◆ SpookStack

Candish, whom he had trusted, was now "pretending not to know what had RUBY EXAM, <3- Attempts to discuss additional psychiatric oxaminations, or the putin; hearings, or his prospective appeal, or a néw trial, were fruitless. He felt that talk of a new trial was just a mockery "After what happened last night, " and that he would be rotten and despicable to want to aurvive or be saved alter . having caused “a great people witha history of four thousand years to be wipec out." 1 persuaded the patient to let me invite Mr. David Candish, one of his : attorneys, to step into the room, and then watched the two talk at cross purpos:< : for awhile. As the lawyer continued to discuss plans for the appeal, Mr. Rub: became increasingly agitated and clearly paranoid as it dawned on him that Mr. happened last night. " Attempts to carry out many of the more formal aspects of a menta! status examination were impossible, The patient was ‘oriented in place and _ Person, but perhaps not for time; he was non-responsive to many inquiries. ‘Concentration was poor, Associations and continuity of thought were disrupted. *Some material pertinent to his shooting of Oswald was elicited, but is not incluc “in this report. At this time Mr. Ruby is obviously psychotic. He ts completely pre- occupied with his delusions of persecution of the Jews on his account. He feels hopeless, worthless, and guilty because he is to blame for the mass -murders of his own people. The ‘experiences of last night, are not only grossly delusion: but include auditory and visual hallucinations as well. His emotions are abn rr feelings of anxiety, depression, guilt, suspiciousness and despair are expresse in various proportions. Often the affect is inappropriate to the ideas accompan: ‘them, DIAGNOSTIC IMPRESSION Acute psychotic reaction: paranoid state. Manifested by delusions, vis: and auditory hallucinations, suspiciousness, agitation, inappropriate affect, unshakable fixed preoccupations, depression, suicidal impulses, and impairmer : of reasoning, judgment, concentration, and progression of thought. ows per f AS