Admission Details for Patient: John Jones (512)
Name Mismatch: 512 , 2456, 2465, 2485, 6487
Gender: Male Age: 20
Marital Status: Single Religion: Calvinist Methodist
Occupation: Draper's Assistant
Address: Llanllyfni, Carnarvonshire
Date of Admission: July 21, 1890
Date of Discharge: April 30, 1891
Discharge Category: Recovered
Disease: Acute Mania
Supposed Cause: Heredity and masturbation
Medical Certificate:
1. (i) Rambling. Loss of memory for dates. Swears and when reading repeats it continually. (ii). He is suffering from insomnia. Dr M G Davies states that the patient has been previously confined in the Asylum. July 23rd 1890. David G Evans, MD. Denbigh.
2. (i) Talks in an irrational, incoherent and rambling manner. Exceedingly restless. Wild meaningless look. (ii) Facts communicated by (His father) Mr Owen Jones, Post Office, Talysarn, Llanllyfni, near Carnarvon. Rambling talk, very restless and ungovernable. July 23rd 1890. John Hugh Jones, MRCS Engd. Penygroes.
Approximate duration of present attack: 1 week
Number of Previous Attacks: 3
Number of Previous Admissions: 1
Number of Subsequent Admissions: 1
Total Number of Admissions: 3
Relatives affected: Mother who had several attacks and died during an epileptic fit
Number of Previous Attacks: 3
Epileptic: No
Suicidal: No
Dangerous: No
Clean Habit: -
Food Refusal: -
Sleep Habit: -
Destructive Habit: -
Disposition: -
Education: -
Physical/Mental State at Examination: Health moderate. Patient was admitted on the 21st upon an incomplete set of certificates. His father undertaking to forward the remainder which he said had been left at home. These documents, the Med Certificates, not forthcoming it has been found necessary to obtain a fresh order etc. - an urgency one - for his admission.
Current Diagnosis: Schizophrenia (F20.2)
Case Notes
1890 July 23 - Patient's general condition is in every way similar to when last admitted.
Language incoherent and meaningless. Dress untidy and disordered.
Is inclined to all sorts of mischief and has to be sharply looked after.
Sleepless.
The attack will probably quickly subside as the former did. Has lost flesh since he left here but is otherwise much the same.
26 - This lad has become almost suddenly sane and is now rational in conversation and behaviour. Is aware that he has been excited and unruly and seems to be very penitent.
Aug 6 - Has again relapsed and is very excited and unmanageable. It is to be feared that he when in this condition masturbates excessively.
16 - Very unruly and unmanageable. Habits dirty and untidy.
Manner threatening and aggressive. Restless and sleepless unless an Hypnotic be given.
25 - During the last few days has become quiet again and is now quite rational in every way.
Sept 10 - During the last few days has again become maniacal. Each attack differs in no way from the others except in violence.
He becomes noisy, incoherent and aggressive. Untidy in person and habits and it is to be feared masturbates excessively.
Nov 12 - Has been for about 5 days in a state of stupor. Pupils widely dilated. Returns no answer to any questions - expression vacant. Wets himself.
Is passing off without any excitement. 1891 Jan 4 - Had another similar attack just before Xmas, is now quite well again. Apr 15 - Has since last entry been free from excitement and has made continuous progress and were his condition in the past more trustworthy he might be discharged.
Has become tremendously stout having put on quite a stone and a half.
Discharged April 30th 1891.
Medications/Treatments: Hypnotic
Additional Notes
Previous admission:
12th June 1890 (no. 509) with Acute Mania. The Medical Certificate reads: 1. (ii) He fancies himself to be a great musician and belongs to Christy's Troup, so very excited, irrational and incoherent, talks from Welsh to English etc. He is unable to make cigarettes although he is in the habit of smoking them. (ii) His father states that he is beyond his control and that he kicked him today and that he is in bodily fear of him. June 12th 1890.
Griffith W. Roberts, Denbigh. Discharged recovered on 8th July 1890.
Readmission:
26th December 1891 (no. 527).
The Medical Certificate reads: 1. (i) He tells me that he is abused by his father (Owen Jones, Talysarn) and by his sister, Mrs. Griffith, Penrhyn View, Llandrillo, that both grip and pinch him which I find is entirely without foundation. He keeps filling his pipe with paper and smoking it, says he has no tobacco, whereas he has. (ii) His father, Owen Jones, Talysarn, says that he is dangerous to those about him from sudden bursts of temper, and totally unable to take care of himself. December 25th 1891. William Montagu Venables Williams, Colwyn Bay.
Diagnosed with Acute Mania he remained in hospital until 15th September 1892 when he was discharged recovered.
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