Entrevista com paciente afetado por esquizofrenia catatônica (1960)

O excerto da entrevista seguinte, em inglês, com áudio transcrito logo abaixo, exibe o diálogo entre um médico e um paciente afetado por esquizofrenia catatônica. Logo em seguida, sem citar nomes, um sobrinho comenta o que aconteceu com o paciente.

Psychiatric Interview No. 18: Evaluation for Diagnosis | Jujube Tutube
by University of California (System). Extension Media Center
Publication date 1961
Publisher Berkeley, Calif. : University of California, Extension Media Center

Outra fonte do vídeo: Interview: Catatonic Schizophrenic | ktrypy1111 https://www.youtube.com/watch?v=IehtMYlOuIk

Tom – 15/09/2022:
This is an old comment about this man that seems to have been lost: This man was my uncle. I’m not going to give any names, but for those of you who are concerned with how things turned out for him, not well. There’s so much to address here. First let me say that he was being treated in this video with meds. Without the medication his mood ranged from complete delusion to catatonic. As for being gay, I don’t think he had much of a sex drive at all. With or without meds. As for the idea that he was put here because he was gay by some unloving family, that’s ridiculous. I don’t have time to say all the things my family tried just to make his existence somewhat peaceful just for his own sake. My family had a couple of openly homosexual and lesbians in it even back in the sixties and with the exception of my mother’s father no one gave a shit. My uncle suffered with meds and even more without. After forty some odd years, most of which he spent in institutions, he took his own life by way of drug overdose. By the way, the comment about the plot twist, he never had a piano was funny because he didn’t. His seeming obsession with piano came and went as did obsessions with religion, especially the Catholic Church and government. As far as I know he couldn’t play a lick. He was very ill at his best and a living shell at his worst. I hope that answers some questions because that’s all I have to say on the matter. He’s been gone since the late eighties and I really hope that other members of my family don’t see this video, mostly because of the comments from people that somehow think they understand him better than the people who suffered with him. One last thing, I think people thought that he was talking about sitting or standing effeminately or something. No, he was talking about sitting or standing motionless for hours. Usually not even his facial expression would change but when it did it was usually related to something in his mind only. I really can’t begin to tell you all how heartbreaking the whole thing was. He did seem intelligent and with meds he did remind me of a high functioning guy with autism I once met.


– How are you feeling?
… Well.
– How long have you been here?
… Three months. May 17th.
– And what brought you here?
… That’s difficult to answer.
– Could you give me some idea?
… Off hand, I can’t.
– Whose idea was it that you come here?
… My psychiatrist.
– And what happened that ended up with your being here in the hospital?
… The psychiatrist decided. That this was the situation for me.
– Did he tell you why?
… No, the psychiatrist did not.
– Has anybody told you why?
– Have you any idea why?
– And what is that?
I am not completely like… other people.
– What do you mean by that?
People dislike me because. I am not completely like them.
– And in what way are you different?
I am trying to do with my life something which… few people try to do.
And… this influences my thinking. And consequently my actions.
– What is it you’re trying to do with your life?
… Play the piano for people.
– I am not clear at…
– How is it that playing the piano for people has eventually resulted in your being here in the hospital?
… I sit differently. When I play the piano.
And when I am away from the piano I occasionally look differently. From other people.
And this has caused. Dislike. From people.
– They dislike you because you sit differently at the piano?
… Yes.
– In what way do you sit at the piano that people would dislike you?
… I cannot describe. An illustration. Of how I sit.
– And I can’t imagine it, that it would make people angry at you, or at least dislike you.
– How do you know they dislike you?
… My father does. And.
Doctors do. Because.
Of the way. I appear.
In relationship to the way I sit at the piano. And occasionally stand when I am away from the piano because of the way I sit at the piano.
– How do you stand when you’re away from the piano that they dislike you?
… I can’t describe. An illustration.
– Does it “feel” to you any different from the way other people stand?
… Yes it feels different.
– In what way?
It… this is becoming too involved to describe.
– Would I be right in assuming then that…
– you don’t feel that you belong in the hospital,
– but that other people did feel that?
… As soon as I express the belief that I do not belong in this hospital,
which is a mental hospital,
those who dislike me want to find a worse place for me.
– I’m not sure I understand. Could you make that clearer for me?
… No.
– Is this a way of…
… A hosp—Yes, I can.
As soon as I express the belief that I do not belong in this mental hospital,
then those who dislike me want to find a hospital where the living conditions are not as good as this.
– But why are you in the hospital in the first place? I’m not clear.
… Because I am working to do something in my life which most people do not do…
This influences my thinking.
And occasionally my actions.
And… A psychiatrist has noticed this.
And dislikes…
– What has he noticed?
… the actions, and…
the thinking, and has decided that I should be here. To change them.
– What actions?
… How I talk. And how I look. Right at this moment.
– And how would you describe the way you’re talking and looking right at this moment?
… As other people talk, and that this moment however I’ve been told that it is not the way other people talk and look.
– Have you any idea in what way it’s not like others?
… No because I believe it IS as other people talk.
– So then from YOUR point of view, not from other people’s point of view, from YOUR point of view,
– You look, you talk, you think, you behave… as other people do.
– You’re very interested in learning to play the piano.
– You sit at the piano a little differently from the way someone else might and you stand somewhat differently.
… Occasionally I stand differently.
– Now that, uh… in itself, doesn’t seem on the surface to be sufficient reason for being in a hospital.
– So what other reasons have been given to you, or what other reasons do you understand are the causes of your being here?
… I’m supposed to not. Be mentally well.
– And what’s supposed to be wrong with you?
… No doctor has told me.
– That’s hard to believe.
… I tell the truth.
– What are your plans? If things should go well, and you were to leave the hospital, then what?
… I need financial help from my father to prepare.
For obtaining a job. As a piano instructor.
At a university.
Where I will be able to teach.
People how to play the piano.
And also play the piano. For people.
– Have you had the training yet to permit you to be an instructor?
No I have not.
– Have you tried?
I don’t understand what you mean by the…
– Have you tried to get the instruction?
… Yes I have tried.
– And what’s happened?
… I have not had. The correct environment. For the instruction.
Nor the correct financial help for the instruction.
Nor… the correct instruction.
– Have you been accepted for such instruction?
… By some teachers. Yes.
– And… by others no?
Yes. Again.
– Mhm.
It has been about half and half.
– Have you started any such instruction with those who did approve of it?
… Yes.
– And how has it gone?
… With some it has gone well. With some it has not gone well.
– Our time is up. Thank you for coming in to talk with me.
… It’s over.