6282-14-1 Folio 20
Name: Joseph GORSUCH,
Aged: 51,
Reg. No. 20,
Admitted: August 15, 1899.
Copy of Statement of Particulars
Reception Order signed by: J. J. Griffiths, Dated: July 30, 1892
Sex and Age: m 44
Civil State: Married
Occupation: Labourer
Religion: Ch. of Eng.
First Attack: Yes
Age on first attack: 44
When and where previously under treatment: Colney Hatch Asylum (crossed out)
Duration of present attack: 3 days
Supposed cause: Unknown
Epileptic: No
Suicidal: No
Dangerous to others and how: No
Any near relative afflicted with Insanity: No
Union chargeable to: Islington
Previous Place of Abode: 4 Bryan Place, Copenhagen St.
Name and Address of Person to whom Notice of Death to be sent: Wife, 10 Storey St., Caledonian Rd.
Names and Addresses of one or more relatives of the Patient: Daughter, S. Gorsuch, 15 Victoria Road, Holloway - Sister, Mrs Jackson, 10 College St., Islington - Son, S. Gorsuch, 43 Cumberland St., Caledonian Rd.
Medical Certificate
Medical Certificate Signed by: G. J. Wright
Facts indicating insanity observed by myself at the time of examination viz.:
He is incessantly wandering about from ward to ward under the impression he has work to do or that someone has sent for him. He goes into the women's wards. Resents any interference & is beyond control. Loss of memory does not know where he is or where he lives.
Facts communicated by others viz.:
Susannah Gorsuch (Wife) 4 Bryan Vale. He imagines he was posessed of houses that he had been to various places when he had not been away from home. He wanders away & has lost all memory.
Transferred from: Colney Hatch
Condition on Admission
Mental State:-
As far as possible under such Headings as:
Attention, Comprehension and Re-action, Cognition of self and surroundings, including mistakes of identity and appreciation of time and place, States of Stupor and Catalepsy, Memory for recent and remote events, Association and flow of ideas, Coherence, Reasoning power, Hallucinations, Illusions, Delusions, Exaltation, Fantasies of dress, Excitement, Depression, Impulses—General, Suicidal, Homicidal, Erotic, Destructive, Obsessions, Resistiveness or Hostility, Restlessness, Self-employment, Attention to personal needs, Religiosity, Sense of propriety, Lewdness of conversation and conduct, Regard for relatives.
He is dull weakminded & his memory is a blank. Has not the least idea how long he has been here.