tal in nature. The stresses which these defective individuals
meet with in freedom need not have such a strong influence upon them as
to produce a psychosis. The want of moral attributes makes it possible
for them readily to surmount many difficulties by means of some criminal
act, difficulties which in a normal person would require extraordinary
effort to remove. When placed, however, under the stress of imprisonment
where they can neither slip away from under the oppressive situation,
nor square themselves with it by some criminal act, the organism becomes
affected to such a degree that the development of a psychosis is greatly
facilitated. The character of the delusional fabric of these individuals
is such that one can easily find a ready and more or less correct
explanation for it. It is chiefly a compensatory reaction in an endeavor
to make a certain unpleasant situation acceptable.
CASE II.--J. H., aged 37. Admitted to the Government Hospital for
the Insane, March 8, 1909. Maternal grandfather died suddenly from
unknown cause. Was a race-track operator. Father alcoholic. Mother
suffered from vertiginous attacks. There were twenty-one children in
the family, fifteen of whom died in infancy. One brother died of brain
tumor. One sister is neurotic; her eight year old son suffers from
congenital heart disease. Patient was born in Manchester, England. He
was the twentieth child; mother was over forty years old at the time
of his birth. He was an unusually small and puny infant and remembers
using crutches when a child. At seven he was bitten by a dog and
dragged about on the ground for a great distance; when finally
rescued was unconscious for a long time. No further ill-effects.
School life was characterized throughout by truancy and disobedience
and finally terminated in expulsion. At that early period of life he
already showed marked egotism, extreme vindictiveness and an utter
disregard for consequences. The immediate cause of his expulsion from
school was a fistic encounter with a teacher. At the age of eleven,
his family immigrated to this country. He states that he was different
from other boys of his age, did not care for the ordinary childhood
sports, and the only friends he had were a young sister and a dog. He
states that he couldn't get along somehow with the other boys, that he
often thought that the whole world was trying to down him and
persecute him. About t
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