prolonged period of a
state which might be considered almost normal to the individual, he
induced the attending physician to bring his case for consideration
before the staff conference with a view to being returned to prison. At
this conference it was decided that in view of the very deleterious
influence which prison life has had in the past upon this patient it
would not be advisable at this date to send him to the penitentiary.
Upon being told that he would have to remain at the hospital, patient
again became morose, hypochondriacal, refused nourishment, and commenced
to hold himself aloof from the other patients. His suspiciousness and
vague persecutory ideas with reference to the personnel of the hospital
became more pronounced, and he could see no other reason for being kept
here than that the officials are continuing in their persecutions of
him. I am convinced, without a doubt, that should this man be pardoned,
all the manifestation which he now possesses, and which may be
considered as pathologic in character, would at once disappear. The
difference in the symptomatology of the two attacks serves to
illustrate how difficult it is to positively state what relation these
disorders have to hysteria. Here we have an individual whose past life
fails to indicate anything which may be taken as of an hysterical
character. He develops a psychogenetic disorder in consequence of his
crime, the symptomatology of which shows little, if anything, of an
hysterical nature. In due course of time he gets well, and after having
thrust upon him a life sentence, again returns to us with a mental
disorder, the chief feature of which is a functional hemiplegia. There
is very little doubt that by studying a cross-section of his second
attack we could easily place it under the group of hysteria.
Considering, however, the history of the case _in toto_, we would have
to proceed rather cautiously in judging of the hysterical element
thereof.
CASE III.--G. W. W., white, male, aged 26 years, whose hereditary
history cannot be definitely determined. It appears that mother was a
janitress in Boston, and had several children by various fathers.
Patient grew up in an orphanage, and worked on farm until age of 18,
when he drifted to Denver, Colorado, and enlisted in the U. S. Navy.
He served one enlistment with a good record, was a good sailor, and
got along well in every respect. He reenlisted the second time about
the middle
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