In this article, the author describes an interesting case of paranoia which has been under his care for some years. The patient is a German, 35 years of age on admission, a boiler-maker by trade. His family history is unknown. Three years before admission he had received a blow on the head from a falling log. Two years later he began to complain of pain in the head, heard vague sounds continually, was sleepless, restless, and had fears of harm and misfortune. He had a number of outbreaks of excitement, during which he would destroy the furniture of his house. He explained to his wife that these were due to “nervousness,” and advised her to keep out of his way lest he might harm her. He then developed a fixed delusion that certain of his fellow-workmen at the shipyard where he had been employed were “robbing him of a patent on a ship” which he had devised but “was too poor to put through.”
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