00:21

berate this time goes on there's a

00:25
characteristic lack of interest in the
00:27
environment withdrawal from contact with
00:30
others and with it goes an increasing
00:33
loss of emotional response these people
00:37
become vague and empty their mana is
00:39
childish and they are Gockel they show
00:42
little or no initiative and spontaneity
00:44
if they do react emotionally the
00:48
reaction is often inappropriate they
00:50
have of course no real plans for the
00:53
future in spite of this general
00:56
impoverishment of the personality many
00:58
of the intellectual functions remain
01:00
intact memory and orientation are not
01:03
there the patient we are going to see is
01:07
about 40 she has been sick for more than
01:09
10 years lives quietly in the hospital
01:12
doing simple work in the laundry she
01:16
seldom speaks unless spoken to and does
01:19
not mix with the other patients but she
01:21
is really quite contented and her lack
01:23
of energy and animation is not due to
01:26
depression and despondency or to Africa
01:29
she might during the interview
01:32
demonstrate an appropriate emotional
01:34
reaction particularly smiling or
01:36
laughing when discussing serious subject
01:39
she complains of auditory hallucinations
01:42
voices and strange feelings of being
01:46
controlled by unseen forces though these
01:49
are not especially common symptoms in
01:51
the simple type of fifth cranial and how
01:55
long have you been here I think he did
02:00
be 14 months distant beginning at Easter
02:04
in this place you like it here you like
02:11
it when it's quiet
02:12
I find you too noisy
02:16
sometimes it's noisy here because of the
02:18
other patient
02:22
why do you like it better when it's
02:25
quiet have you always liked it quieter
02:32
I've been used to living like quiet
02:37
rarely he told me once that you didn't
02:41
like the radio in the hospital that
02:44
isn't acting leave out the radio why did
02:47
the ward was quieter without it well if
02:52
you're very quiet what are you doing are
02:57
you reading are you thinking reading you
03:02
don't like reading what are you doing
03:10
you think the music and not talking
03:13
you're like that music yeah you told me
03:19
another time that sometimes you hear
03:23
voices talking to you can't see the
03:26
people does that have not using it all
03:31
day on the inside I don't think I might
03:35
have ever been free of anybody talking
03:37
can you hear them now since I was a
03:40
young girl can you hear them now Oracle
03:47
I can talk and I can talk without them
03:51
you can talk without whom you take away
03:57
my talking the voices yes how do they do
04:02
it can you tell me what they're saying I
04:09
know I don't pay any attention to me you
04:12
say could you understand them
04:21
why did you come here we are are you
04:28
still sick you are much better now that
04:33
you like staying here have you seen your
04:41
family lately no what aren't you feeling
04:45
lonesome yes I wished I haven't seen you
04:51
for a long time yeah have you written
04:55
them like writing out it right you have
05:05
we seen anything thank you might have a
05:13
bit visit soon
05:18
actually if I'm good you know what day
05:25
it is today
05:30
you know what time it is about that's
05:36
quite right 10 minutes past 12:00
05:40
you see the paper today why not
05:54
reading magazine magazine
06:14
humiliated hmm in my hand of good-y goes
06:19
up down like quiet where is it going
06:22
right off where's your head going what
06:38
would you like to do now then first I
06:42
need piano I was enjoying playing the
06:44
piano review and afterwards what are you
06:48
going to do next year I like to play the
06:55
piano next year when it's supposed to
06:59
just for a minute that you would have
07:02
$100,000 what would you do is it
07:10
hospital need you I was gonna get it I
07:14
mean you would give it to the hospital
07:18
and what would you do to keep you so to
07:28
keep you yeah because you like it here
07:32
how do you feel feeling better
07:37
are you sleeping well yes I'm bettin
07:43
how's your appetite
07:48
you must be feeling bailant
07:50
being alone so long
07:53
I use mine have you any friends here
08:17
are you singing them every day yes what
08:21
are you do you talk to them one energy
08:25
your office about to know and what would
08:35
you like to do now you time to go back
08:40
for lunch you just had your function
08:45
online go - yeah so you're hungry again
08:53
well let's go anywhere to get a cup of
08:56
coffee yeah you have seen in this
09:10
patient apathy indifference
09:14
inappropriate emotional reaction she was
09:17
smiling when asked about loneliness
09:20
general graceless nosov posture total
09:24
lack of ambition and initiative there's
09:27
no real plans for the future our youth
09:29
the nation's for a memory and
09:32
orientation are intact and she was quite
09:34
coherent a characteristic picture of
09:38
chronic simple schizophrenia