J L (9487)

Admission Details for Patient: J T L (9487)

Gender: Male Age: 25
Marital Status: Single Religion: Wesleyan Methodist
Occupation: Bank clerk (former soldier)
Address: Llwyngwril, Merionethshire

Date of Admission: August 8, 1920
Date of Death: January 7, 1955
Cause of Death:

Disease: (Delusional insanity)
Supposed Cause: Military service - was gassed

Medical Certificate:
Incoherent in his conversation. Violent in his conduct in that he threatened to strike his father W L. Is quite unable to take care of himself. W L, father, states that his son J T L threw a stone through the window of the adjoining hotel because he thought the landlord's wife was laughing at him. And that while in Chapel he threw a book at one of the congregation. Dr. John Alban Davies, Towyn, 8th Aug 1920.

Approximate duration of present attack: One week

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Epileptic: No

Suicidal: No

Dangerous: Yes, if interfered with

Clean Habit:

Food Refusal:

Sleep Habit: poor

Destructive Habit:

Disposition: steady

Education:

Physical/Mental State at Examination: Fair health. A healthy looking young man who is very depressed and curt in his answers. He is suffering from delusions and states that his actions are due to rational impulses. A private in the Machine Gun Corps, he was gassed.

Current Diagnosis: Schizoprhenia (F20.1)

Case Notes

1920 Aug 12 (copy of official report) - Suffering from Delusional Insanity. He has hallucinations of hearing and hears the voices of people annoying him and persecuting him.

He states he threw a stone through a hotel window in order to get his rights. He also threw a book at a girl because she was annoying him.

He is very sullen in his manner and curt in his answers.

18 - No improvement. Sept - Suddenly smiles to himself and talks to himself a great deal.

Oct - The same.

Nov 4 NOTICE OF ESCAPE - He escaped over the Airing Court wall at 1.45 pm.

RECAPTURE - He was recaptured by Attendant David Hughes about a mile away and brought back to the Institution arriving at 7.30 pm.

8 - Still no improvement. He is gloomy and sullen and always approaches the MO on his round wanting to know when his father is coming to fetch him home.

1921 Jan - Has improved considerably. Has had his own clothes now and is far less troublesome and persistent in his unwelcome attentions.

Seems in possession of all his faculties.

Feb - On the strength of recent improvement he was brought up for consideration but gave way almost at once to an outburst of temper and abusiveness.

Apr - Surly and reclusive.

July 14 (copy report) - Suffering from Dementia.

Mental condition varies considerably. He is inclined to be very surly and abrupt in his manner. His memory has become defective and his habits have become untidy. Unable to hold any rational conversation.

He is impulsive at times and he is not to be trusted. He is at times noticed laughing to himself without any apparent cause.

Oct - No further change.

1922 Jan - For a long time he was in the habit of approaching me every morning with stereotyped ramarks such as "Can I go home?" and "Shall I wear my own clothes?". Of late however he has kept very much to himself.

Apr - Quieter now but still subject to noisy outbursts. Always worrying about his clothes.

So he has been given a new suit of his own to wear.

In Jan 1923 his Dementia was reported to be progressing.

1924 July (copy report) - Dementia. He is very restless and noisy at times, shouting and preaching in the open air.

He takes no interest in others and is dirty and untidy in his habits and talk.

At times very impulsive.

By Dec 1925 his Dementia is described as advanced.

He keeps entirely to himself. Noisy outbursts much less frequent now.

Very little change noted thereafter. The B(oard) of C(ontrol) Report of July 1932 gives a diagnosis of Dementia Praecox - His memory is defective and he is disorientated in time and place. He leads a solitary existence and will not apply himself to anything. Periodically he is noisy and threatening.

Described in correspondence of 1954 as a chronic demented schizophrenic.

Medications/Treatments:

Additional Notes

Photo - correspondence re comforts.