Catalogue of Afflictions in the City Content . To the alienist , the ability — or inability — of a living mind to cope with stimuli and deprivation is of the utmost interest . How is it that some minds endure when others fail ? What manifests in the aftermath of those outcomes ? How can those manifestations be identified and altered ? The workings of our own minds are as much a mystery as the workings of the material world , and it is no less dangerous to neglect their care than it is to mistreat the corporeal self . While Clockwork City is a facsimile of Nirn in many ways , it is not a duplication . Many of the rules that govern the world simply do not apply to this realm , and things often taken for granted in the terrestrial world are found to be of vital importance to an individual ' s sanity when they are suddenly found scarce . Here I will outline a number of the most common afflictions to develop in previously well - adjusted individuals now inhabiting the Clockwork City . Cyclical Inert Ingestion — Compulsive craving and ingestion of non - nutritious and sometimes harmful materials . It is not unusual for inhabitants and visitors in Clockwork City to experience a palate fatigue for the nutriment paste produced within the Brass Fortress , despite its inoffensive taste and complete nutritional profile . This often causes these individuals to experiment with consuming unusual substances for relief from that fatigue or because of a fallacious belief about the benefits of ingesting the substance that they have developed a taste for . In many cases this condition may safely go untreated , though some individuals ' compulsions pose a significant danger to their health and those patients should be remanded to the Asylum Sanctorium for a more controlled therapeutic environment . Magnusomnic Melancholy — Connections between mortal beings and the stellar bodies are well established , though fraught with superstition and apocrypha . Our relationship with the sun is of particular relevance to the psyche . From simple moodiness and doldrums in the long nights of winter to the violent , frenzied aversion of victims of vampirism , exposure to the sun has a noticeable effect on the mental health of many races , so its complete absence from Clockwork City is trying on most individuals . Lethargy , irregular sleep patterns , dark thoughts or impulses , and a general malaise are all signs that your patient could be suffering from solar deprivation . See volumes on treatment regarding variations of light conjuration and simulated sunlight . Encapsulation Syndrome — A particularly insidious affliction similar to the acute fear of being trapped commonly observed in the terrestrial world . Individuals used to living their lives under the open sky are sometimes disconcerted by the easily demarcated boundaries of Sotha Sil ' s heavens . They begin to feel an inescapable sense of confinement that creates ever - present feelings of anxiety and agitation . These mounting pressures will push them to breaking point if left unresolved and should be considered a priority for treatment . Minisculation Terrors — The terrors can be defined as bouts of irrational panic and paranoia that the victims are shrinking . It is unclear whether these episodes are a side effect of transitioning into this realm , or a pathological reaction to the experience of being miniaturized . Patients tend to describe peculiarities in their perception , ranging from a vague sense of things just being a little off , to vertigo , to delusional claims of evidence . For example , one such patient cited that they were now unable to reach an object they had placed on a high shelf the day before . Often these claims are a result of misremembered details , such as forgetting that they were wearing thick heeled shoes , though there is at least one recorded case of legitimate uncontrolled shrinking , so be diligent in investigating these claims . Obsessive Focus and Fixation — Particularly common among apostles . Sometimes our colleagues must be saved from themselves . Clockwork City was designed with freedom from distraction in mind . It is a place of contemplation and learning , and sometimes the example Lord Sotha Sil sets is adhered to too closely by his followers . We are not gods . We cannot withdraw into our studies indefinitely and tirelessly without consequence . It may be necessary to intervene in the studies of an apostle who has developed an unhealthy obsession with their research . Fixated patients have been known to neglect sleep , forget to eat , shun all contact with others , and in some cases literally work themselves to death . As such , we are granted the authority to remand such cases to Asylum Sanctorium at our discretion . Corporeal Odium — Self - loathing , specifically of one ' s physical form . Outside of Clockwork City it was primarily observed in kingdoms where one ' s physical features or biological heritage play a significant role in an individual ' s societal worth . It is also a fairly common trait among possessing spirits . This condition is on the rise among Clockwork Apostles who believe their enhancements represent an ideal that their native flesh fails to live up to . Reckless augmentation , self - mutilation , and emotional volatility are all warning signs that an apostle ' s desire for alteration has become an unhealthy obsession and the patient should likely be remanded to the Asylum Sanctorium for psycho - spiritual realignment .