Admission Details for Patient: E E D (9360)
Gender: Male Age: 34
Marital Status: Single Religion: Church of England
Address: Bangor, Carnarvonshire
Date of Admission: January 8, 1920
Date of Discharge: July 2, 1924
Discharge Category: Relieved
Disease: Mania (11.8.c)
Supposed Cause: (None given)
(a) Rambling and incoherent in his statements, extremely dirty and filthy in his habits. Has all sorts of ideas that he is not normal in his body and mind.
(b) J D, 109 High Street, Bangor (father): Very troublesome, striking his mother, wandering about at night, refuses to work. Will not get up in the morning, calls me all manner of names, shouts at the top of his voice.
Dr. Corbet William Owen, Bangor, 8th January 1920.
Approximate duration of present attack: 3 years
Number of Previous Attacks: 1
Number of Previous Admissions: 1
Number of Subsequent Admissions: 0
Total Number of Admissions: 2
Number of Previous Attacks: 1
Dangerous: Yes violent at times
Disposition: Habits extremely irregular
Physical/Mental State at Examination: Poor health and condition.
Current Diagnosis: Personality Disorder (F60.9)
1920 Jan 8 - He is excited and talkative and his conversation is very rambling and confused. Has delusions about his health and his general manner, is silly, childish.
17 (copy) - He is suffering from Ordinary Mania.
Conversation becomes disconnected and rambling. He is very careless, dirty and untidy in his habits and has delusions about his bodily health.
20 - Habits have improved.
28 - Mental condition has improved. Better health.
Feb 6 - Unchanged mentally.
Mar 3 - isq.
Always approaches me on the rounds with a view to departing from here. Apr 2 - Slightly better.
July 1 - Very talkative and suspicious about his interviews with the Med. Superintendent.
Stating that they are merely to quiet him.
Oct 1 - No further improvement.
Nov 9 - Was before the Medical Superintendent for consideration re discharge on trial and was postponed.
Talks volubly and fairly sensibly.
Admitted, after much pressure, having struck his mother.
Dec 9 - Considerable improvement.
10 (copy) - He has improved very markedly in his mental condition. His conversation has become much more rational and his habits have become much cleaner and tidier.
His conduct has become good and he is making himself useful.
I propose to recommend him for discharge at our committee on the 20th of this month.
Good health and condition.
18 - Has been in Sick Ward these two days with diarrhoea. No blood or mucous present however.
26 - His diarrhoea turned out not to be serious.
Although he has been passed "Discharged on 1m trial" the Guardians now write that they cannot sanction his discharge as his father protests that he is not fit and will ruin his business.
1921 Jan 1 - Now in normal health again.
Cheerful and talkative but scarcely LOOKS sane.
Apr 1 - Was considered for discharge last month but spoilt his chances by writing some very nasty letters to his father.
Continues to be fairly rational.
June 1 - Has of late been getting some letters away in an unofficial manner.
Mode of transit not known.
Strict observance kept now.
July 1 - Keeps writing letters to various people in his native town loudly protesting against his father's treatment of him.
Oct - Has been worrying quite a lot for his discharge of late. Loudly protests against being incarcerated in this Institution.
Dec 9 (copy) - He is at present much improved.
His parents are not at all anxious to have him home on trial and when at home he becomes very abusive to them.
I am now writing again to his father to know whether he is prepared to take him out on trial.
1922 Apr - A month ago he was interviewed with a view to his discharge.
While correspondence was passing between the Med. Supt. and his father he apparently lost his patience and his temper and he began abusing the Med. Supt., his father and myself, stating that he was being made a fool of and no-one would have acted such towards him had they been in earnest.
Even when talking seriously over a matter he wears a silly inane grin the whole time. For the past few weeks he has been very quiet and has kept strictly out of my way on the round.
He always enquires whether he could not go on a farm to work. Consequently it was suggested to him that it would be advantageous to him to do a little work on the farm here, merely to prove that he was capable of doing so.
Upon this he flew into a rage and said that he would do nothing of the kind, and it was a great mistake to think that he would work for nothing, that it was merely an excuse to get him to stay on here permanently as a farm worker, that what he was now doing in the dormitories justified his discharge.
July - Most unstable in his conduct.
His behaviour for the most part is good but he invariably has the knack of upsetting all plans on his behalf by an exhibition of uncontrollable bad temper.
Oct - Very variable.
Pesters me for a week or so and then will not come near for weeks.
1923 Jan - No change.
Apr - Condition very erratic.
Dec 11 (copy) - He is suffering from Mania. He is still in an unstable condition of mind and is easily upset.
He is becoming rather childish in manner and conversation.
He is of an irritable temperament sometimes without any apparent cause.
Rather suspicious and his statements are not always truthful.
Makes no attempt to employ himself usefully. 1924 Jan - No further change.
Mar - Complains that he has to live with syphilitic and tuberculous patients in his ward (5) in spite of the fact that a while ago he was transferred to No. 2 but begged to be re-transferred to No. 5.
Mopes about all day and takes interest in nothing.
On trial 9-4-24. Off books 2-7-24.
13th October 1913 (No. 814) with a diagnosis of 'paranoia'.
The Medical Certificate reads: He talks incoherently and is suspicious of everyone whilst talking he repeatedly turns his head towards the door imagining that someone is listening.
His great ambition he tells me is to be a perfect man with a waist like a woman.
He is dirty in his habits and person. He blames his father for not giving him a properly shaped head.
II. His father, J D, states that during the last few years he has become peculiar in his habits and manner. Will wander about late at night and when remonstrated with uses filthy language. States his brain is all wrong. On one occasion he threw water over his mother.
Discharged recovered on 23rd September 1914.
A long letter addressed to Mr. O. Owen, Draper, Castle Hill, High Street, Bangor is attached to the case book.
The letter is undated but was written before Christmas 1913.