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a _ian | ht se ” vA PSYCHIATRIC EXAMINATION. ae ra : from below, and crawled undur the table to listen, lls spontaneous conwents, e and Fesponses to my questions, both revealed that the hallucinations were of # ae poy tat Pi human: grvans and crias, sometimes of ehiléren’ ora child, and that the pation: thought these might be Jows under torture, Hovever, when. each hallucinatory ! cpisoda ceased, he would quickly try to gather together the threads of our : 5 previous conversation, and discuss some other topic. , . . bi Throughout the examination Fhe patient frequently rubbed or. covered “his lefe eye, and occasionally complained of unpleasant head sensations and a sensa of difficuley in thinking. "My thoughts keep going around: “tn cirelus.” : DIAGNOSTIC IMPRESSION: ry . s Remains unchanged, The pationt is now in parcial cenission. ile might continue to improve, {n which case the paychottc beaak will have been of the “twantyefour, hour" variecy.uften reen by. the ai litery psychiatrise among men under stress. tf 80, it might recur under future actress. On the | : " other hand, this sorning' s improvanent may ba merely part of the usual 3 : ” £luctuations of intensity of psychupathulogy common in paranotd psychoses. - “i . If so, unprudictable outbursts of psychotic behavior, and fluctuating ceyreus of contact with reality hour by hour, can be expected, . a : te is scill my belief that this individual should be in a peychtacete . _ hospltal for ‘observation, study, and treatment at. the present time. Louls Jolyon West, M.D. Professur of Psychiatry. 4 University of Oklehoma School of Medicine 5 . _ 800.N. £, 13th Street . Oklahoma City 4, Oklahoma. s STATE OF OKLAHUMA o- . Subscribed and sworn ty before me by Louis Jolyon Weet, M.D., to certify 4 which witness my hand and seal of office this 28th day of April, A.D. l¥o5. . : nosemery RY dark ing : : Notary Publfe : “er a we ' ni “J 3 | " eee. tr Mee ae. comes . {20¥- . hes