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TL:AT BY C3,SAD NERECN, PAE SATUPDAY, NOVEBER 28,1953

(ote: The dites and approxizate tires of vlvits to Dr. Abrazson are added here to clarify Er. Abraacon'o folleuing statezent.

Tuesdoy, Tove: ber 24

(a) pith ptient and tao friends, in Rer York office, atout 4:45 to 5:C0 1.:.

(b) jith vatiunt alore, in lew York office, about 5:C0 to 6:CO P..

(e) iith paticst and tão friends, in hotel roon, about 10:CO to 11:CO P.:J.

rednerd1z,Toyerber 25

Lith eatiunt alone, in lox Tork effiee, stout 4:CO to 5:00.

Turadaz. avabor 26

(a) :ith ratient alone, in "vatingten, Jong Tsland, offico, about 4:CO to 5:0O P.2.

(b) ith patient and friend, in Hurtington office, about 5:00 to 5:20 P..

Fridiz, Noveber 27

:ith patient an! frisnd, in Vo York office, atout 9:30 1.i. to 12:00 ncon, and froa atovt 2:00 to 3:CO P..)

Olsses5
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Fatient re-oabered co froa testings during tho tar in lhh and recnlled comron interests. Tresent vero to of the piticnt's fricuds. Cenversatien re:ained for so:e ti.e en a zocial level in vhich the yutisnt knd, contrary to hia later dosoriptien of hi self, an cxeellent tezory for pesple, events, and feelings about people. le diccussed these r alisticaliy and showed ouly soze nligit strain durins ths course of the conversation. It uas only than he vs vith ce in jariv te thst he choued anziety cbout hia sense of inacequaey, with special rereronco to the selentilie perforaancs of his duties. lo was obcossed with tho izen that his renory ras poor, that lis tork ras inadoçuate, and that ho fuiled his fasily and ids comades. Ho rentioned thit he felt that he vas dishonest becauce ke hnd teen retired for duodenal ulcor. Ho felt tht he was strsling morey that waun't his, really. le stated that althsuzà he coull see the faet that an cuthorisod reviea boird had acted, his orn iceas rere in conflict en the subject. He srid ho kad -aited to leave bis prssent aork, but tiat if ho did lcavs he would ho toptes to tike his retirczent ray, and tit ho co:lin't face it--I atteictei to csccrtzin if he relt csrecially porsccuted at this tie, or traped, dat the cphasis uas on his nun casive need to do à yorfeet job, and lis cun inability to livo tp to shat he expeeted of hiueslf. For exrple, icn ho wzs azcd to take ever iis Division.

In order to further keep in contact vith hin and to assey the conditioa further, I zert to the hitel in the evening and spent an hour with the patient and lis tso frierds. ind again, the patient appeired to maintain an excullent relatiouohip with people, considering hcu aitated he Lad been leported to be. is I left ho ssid, "You knoa, I fecl a lot rotter. This is rhst I have been nccding."

Cn loveber 25 the patient afpeared core cgitated, Tere was again repettod diccussion with zore agitation sf lis jnner vorries about his vork, his rolcase of clacsified inforzticn, his guilt on being rotired for an ulccr. Hs ccid he hed alzays had theze feelings, and they had not just startsd ths weck before, and that in fact in Pareh of 1953 kis vife thougl.t he aas co dopresssd and agitated that she thought he slould see a dhetor. He veid he had been slaeping poorly since :arch l953. He azplified his difficrlties saying that tis spelling lad becece peor and that his zorcry was çoor. This did not check zith ropeted qaostiening regurding past events, altheugh some confusion was prcstnt, but this confusion was restricted to fcelings of "rot coing the joo right."

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Tuccday, 1ove ber 2h, 1953

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Again an atteurt mas rie to kovo the ratient stato that he vaa tho rubject of à plot or was cajecinlly jereecutud iy :is firn2o, but at ro. time did he p-ck of any but tho hlghest rocrd for frinis or Fusily. Ho stated explicitly tit he ished to go bck hozo. I saw no uay in whieh this could be prevapted, bat plans wer cade 2or further diccusion.

Foverder 26

The patient returnsd after an agitated trip to "ashington and was seen at hrCo P.., Thurrday, Tovorher 26. In this interview, fer the first Mre. the paticnt ssrosud thnt ho had dolusicns of pevcecution. "I feol thay wero civiaz re dogo to kop ro aate." He said thst for soze weeks the CIk rozp hod tcen rutting socebhing lils tanzedrine in his coffee. le pointed oat ho ked heard voices the nit before arnd that yis yoice told to to "throa it asay." (lo bad thmoua ay ris wallct). Mis history definitely iudicated he kad been dolsiopal at least for weeks, probably montis, but that he had boon cble to e orate fairly vell, except in erises. It toerne apparant that kespitalisstion was rocvired as soon as rossible.

Loveèer 27

On Friday socaiaa. Noveaber 27, the ratiuct sad a fri.nd and the. vriter discussed in sone detail the cocirhility of lospital trcadact, to whdch the ratlent lad finally agreed. He thoasht te vould lie to bo rear hoce, vd for tis rezcen a ratl instit tirn er Vashingten was chouen and a roon reservod. The houpital coulc rob tcto the patict that day, mnd rrangecents wero rade for iospitalientie.the next day.

Conclusion

The pationt has boen, acroriing to his orn story, delusionsl for a long reriod of tino, but oporating uall in his day by cey vork. Fis inordinnte vilt fcolincs, as egrersed to se, mere specifically related to his rension and Cisability pay. For this ke falt ho hal to be punished.He kiauelf dated his Jirriealtics to the tira ahcn ko was rotired. It sas than that ko roenlls iis extraorcinary C-ilt feelings. bogan, bocoving puo rèccivoly rorso, with to specific celesicnal cvents occurring during the precediig soutl.s.

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