY: _Rev. Sir_.--Will you kindly have some
investigating, as I cannot have my life endangered. It is continually
in my food, and times I have found the compounded powders in the air
of my room choking me. Please let me know if you will do so, and I
shall close.
Respectfully yours,
J. E. M., H. H. 5, Station L.
No hallucinations could be elicited, and his delusional ideas were
confined to the naval officials. These, he said, were persecuting him;
they sentenced him unjustly in the first place, and threatened to get
even with them. He answered the intelligence tests fairly well, but the
examining physician noted that frequently he gave expression of
consciously giving erroneous replies to questions put to him.
Emotionally he was at first somewhat depressed, but later this
disappeared. In his conduct he was inclined to be very troublesome,
easily irritated, and fault-finding.
This disorder of conduct, however, became consistently more aggravated
whenever he was in the presence of the physician. While he gradually
became quite friendly with the attendants and willingly assisted with
the ward work, he became quite abusive whenever an attempt was made to
examine him by the physician. This became especially evident in
December, 1913, when the physician who had him in charge during his
first sojourn at the hospital again assumed charge of him. At that time
the patient had been on excellent behavior for a number of months, and
in his daily conduct showed no evidence of a psychosis. He continued,
however, to air his delusional ideas whenever the physician attempted to
examine him.
Public-domain text, read in full here on John Shaqi.
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