iculties for the sake of posing as a martyr and all that fits
in with the grandiose element of his character. Being oppressed, he is
taking it in a way that is very satisfying to his feelings of
importance. Later during his sojourn here the patient became rather
anxious to be returned to the penitentiary, stating that he had given
up all the ideas which he had expressed on admission, and assured the
physician that he was malingering on both occasions of his transfer to
the hospital. He stated that his chief anxiety which led him to
malinger was that he might be given additional sentences for his
inability to get along in the penitentiary, and he thought the only
way to avoid this would be to be pronounced insane. Patient was
discharged from here to be returned to the penitentiary on July 9,
1914.

The patient was readmitted to this hospital on November 13, 1914, on a
medical certificate which states: Diagnosis--Constitutional
psychopathic state, not in line of duty, existed prior to enlistment.
He was in the Government Hospital for the Insane in Washington for
about four months this year. His condition is not improving. A sudden
outburst occurred two days ago and he has been under close confinement
since. He struck a recruit and after confinement in a cell destroyed a
chair and had to be restrained. His retention in the prison in these
barracks is not deemed desirable.

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 t