6282-14-1 Folio 22

Name: John FINCH,

Aged: 66,

Reg. No. 22,

Admitted: August 15, 1899.

Copy of Statement of Particulars

Reception Order signed by: J. Schofield, Dated: January 27, 1899

Sex and Age: m 66

Civil State: Single

Occupation: Gardener

Religion: Ch. of Eng.

First Attack: No

Age on first attack: N.K.

When and where previously under treatment: Colney Hatch (crossed out)

Duration of present attack: 14 days

Supposed cause: Unknown

Epileptic: No

Suicidal: Doubtful

Dangerous to others and how: Doubtful

Any near relative afflicted with Insanity: Not Known

Union chargeable to: Hackney

Previous Place of Abode: Hackney

Name and Address of Person to whom Notice of Death to be sent:

Names and Addresses of one or more relatives of the Patient: Nil

Medical Certificate

Medical Certificate Signed by: …don

Facts indicating insanity observed by myself at the time of examination viz.:

He imagines he is followed about by strange people, he talks & swears at imaginery people, he says he is tired of his life & wishes he was dead & that he has suicidal impulses which he finds difficult to control.

Facts communicated by others viz.:

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.