0:00:09.900,0:00:11.940 - [Narrator] Gerald S.[br]is grossly delusional 0:00:11.940,0:00:13.440 and thought-disordered. 0:00:13.440,0:00:16.350 He is currently on the[br]following medications. 0:00:16.350,0:00:19.533 Haloperidol, 32 milligrams daily. 0:00:19.533,0:00:22.440 Benztropine B, four milligrams daily. 0:00:22.440,0:00:25.380 - Not doing so hot, I think[br]and feel as though people 0:00:25.380,0:00:28.680 have called me here to[br]electrocute me, judge me, 0:00:28.680,0:00:32.700 put me in jail, or kill me, electrocute me 0:00:32.700,0:00:35.180 because of some of the sins I've been in. 0:00:35.180,0:00:37.043 - [Doctor] Is this a new feeling for you? 0:00:38.875,0:00:40.710 - The main thing is don't get excited. 0:00:40.710,0:00:41.943 But the thing is, 0:00:45.180,0:00:46.863 it's not a new feeling, no. 0:00:50.220,0:00:51.720 I'm scared of people. 0:00:51.720,0:00:53.460 - [Doctor] Must be very[br]frightening for you though. 0:00:53.460,0:00:55.380 Feel like you're about to get killed. 0:00:55.380,0:00:56.580 - It's so scared, I can tell you 0:00:56.580,0:00:58.080 that picture's got a headache. 0:00:59.820,0:01:01.410 - [Doctor] Can you tell[br]me more about that? 0:01:01.410,0:01:02.760 The picture has a headache. 0:01:04.549,0:01:06.930 - Do you wanna know?[br]- Yes I do. 0:01:06.930,0:01:10.530 - Okay, when a sperm and an[br]egg go together to make a baby, 0:01:10.530,0:01:12.457 only one sperm goes up in the egg. 0:01:13.920,0:01:16.350 And when they touch,[br]there's two contact points 0:01:16.350,0:01:18.033 that touch before any other two. 0:01:19.830,0:01:22.170 Then it's carried up into the egg. 0:01:22.170,0:01:25.350 When they fuse, it's like nuclear fusion, 0:01:25.350,0:01:26.640 except it's human fusion. 0:01:26.640,0:01:28.350 There's a mass loss, the proton. 0:01:28.350,0:01:30.540 One heat abstraction[br]goes up in the electron, 0:01:30.540,0:01:33.180 spins around, comes back[br]down into the proton 0:01:33.180,0:01:34.200 to form the mind. 0:01:34.200,0:01:36.300 And the mind could be reduced to one atom. 0:01:37.680,0:01:41.370 - Gerry, in one patient at one time, 0:01:41.370,0:01:43.080 shows almost every one 0:01:43.080,0:01:46.140 of the major features of schizophrenia. 0:01:46.140,0:01:48.750 His thinking is disorganized. 0:01:48.750,0:01:51.210 The thoughts are loosely connected. 0:01:51.210,0:01:54.333 He has formed delusional ideas. 0:01:55.350,0:01:58.443 Some of those delusions are grandiose. 0:01:59.730,0:02:01.030 Some of them are paranoid. 0:02:03.000,0:02:05.430 He has disturbances in his mood. 0:02:05.430,0:02:08.670 His mood is in some cases almost absent 0:02:08.670,0:02:10.893 and in other cases is[br]totally inappropriate. 0:02:12.150,0:02:14.700 And his behavior is[br]disordered, it's unusual. 0:02:14.700,0:02:19.700 He has mannerisms that are inexplicable. 0:02:20.130,0:02:23.373 He has purposeless, aimless[br]behavior around the ward. 0:02:24.840,0:02:26.430 He's a textbook case. 0:02:26.430,0:02:28.983 He combines all those[br]things in one person. 0:02:30.360,0:02:32.070 - [Doctor] At this point,[br]what would you like us to do 0:02:32.070,0:02:33.420 for you?[br]- I would like you 0:02:33.420,0:02:35.400 to get me off of cigarettes. 0:02:35.400,0:02:37.710 Get me dried out, cleaned[br]up, so I can go home 0:02:37.710,0:02:40.310 and get a job in a bakery,[br]and go to medical school. 0:02:42.390,0:02:46.323 - Gerry's voices may at times[br]say, you raped that woman. 0:02:47.700,0:02:50.310 In a case where he may have[br]just seen a woman on the street, 0:02:50.310,0:02:52.593 the voices will accuse[br]him of assaulting her. 0:02:54.030,0:02:56.280 One of the things that worries me 0:02:56.280,0:02:58.080 about Gerry and about many patients 0:02:58.080,0:03:00.813 is at times his voices[br]tell him to do things. 0:03:01.860,0:03:03.960 In just the short time[br]he's been in this program, 0:03:03.960,0:03:05.430 the voices at times have told him 0:03:05.430,0:03:09.483 that he's got to leave because[br]we're going to hurt him. 0:03:10.380,0:03:13.590 So obviously, they say things[br]that greatly distress him, 0:03:13.590,0:03:14.490 that scare him. 0:03:14.490,0:03:15.990 - Nice to see you.[br]- Dr. Bigelow's 0:03:15.990,0:03:17.043 Clinical director. 0:03:19.890,0:03:20.723 Wanna sit there? 0:03:27.900,0:03:30.843 Well, thank you for coming down. 0:03:31.980,0:03:34.170 - Dr. Bigelow.[br]- Good morning. 0:03:34.170,0:03:35.070 How are you today? 0:03:35.940,0:03:38.567 - About to get my teeth[br]knocked out, I feel like. 0:03:38.567,0:03:41.040 'Cause I'm nagging[br]people, I'm playing a game 0:03:41.040,0:03:42.540 with my psychological pain. 0:03:42.540,0:03:43.773 But it exists. 0:03:44.820,0:03:46.740 - I know it does, Gerry, that's[br]why you're here, isn't it? 0:03:46.740,0:03:48.413 To see if we can help you with it. 0:03:51.240,0:03:53.460 - Gerry, I think the big question today 0:03:53.460,0:03:56.370 is if you stay, and when you and I 0:03:56.370,0:03:59.370 met with Dr. Bigelow on Friday, 0:03:59.370,0:04:00.630 that wasn't very certain. 0:04:00.630,0:04:04.620 And that's the whole reason[br]that your mother flew out here. 0:04:04.620,0:04:07.053 - I will stay if my mom stays. 0:04:08.040,0:04:11.520 - Well, I told you before that[br]I can't stay continuously. 0:04:11.520,0:04:13.380 - Well, how is that working? 0:04:13.380,0:04:15.660 - We can come down maybe[br]once every six weeks 0:04:15.660,0:04:17.384 and stay a week, but I can't- 0:04:17.384,0:04:19.320 - See what I'm doing right now. 0:04:19.320,0:04:20.910 I understand what I'm doing. 0:04:20.910,0:04:23.460 I've got you one down and[br]I'm not gonna let you up. 0:04:23.460,0:04:25.563 And that's a game, that just gets you mad. 0:04:27.270,0:04:28.800 - Truly deep down he knows 0:04:28.800,0:04:31.440 that this is the last chance[br]he's got of having anything 0:04:31.440,0:04:34.140 and being able to control[br]anything that he's wants 0:04:34.140,0:04:35.493 or tries to do. 0:04:36.360,0:04:37.830 - Yeah, I can-[br]- And he knows 0:04:37.830,0:04:40.380 that if he turns his back[br]on it, that he's had it. 0:04:40.380,0:04:41.910 - I hate you. 0:04:41.910,0:04:44.760 Dr. Petrolley in Detroit[br]looked at my transcripts, 0:04:44.760,0:04:46.650 and he started going like this. 0:04:46.650,0:04:48.870 Gerald, just, what could you have done 0:04:48.870,0:04:51.900 if anything had ever went right for you? 0:04:51.900,0:04:53.283 Been my boss? 0:04:55.170,0:04:56.891 - Can I interrupt you? 0:04:56.891,0:05:00.420 If-[br]- Every time in school 0:05:00.420,0:05:01.560 that I was gonna do something, 0:05:01.560,0:05:02.670 I would raise my hand, 0:05:02.670,0:05:05.673 and a colored kid would stab[br]me in the back of the neck. 0:05:07.200,0:05:10.113 What is your explanation for that, God? 0:05:12.480,0:05:13.860 That's what you're afraid to say. 0:05:13.860,0:05:15.390 What is your explanation over that? 0:05:15.390,0:05:16.710 'Cause you can't say it. 0:05:16.710,0:05:18.600 - My explanation is, is that you feel 0:05:18.600,0:05:21.690 that whatever decision you[br]make, you're gonna lose here. 0:05:21.690,0:05:23.370 And maybe that's why it's so hard 0:05:23.370,0:05:24.840 for you to make that decision. 0:05:24.840,0:05:26.460 - My dad told me to stay here. 0:05:26.460,0:05:28.200 I will stay if my mother will stay. 0:05:28.200,0:05:29.790 There's no pressing job for her. 0:05:29.790,0:05:32.340 She can have my social[br]security check to live on 0:05:32.340,0:05:33.573 while she's here. 0:05:35.070,0:05:36.287 - [Doctor] Is that possible Mrs. Smith? 0:05:36.287,0:05:39.060 - I told him that I[br]could we could come down 0:05:39.060,0:05:40.250 once a month maybe and stay a week. 0:05:40.250,0:05:41.820 - You're gonna get me not scared 0:05:41.820,0:05:44.040 so I'm not scared while[br]this dude's playing 0:05:44.040,0:05:45.720 boogie woogie with me. 0:05:45.720,0:05:47.223 - But, Gerry, listen a minute. 0:05:48.090,0:05:50.550 You mean that you can't[br]stay away once a month? 0:05:50.550,0:05:52.950 Let us come once a month and see you. 0:05:52.950,0:05:55.920 - I mean, in walked this one[br]old dude with green teeth. 0:05:55.920,0:05:57.330 And I couldn't think of nothing to do, 0:05:57.330,0:05:59.490 so I just reached out and[br]kicked old green teeth 0:05:59.490,0:06:00.390 right in the knee. 0:06:00.390,0:06:01.980 - [Doctor] Your mom asked you a question. 0:06:01.980,0:06:03.990 - Gerry-[br]- If I'm not scared, 0:06:03.990,0:06:05.460 I won't kill ya.[br]- Gerry, it's important 0:06:05.460,0:06:07.320 that you listen to me for a minute. 0:06:07.320,0:06:09.984 - [Gerry] Why, are you[br]gonna tell me Dad's dead? 0:06:09.984,0:06:11.620 - No, if you go back, you-[br]- You gonna tell me 0:06:11.620,0:06:13.923 Snoopy's dead?[br]- You had better listen. 0:06:15.330,0:06:17.940 Don't think of something else[br]while I'm talking to you. 0:06:17.940,0:06:19.500 Listen to what I'm saying.[br]- I'm not talking to you 0:06:19.500,0:06:21.330 at all.[br]- Okay, if you go back, 0:06:21.330,0:06:22.950 you may wind up in a hospital 0:06:22.950,0:06:26.460 that I won't even get to come[br]and see you once a month. 0:06:26.460,0:06:29.250 - You are not my-[br]- Do you understand me? 0:06:29.250,0:06:30.570 - Do you realize this is my mother 0:06:30.570,0:06:32.370 and I'm trying to keep her alive? 0:06:32.370,0:06:35.400 Now, what do you recommend, doctor? 0:06:35.400,0:06:36.690 - [Doctor] I recommend[br]you give her a chance 0:06:36.690,0:06:37.540 to listen to her. 0:06:38.760,0:06:39.870 - Don't you think it would be better 0:06:39.870,0:06:42.690 that you stay here on your own? 0:06:42.690,0:06:43.580 Where you-[br]- No. 0:06:43.580,0:06:45.430 - Where you signed yourself in. 0:06:45.430,0:06:48.680 - I don't.[br]- Gerry, I think that you're- 0:06:49.647,0:06:51.873 - You don't know-[br]- Confused enough about, 0:06:52.890,0:06:54.750 and frightened enough 0:06:54.750,0:06:56.460 that I'd be afraid you would hurt yourself 0:06:56.460,0:06:58.290 if you weren't in a hospital. 0:06:58.290,0:07:01.080 - [Gerry] Okay, now you are[br]afraid that I would hurt myself 0:07:01.080,0:07:02.610 if I wasn't in a hospital. 0:07:02.610,0:07:03.573 Now why is that? 0:07:04.500,0:07:05.633 - Because of what you've said. 0:07:05.633,0:07:07.433 - [Gerry] Because you're not afraid? 0:07:08.460,0:07:09.990 - No, from what you've said 0:07:09.990,0:07:12.490 - [Gerry] I think my dad[br]can treat me very nicely. 0:07:14.070,0:07:17.550 - Well, I understand that your[br]dad knows that you have to 0:07:17.550,0:07:18.903 be in a hospital for that. 0:07:19.950,0:07:22.197 - I can't see why you[br]can't stay and participate 0:07:22.197,0:07:25.800 on good terms without-[br]- Because I was raped 0:07:25.800,0:07:28.290 going to kindergarten about five times. 0:07:28.290,0:07:30.180 - That was a few years ago.[br]- Okay. 0:07:30.180,0:07:31.680 Let me give it to you a different way. 0:07:31.680,0:07:34.440 How long has it been since[br]I dreamed I was there 0:07:34.440,0:07:35.703 in hillbilly heaven? 0:07:37.680,0:07:42.270 Or how long has it been since[br]town without pity for rape? 0:07:42.270,0:07:43.530 Or how long has it been since 0:07:43.530,0:07:45.693 the man who shot Liberty Valance? 0:07:49.920,0:07:51.660 - My first impression of his family 0:07:51.660,0:07:53.490 was the one I have in[br]a lot of these cases. 0:07:53.490,0:07:57.570 And that's that they're[br]like a group of people 0:07:57.570,0:07:59.430 that have been struck by lightning. 0:07:59.430,0:08:02.523 Their son has developed[br]a terrible illness, 0:08:03.600,0:08:05.040 has been through lots of treatment, 0:08:05.040,0:08:06.843 and has not gotten much better. 0:08:07.740,0:08:10.563 And they feel devastated by it.