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