Sections
Kraepelin's Diagnosis: Maniacal-Depressive
Insanity
Excerpt
You see before you a student of music, aged nineteen,
who has been ill for about a year. The highly gifted patient, without
any tangible cause, while studying music, became depressed, felt
ill at ease and lonely, made all manner of plans, which he always
gave up, for changing his place of residence and his profession,
for he could come to no fixed resolutions. During a visit to Munich, he
felt as if people in the street had something to say to him, and
as if he were talked about everywhere. He heard an offensive remark
at an inn at the next table, which he answered rudely. Next day
he was seized with the apprehension that his remark might be taken
as lèse majesté. He heard that students
asked for him at the door, and he left Munich posthaste with every
precautionary measure, because he thought himself accompanied and
followed on the way. Since then he overheard people in the street
who threatened to shoot him, and to set fire to his house, and on
that account he burned no light in his room. In the streets voices
pointed out the way he ought to go so as to avoid being shot. Behind
doors, windows, hedges, pursuers seemed everywhere to lurk. He also
heard long conversations of not very flattering purport as to his
person. In consequence of this, he withdrew altogether from society,
but yet behaved in such an ordinary way that his relatives, whom
he visited, did not notice his delusions. At last the many mocking
calls which he heard at every turn provoked the thought of shooting
himself.