Document byzRxyEgbJ2m1QQpagpwBMDyD

March 11, 19^2 Recommendations for Mr. It is generally agreed at present that Mr, is suffering from a psychoneurosis with obsessional character istics. Psychotherapy has been attempted by an able man for three months without success and it is his opinion now, as well as that of other physicians who have seen the case that further attempts in this direction are likely to be without success unless some useful employment is found for M r . ^ J ^ B P I fact the last neuropsychiatrie consultant is of the opinion that if any benefit is to be gained for Mr. H H ^ i t will be almost entirely by virtue of such discipline as would come from regular employment. These opinions are entirely consistent with the obser vations that have been made in recent years with the present system of management of M r . ^ m ^ a n d it becomes apparent that not only will little be gained by continuing Mr. under the present plan, whereby he is paid without doing work, but that it will be manifestly unfair to him as a medical case to deprive him of the normal stimuli of employment. Since it is not likely that any employment can be found within the Ethyl Gasoline Corporation for Mr. that would not be associated in his mind with certain of the delusional phases of his psychoneurosis, a logical conclusion would be to deprive him of his salary and give him the opportunity of seeking employment elsewhere. This may come as somewhat of a shock to him since he believes that his work 2- with the Ethyl Gasoline Corporation has been responsible for his illness and moreover this idea has been encouraged by the fact that the Corporation has been willing to pay his salary over a period of years without exacting services from him; yet it is exactly this shock which is likely to be most beneficial to him in making the necessary mental readjustments to rid himself of his obsessions. There would seem to be no reason for delay in carrying out the above recommendations, in fact greater length of time spent under the present arrangement can only work to disadvantage. It is now the consensus of opinion of all physicians who have seen Mr. that lead or other exposure during Mr. employment was in no way related to the production of his illness. Vie feel therefore since Mr. illness is entirely of mental origin and not related to his employment that we may with propriety and clear conscience make the above recommendations. Willard Machie, il. D. He 0014579