Upon an analysis of the content of his psychosis, we find that he
elaborates a story of having been kidnapped in Pennsylvania, upon a
trumped up charge of robbery, taken before a "phony" judge and given an
unjust sentence of five years. The police officers who arrested him were
friends of the murdered police captain at Olean and were hired to do
this job, because he (the patient) was suspected of having had something
to do with this murder. He dreads being placed in the penitentiary
because he knows the warden is likewise against him, being a friend of
the murdered police captain and might perhaps be in league with his
persecutors and take this opportunity of avenging himself upon the
suspected murderer, and sure enough, soon after his arrival at the
penitentiary, the warden has an electrical apparatus rigged up with
which to torture him, etc. His psychosis takes the usual course, he
recovers soon after having been removed from the oppressing environment.
The question arises here, "Are we dealing with a psychosis which
engrafts itself upon the individual without any apparent cause, a
psychosis possessing a course and termination wholly independent of
outside influences, a psychosis having no tangible relation to any
definite situation; or have we here a psychogenetic disorder, a
pathologic reaction of a degenerative constitution to an unfavorable
situation, a paranoid picture developing as an outgrowth of the
individual in reaction to a definite experience?" In other words, are
we dealing here with a case of dementia præcox, or with one of the
degenerative psychoses? If we agree with Stransky[5] that dementia
præcox depends upon an intrapsychic ataxia, that it is the disturbed
coördination between the intellectual and affective faculties of the
individual which makes the picture of dementia præcox what it is; this
is not a case of dementia præcox. The acute emotional reaction to all
situations which this man manifests, the development of the psychosis in
consequence of the depth of his feelings concerning the unpleasant
experiences and the entire absence of this important incoördination
between his feeling and acting, would, in itself be sufficient to
separate his psychosis from dementia præcox. If we agree with Kraepelin
and others that dementia præcox has a more or less definite onset, a
more or less definite course and termination in a dissolution of the
individual's psyche, our case is not one of dementia præcox. Our patient
has had the same attributes of character and personality always. There
is no indication in his life history of a definite onset of a retrograde
process, or of any progression towards dissolution. His psychosis, such
as it is, is the outgrowth of his degenerative personality, and if we
assume this to be true, if we consider the psychotic manifestations of
this individual as a pathologic expression of his anomalous personality,
the question arises--to what extent have his criminal acts likewise been
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