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Updated: June 26, 2025
He was wildly psychotic, on heavy doses of chloropromazine, with many bizarre behaviors. Besides talking to himself continuously in gibberish, he collected bugs, moss, sticks, piles or dirt, and switched to smoking oak leaves instead of cigarettes. He was such a fire hazard that I had to move him to a downstairs room with concrete floor.
On the other hand, of those who began with reactions of definite excitement, anxiety or psychotic depression, there were interruptions which looked like miniature manic-depressive psychoses in all but one case.
By Martian standards, the customer is a very sick man, a psychotic no matter what is wrong with him." Follansby removed his pince-nez and polished them rapidly. "What will the machine do, then?" "It will treat him for the Martian illness most analogous to his case. Feem desire, I should imagine, with various complications. As for what will happen once treatment begins, I don't know.
Our advance in knowledge is purely empiric unless it is directly dependent on formulation. We have not formulated enough. We have stuck too much to our empiric data, have not made the necessary deductions from it. What formulations there are have been based on therapeutic data and explain the productions of symptoms. No attention has been paid to the general psychoneurotic or psychotic Anlage.
Mike made a gesture and went floating out of the kitchen, air-swimming to go get space suits from the ship. The grin on his small face threatened to cut his throat. Joe asked, "Sanford's in command. How'll he like this idea?" Brent hesitated. "I'm afraid," he said regretfully, "he won't like it. If you solve a problem he gave up, it will tear his present adjustment to bits. He's gone psychotic.
"And think of all the crazy cases of mass-hysteria that baseball-game riot in Baltimore; the time everybody started tearing off each others' clothes in Milwaukee; the sex-orgy in New Orleans. And the sharp uptrend in individual psycho-neurotic and psychotic behavior. All in connection with music, too, and all after Evri-Flave got on the market."
Then I started working at Riverview Hospital in Vancouver, B.C., doing diagnostic testing, and group therapy, mostly with psychotic people. At Riverview I had a three-year-long opportunity to observe the results of conventional psychiatric treatment. The first thing I noticed was the 'revolving door' phenomena.
To recapitulate briefly; the Socratic conception of the unconscious conforms in many respects with our present knowledge of it, especially insofar as our psychoanalytic experience shows us conclusively what a potent factor is exercised by the unconscious in the determination of psychotic and neurotic phenomena.
This would lead one to think that these patients retraced their steps on recovery or with every lifting of the stupor process, moved slightly upward on the same path on which they had traveled in the first regression. What often happens is that these psychotic affects appear but incompletely, often in dissociated manifestations.
I divide clients into two basic types: simple cases and complex ones. When I was treating mental illness, occasionally I had a client who had not been sick for too long. I could usually make this client well quite easily. But if the person had already become institutionalized, had been psychotic for many years, had received much prior treatment, then their case had been made much more difficult.
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