Nothing essentially new has developed in the case during this
admission. The patient has from the first been quiet, well behaved, a
willing worker in our industrial department, and free from signs of
mental disorder. Of course, he again blamed the guards at the prison
for the trouble which he became involved in and which necessitated his
third admission to this hospital. A letter received from the naval
medical officer stationed at the marine barracks, Norfolk, Va., the
place of the patient's last confinement, was to the effect that while
under observation there the patient made the impression of being a
good worker, and normal in every way, except that he had a quick
temper, and that the only difficulty they had noted was on the
occasion when he assaulted the man at the prison, who appeared against
him at the mast, and that after this scene he was put in the brig,
where he threatened to kill any ---- ---- man who came near him. The
medical officer was impressed with the fact that the patient was
feigning insanity.
The patient's version of the circumstances which led to this last
admission is as follows: He was reported to the commanding officer by
a guard for some alleged minor infraction of discipline, of which he
claims not to have been guilty. After the guard was through making
his report the patient asked the commanding officer whether this
alleged offense would prevent his release in July of this year, as he
had been promised if he conducted himself well. The officer replied
that it certainly would, upon hearing which he could not restrain
himself, became quite overwhelmed with anger, and struck the guard who
reported him. His behavior which necessitated his readmission took
place following this episode. The patient dwells upon the fact that
prior to this episode he behaved in an excellent manner under the
prison régime for about four months, and that during his sojourn there
he was practically a model prisoner, which was true.
He certainly has manifested no signs of mental disorder during his
present admission, and still insists that he malingered all of the
symptoms which led to his former two admissions because he feared more
punishment at the hands of the naval authorities unless he was
considered insane.
_Anamnesis._--The patient comes from a family of farmers in mediocre
circumstances. Grandparents are in Bohemia, and he knows nothing
concerning them. Father died of Bright's disease; was alcoholic.
Otherwise family history negative.
Public-domain text, read in full here on John Shaqi.
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