John Jones (2465)

Admission Details for Patient: John Jones (2465)

Gender: Male Age: 26
Marital Status: Single Religion: Calvinist Methodist
Occupation: Preacher and shoemaker
Address: Llanerchymedd, Anglesey

Date of Admission: June 14, 1875
Date of Discharge: January 19, 1877
Discharge Category: Relieved

Disease: Acute mania
Supposed Cause: Overstudy and examination disappointment

Medical Certificate:
He is raving mad upon all points - cursing, singing and praying alternately etc. Communicated by others: He has been very violent and subject to restraint since Wednesday last attempting to injure his attendants etc. Wm. Evans, MRCS Eng, LRCP Edin, Llanerchymedd.

Approximate duration of present attack: 8 days

Number of Previous Attacks: 999

Number of Previous Admissions: 1

Number of Subsequent Admissions: 1

Total Number of Admissions: 3

Relatives affected: Mother insane but never in an asylum

Number of Previous Attacks: 999

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: No

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: Very, smashing windows and tearing clothing

Disposition: Sober, industrious

Education: Good

Physical/Mental State at Examination: Previously bodily health good but habitually constipated. On admission in fair health. Short and slender. Sub-clavicular depression on left side. Murmur not distinct. Resonance impaired on both sides. Slight bronchophony. The patient when he arrived was confined in a straight jacket and had been so restrained since the 9th. Complete incoherence. Sometimes cursing and then calling on Bright and Gladstone. Says that I may be God the Father or the Holy Ghost, he will be as good as I am some day. Jumping about but he has offered no violence though not to be trusted. This time twelve months ago he was offered to undergo an examination for the Ministry at Bala College for which he had been preparing hard but which at the last moment he gave up. It preyed upon his mind, and he has been depressed ever since, but he did not get acutely maniacal until last Wednesday. He is a dark complexioned, rather ill featured man. Hazel irides. Pupils very much dilated but equal. He was placed in the padded room after drinking a bowl of beef tea. He was also given Pulv.Jalapae ex aqua (an aperient) and Haust Chloral.

Current Diagnosis: Schizophrenia (F20.0)

Case Notes

1875 June 15 - Bowels were thoroughly opened. Very noisy during the night. Somewhat quieter today.

Perfectly incoherent. Cursing and swearing.

Laughing idiotically and making grimaces.

Rep Haust.

June 16 - Takes his food freely and today is walking about quietly in the yard.

Slept quietly last night.

Quite incoherent although he knows that his is in Denbigh.

Has a very silly appearance.

Fond of talking in English, which he only knows imperfectly, about London, that I am a gentleman etc. No draught. June 17 - Put to sleep in an Associated Room. June 18 - Quiet and tractable.

Has exhibited no religious delusions since admission.

June 19 - Quite silly. Leering idiotically, shutting and opening his eyes, talking incoherently. July 5 - Very mischievous though not destructive.

Plucking the flowers wantonly in the airing court.

July 12 - No improvement mentally but sleeps better and has had no draught for the last week.

Aug 12 - No improvement as yet.

Mischievous and destructive, tearing his clothes and shoes.

Obliged to be put in a tick dress.

Quite incoherent. Loss of identity and memory.

Sept 16 - There is a slight improvement in his mental condition though he is still destructive and obliged to wear tick.

He has been working in the shoemaker's shop for the last four weeks and is a very good workman.

Sometimes excited and violent.

Using bad language constantly.

1876 Jan 13 - Has been much better but, for the last few weeks, has been slowly becoming more irrational in his conversation. His language has been much worse. Takes dislikes to those around him for some imaginary insult.

Jan 28 - Will preach sermons but interlay them with oaths and obscene conversation.

Apr 7 - Has been slowly improving since last report.

Aug - Continues to improve slowly.

Nov - Continues fairly well but does not appear to progress.

Working well in shoemaker's shop.

1877 Jan 19 - Was this day discharged to care of his friends.

Medications/Treatments: Pulv. Jalapae ex aqua, Haust Chloral, H.S., Padded Room, Tick dress

Additional Notes

Previous admission cannot be traced.

Readmission:

25th June 1888 to (no. 3971).

Medical Certificate reads: I. Saying he has seen Jesus Christ in the clouds.

Constantly preaching about the roads in a furious manner etc. Saying he has seen his Aunt Grace in a vision, who was then dead.

Hugh Prytherch, MRCS Eng and LRCP Edin. Menai Bridge.

Diagnosed ‘mania’ John Jones remained in the asylum until his death from tuberculosis on 1st May 1910.