"Diagnosis: Melancholia (probably menopausal - symptons were voices, delusions of poison, later apathetic and negativistic - had to be tube fed.) Had been a laundry worker. One illegitimate son. Housing: patient now lives with brother, fairly clean, not over-crowded. "Little dungeon of a place". Patient is still strange in manner. Nurse confirms - this woman is now a heart case. Dr. confirms - very bad heart, half-bats."

Brother (15.64) in study.

"Attended OPC. Patient is still very depressed and difficult, will not always open the door. Cannot go to church because it makes her feel shut in. Living alone. Father senile, died in CRI, farmer. Mother dead. One brother, ill. No other siblings. Cousin was in CRI once. Another cousin was peculiar, wandered from home and was found dead. Nurse confirms, still quiet and neurotic."

Relatives in survey: Father 16.52

"Attended OPC - diagnosis, Involutional Melancholia - anxiety, depressed, disinclined to meet people, digital tremor. Occupation: Railway signalman. Parents dead, were normal. Happily married."

'This woman was admitted to CR as a rate aided patient. Diagnosis - Involutional Depression. Symptoms 2-3 months following mother's death. Husband a forester. No children.'

'This man is not quite normal, very shy, always agrees with you. He is a farmer, has a good farm. Good farm house, clean. [Female informant] says this is a particularly nice man. [Male informant] says this man is very sensible but very quiet.'

Relatives in survey: Wife 22.45

"This woman was a rate-aided patient in the CRI. Diagnosis - Involutional melancholia. She was taken away against advice, not really improved. She had had puerperal psychosis 30 years before. She had many physical complaints, was depressed, agitated, had high blood pressure. PC thinks this woman is all right now, can do her housework. Dr confirms - rest of family OK. Husband used to beat her."

"Admitted to CRI diagnosis - Melancholia. Husband a mill worker, dead. A niece [28.26] was treated for depression during pregnancy.2

"For the last 6 months this woman has been feeling absolutely done. Has slight vaginitis. Dr thinks she is menopausal and neurotic. Recommended Stilboestrol. [Male informant] confirms that she is easily depressed, impressionable. Very nice family, pleasant people. Nurse - clean house, comfortable, delicate woman. Children grown up, all very pretty, rather gay."

"This woman is menopausal. Her husband left to take a job in Glasgow and she did not like the change, just sat and wept and wept, would not go out or talk to anybody. Really depressed. Husband had to give up job and return. Is now better but would easily become a CR case."