CASE NO. 236 Man, 29, "had a psychotic attack [at age 19] and responded satisfactorily to 44 insulin comas." Admitted to Pilgrim at age 20. "In the years which followed, this patient was consistently one of the most severe behavior problems, aggressively homosexual, out of contact, noisy, disturbed, overactive; he wet and soiled." Lobotomy on Feb. 15, 1949. "Slow improvement. He was clean, pleasant, but mentally defective— a moron. He speech was clear but brief. On the insistence of his parents, he was released on June 15, 1949 but returned after a few weeks because of restlessness and poor judgment. There is no severe behavior problem, but he is hebephrenic— silly. He is now clean, quiet, passive, well-behaved, probably hallucinated, speech brief but rather scattered, but he is well-informed on current baseball scores, etc."

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