R W (9530)

Admission Details for Patient: R W (9530)

Gender: Male Age: 72
Marital Status: Married Religion: Calvinist Methodist
Occupation: Bootmaker
Address: Llanfair near Harlech, Merionethshire

Date of Admission: October 30, 1920
Date of Discharge: December 12, 1920
Discharge Category: Recovered

Disease: (No diagnosis entered)
Supposed Cause: (None stated

Medical Certificate:
Continually talking and rambling in speech, says he eats sailor's biscuits because he is not allowed to go to sea as a sailor. Says he is now at 4pm, eating his breakfast, dinner and tea together. I am told by his relations that he had his breakfast at 8am and his dinner at 11.30am. His only surviving son, W W tells me that he has repeatedly threatened and beaten his wife and has locked her out of the house. He sleeps very little and often goes out at 2 or 3 o'clock in the morning wandering about the country and sometimes knocking people up etc. Dr. Richard Thomas Jones, Harlech. 29th Oct 1920.

Approximate duration of present attack: 3 to 4 months

Number of Previous Attacks: 999

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Father, during last illness

Number of Previous Attacks: 999

Epileptic: No

Suicidal: During last 2 months

Dangerous: Yes

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Poor health and condition and has senile changes in his arteries. A sailor for 2 years and bootmaker for 56 years. First reported symptoms of insanity - very restless, excessive eating and very talkative. Lack of sleep for about 2 mths. On admission a perfectly sane appearance and conversation, is also able and sensible.

Current Diagnosis: Not ill

Case Notes

1920 Nov 2 (copy) - A very intelligent man for his age. Denies the statements made in the medical certificates. His memory is good and he gives a clear account of himself.

He states that his son has been very cruel to him and that he has tied him up in straps and then beaten him with a belt.

I am today unable to make out any definite signs of insanity and consider the case requires further observation and enquiry.

5 - The old man talks quite rationally and kindly, asserting that the whole occurrence of his detention here is due to his son. He can remember and repeat quite well the facts of his life.

9 - Still quite rational and quiet.

A letter (in answer to an enquiry) was today received from his solicitor (J. Morris Jones, Portmadog) confirming the account of the patient's visit to him on account of his son's alleged cruelty and stating that he (J M J) had never seen any sign of mental derangement in R W although he had known him for the last 25 years.

16 - He is a very reasonable and tractable old gentleman.

Since admission his conduct and conversation have been absolutely normal.

23 - No change.

Spends a good deal of his time reading the Welsh newspapers and is able to talk capably about the topics treated therein.

Dec 12 - Discharged this day.

Medications/Treatments:

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