A CASE OF COMPLICATED PARAPATHY WITH SADISTIC AND PARANOID OBSESSIONS (SUSPICION OF A BEGINNING SCHIZOPHRENIA)
By DRD. MED. EMIL GUTHEIL
Those who go beneath the surface do so at their own peril. Those who read the symbol do so at their own peril.
Case Number 26. Mr. Alpha, an engineer thirty-two years old, whose interesting analysis I am about to describe, came to Dr. Stekel begging for help. He finds himself in a desperate situation. Having a position in a large chemical laboratory, he is unable to fulfill the duties of his post because fantasies and all sorts of obsessive conditions prevent concentration of his mind upon his work. Besides, he is tortured at times by nervous gastric troubles, compulsion to sleep, and depressions, which make it impossible for him to finish work upon his dissertation, as well as to study in general. He is on the point of suicide unless some one helps him out of the chaos. He has already consulted several physicians, among them the physician of a sick-benefit society, a specialist, and finally a well-known psychiatrist, Professor P. He has been treated through medicine, diet, and hydrotherapy. All without result. His situation seems to him particularly dangerous for the reason that in manipulation with reagents in the laboratory, the impulse often rises in him to escape from life through poison.
Dr. Stekel, to whom he turned for help, gave the case over to Dr. van Dishoeck, a Holland pupil then with him, but the latter, leaving Austria about that time, was unable to do more than begin the analysis. The case was referred to me after van Dishoeck. The analysis, which I carried out under the