be right as time goes on there's a characteristic lack of interest in the environment withdrawal from with others and with it goes an increasing loss of emotional response these people become vague and empty their manner is childish and they are gawky they show little or no initiative in spontaneity if they do react emotionally their reaction is often inappropriate they have of course no real plans for the future in spite of this general impoverishment of their personality many of their intellectual function remain intact memory and orientation are not impaired the patient we are going to see
is about 40 she has been sick for more than 10 years lives quietly in the hospital doing Simple work in the laundry she seldom speaks unless spoken to and does not mix with the other patients but she is really quite contented and her lack of energy and animation is not due to depression and despondency but to apathy she might during the interview demonstrate inappropriate emotional reaction particularly smiling or laughing when discussing serious subject she complains of auditory hallucinations voices and strange feelings of being controlled by unseen forces though these are not especially common symptoms in
the simple type of schizophrenia and how long have you been here I think that be 14 months in December beginning of December in this place you like it here yes I like it when it's quiet you like it when it's quiet I find it too noisy all patience sometimes it's noisy here because of the other patients prob why do you like it better when it's [Music] quiet have you always liked in quiet or I've been used to living where it's quiet except for the realway you told me once that you didn't like the radio yes
in the hospital I was unhappy when they brought the radio why the world was quieter without it well if you're very quiet what are you doing are you reading or are you thinking like reading either you don't like reading what are you doing music better listening to music and not talking you like that music is the best ver you told me another time that sometimes you hear voices talking to you can't see the people does that happen often yes I think it's all day all day yes I I don't think I my head's ever been
free of anybody talking can you hear them now since I was a young girl can you hear them now it's quiet now or we be and I can talk H and I can talk without them you can talk without whom I take a away night talking The Voice yes how do they do it I don't know can you tell me what they're saying I I don't pay any attention to what they say but you understand them why did you come here V being sick are you still sick no I'm much better now but you like
staying here have you seen your family lately no I haven't what AR you feeling lome yes I was wishing I had a visitor they haven't seen you for a long time no have you written them no I haven't I like writing letters they write you no I haven't received any letters either think you might have a visit soon possibly if I'm good you know what day it is today th you know what time it is about that's quite right 10 minutes past 12 did you see the paper today no I haven't why not don't like
reading like magazine I hate magazine my head up there H and my head up there my head goes up there when I'm quiet where is it going where I talk where's your head going what would you like to do now there I was playing the piano I I was enjoying playing the piano for a few and afterwards what are you going to do next year you like to play the piano next year well let's suppose um just for a minute that you would have $100,000 yeah what would you do with it Hospital needed the hospital
needed it mhm you mean you would give it to the hospital and what would you do like them to keep me huh you to keep you here yeah because you like it here how do you feel I'm feeling better thank you feeling better are you sleeping well yes I'm sleeping better now how's your appetite you must be feeling very lonesome being alone so long are yes I was Lear ear yes why are you smiling have you any friends here yes I have friends here are you seeing them every day yes I think so what do
you do do you talk to them when when I'm allowed to you're always allowed to you know oh yes and what would you like to do now probably it's time to go back for for lunch you just had your lunch how long ago half an hour half an hour are you hungry again no well let's go anyway per we get a cup of coffee yes right you have seen in this patient apathy indifference in appropriate emotional reaction she was smiling when asked about loneliness general gracelessness of posture total lack of ambition and initiative with no
real plans for the future hallucinations but her memory and orientation are intact and she was quite coherent a characteristic picture of chronic simple schizophrenia
