Medical Notes of John Graham Forrest, Chiswick Asylum (1884-1925) – Wellcome Library, London Ref MSS.6222-6227

Library Entry for Medical Notes of John Graham Forrest, Chiswick Asylum (1884-1925) at Wellcome Library, London

Note: The text below is not a direct transcription and has been altered slightly for ease of reading:

	Reverend John Graham Forrest admitted February 3rd 1909 Emergency order Single Clerk in Holy Orders Ch of Copd Previous attack? in 1905 at the age of 29. This attack is a continuation? His mother had puerperal mania. Now believed to be suicidal but has made no attempt. Cause? Not specific On admission Depressed and anxious suppression Weight Former temperament lively Bowels - inactive? brown eyes Urine Brown hair abnormalities No injuries Skin - ash Pulse - 100 Tongue dirty & white Pupils - small and even, react to light Spinal senses good Lungs - has irritable loud cough - no ??? Heart General Health Seems well??? - fairly muscular - alert in movement. Has lost weight and is in reduced health pale and unhealthy looking. tongue ??? Mentally Is suspicious & not inclined to converse & responding slowly to questions. Knows where he is & makes no objections. Seems to have anxiety to relatives - is confused and says he does not understand anything.
	Revd J.G. Forrest General History of Care Is said to have had a lively disposition. Was educated at Uppingham and Christchurch but at school did not play games much. Went into the church and became Curate at Rushton in Northants. There seems to have lived a hardworking life and was remarkable for measured self denial - giving up his income to relieving others and probably suffered in health from inactive and irregular mode of life. Was to have been induced as Vicar but a few days before broke down suddenly and became dull, depressed and full of self accusations against his own moral character, and showed anxiety to his father. Was seen by Dr. Smith and then went with a medicine man | Dr Straction| to Bognor for 6 weeks. Afterwards went to a Dr Griffin at Cranborough and at Nottingham, and to Dr Cruikshank at Aylesbury. Then as paying guest to Dr Segundo in London and lately for about a year at Dr Elliot's in Gloucester Place. All this time is said to have been natural in manner, went about by himself, did attend church and theatres and is believed to have done some literary work, but apparently was irritable in temper and shewed no desire to resume his work. About a week ago visited his father and was troubled by some family affairs and is reported to have become suddenly more restless at night and is said to have altered in manner - temp 99 Pulse 110 Same cough and bronchial signs.
	Revd J.G. Forrest Medical Certificates      Emergency Order agreed by Dr Chas Mercier dated Feb 3rd 1909 at Gloucester Place. London:          "In an interview lasting about 25 minutes, he stared steadily at me without answering my questions or uttering any word except on three occasions - on one he said he was a tad hot, and in another accused himself of unnatural crimes." From my experience of persons of sinister demeanour I am of opinion that he is contemplating suicide, and that it is not safe to leave him in a private house. Chas. Mercier Medical Certificate - by Stephen Watson 3rd of Feb 1909 That the patient looked very disturbed and restless - pacing the room and giving vent to self demonizations - saying “I am a bad one, living in a ???? of lies" there is a great scandal have ruined Dr Elliot, no patient will ever come up the street on my account" When I asked him to respond, he starred for a long time vacantly chewing and would give no reply, except by a big groan. These symptoms and dilusions were the same on Feb 3rd. By others Dr Andrew Elliot of 110 Gloucester Place, in whose house Mr Forrest has been living for nine months, states: “For about a week patient was unusually reserved. On Feb 1st he developed definite delusions that he had been the ruin of the Parish in which he lived as well as several of his friends.” Medical Certificate - Dr J. D. Hydon - Feb 4th He was agitated & restless his manner was very suspicious and he told me "it had nothing to do with me if "????" did any nasty things to him, he also told me that he felt very confused, that everything was in a horrible muddle and he did not care what was done to him, he refused to give any other account of himself.
	Rev'd J Graham Forrest Feb 3rd Arrived here in a motor with his family medical attendant. Was anxious & restless in manner. Disinclined to converse and took little or no part in conversations - appeared suspicious and odd and peculiar in ??? asked for a light for his pipe at once - afterwards took tea with me and smoked in a hurried and restless way. Did not ask any natural questions, but said several times that it was all wrong with him and that nothing could help him and that he did harm to everyone. I tried to reassure him and explain matters but he only said he would understand nothing that he was “all right” – he took dinner and went to bed and slept quietly that night with an attendant in the room. 4th Took meals quietly – went out of doors and walked in the garden ??? at first to go out. Very silent makes no enquiries. Seems to have delusions and hallucinations of hearing Latin ??? by Dr ??? Who wrote a certificate of his ??? of mind Tongue pale - ???? 5th Had a quiet night – walked out – rather more able to converse. Bowels acting freely after solines – his manner is less restless, but he gets up suddenly and makes observations such as “it is all wrong” he will not speak much about himself but answers a question now and then quite properly but more often stares ??? and says nothing. He will not read or do anything but smoke, he fills up his pipe and purposely lights it and knocks it out again – Talks a little of his family saying they “always interfere with him” 8th Has been going on well - unwilling to converse much and stares at one in a peculiar way but seems less confused and generally lighter – says he ought “to get him out of the country” seems irritable and purish if questioned and makes sudden odd gestures of annoyance – visited by a ??? Dr ??? who signed order – Mr Forrest seems in better health – his tongue is clear 9th Is lighter today and more inclined to talk. Shows animosity against his father – says he cannot resume his clerical work. Seems very deluded about people “interfering with him” and said that his father accused him of “keeping a mistress” and spoke of him as his "mother's husband"
	John Graham Forrest - Feb 10th He suffers from delusions that his relatives "interfere" with him that "they call him a ??? and a ???". That they accuse him of ??? & various crimes". Especially his anxiety is directed against his father who "won't let him alone". He fears "???" and is he says "constantly worried" and says "everything is wrong he does" He has an? irritable and restless manner - Is more rational & rather able to converse lately - He seems to wish for no occupation but reads a little - Sleeps well - He is in very fair looking health & has improved in this respect - walks out daily - is well nourished & takes food well - Has a cough, but there is no evidence of lung trouble. Sleeps well.
	J. Graham Forrest Feb 12th Going on quietly and seems more rational and able to converse. He is restless in manner and frequently referring to his relatives interfering with him and has many delusions. Visited by Dr J Watson whose visit rather excited him – looks better in health 17th Looks better and is more tranquil in manner, but is obscured by delusions about his father and indeed is hardly able to talk of anything else. Has written to a friend. Plays the piano very well. March 1st Goes on quietly. Abuses his father and talks of what he ??? to do, has very vague ideas about his future. Walks about the place, smokes ??? a little and with what he calls ??? which are not very coherent. A little ??? at night at times but is as much quiet. Seems contented. March 22nd Quiet and generally well behaved. Plays piano a great deal, in a rather fluid style, and at times will rather to much emphasis! Still talks of the ??? his ??? have from him. ??? complaints, and takes things very easily. Reads, lunches with, etc ??? good & improved in health. March 23rd Saw Dr Savage today who talked to him about his clerical work and whether he would resume it. This seems to irritate him intensely, he declined to ??? ??? and marched about the room excitedly – talks of writing ???? himself as a ???? April 12th Has gone on quietly lately. Talks in the same way about himself, says he is ??? enough for anything, but he is ???? and uncertain in every way. Plays a good deal on piano, is out of doors as much as possible and has enjoyed sitting ??? the last few days. ??? ??? & ??? ??? for writers of churches. Sleeps ???. Is inclined to ??? too much. Very ?? twice still. T.S. Tuke
	JG. Forrest March 1909 A little ??? in manner, ??? talks at length of his family, his father particularly, and his inability to be allowed to do anything. ??? ??? from ??? ??? takes very little interest in things but lately talked of the prayer book ??? ??? a little. Says that he will have to ??? do anything right, ??? ??? ??? ??? in an ??? way and does nothing, ??? his ??? ??? in a ??? of childish ??? _____________________ A little ??? of late, but still accuses people of "interferring" with him, makes accusations against his father particularly. Manner is ??? and preoccupied, but he speaks much ??? ??? freely than he did. ??? about himself, and his parents? and their behaviour. Says he is not allowed to do anything right. Cannot ??? to do anything. Walks a good deal & plays skillfully on the piano, of which he seems really fond?, displaying some kind of ??? & ??? & some execution. Makes no complaints, except against his own people.
	J. Graham Forrest June 15th Mr Forrest has been going on quietly and when conposed is very pleasant in manner – he ??? himself by playing the piano and is welcome to go about the grounds unattended – but he is still obscured by delusions about his father and family and has been unfortunately disturbed by being “served with a notice of appointment of Receiver” he was a great deal worried by this and in a long interview in which I tried to reassure him, he spoke more freely than usual of his dillusions – saying again all the dreadful things his father said of him i.e. that he kept a mistresss and now mentioned the woman by name – that he was followed by detectives when he was in London – and he talked in this sort of way for half an hour to me without any reason and refusing to accept the slightest argument as to his being possibly mistaken – this is all mixed up with references to his mother’s will and business matters – he thinks he “has been made to suffer” most cruelly by his relatives and that his reputation has been so destroyed that the only thing he can do is to remain here until his father’s death. He is in good health. Lately, Dr Segundo & Mrs Segundo visited him. Sept 15th Lately Mr Forrest has been better and less inclined to ??? to ??? with ??? about the ??? he receives from his father. He has seen two of his brothers and has written to them – he looks very well is much out of doors. In the house occupies himself with Tennis and plays the Piano brilliantly and well chess and reading. He is gentle in manner rather shy of strangers – goes to church. 16th Today, at his request visited by the Vicar October 15th Going on well but he is very odd in many ways – generally cheerful and talks less of his father, but absolutely refused to see one of his brothers (Frank) the other day because he comes from home – Mr Forrest slept badly for a few nights and I hear that in the bathroom he often abuses his father loudly He goes to church frequently. He looks very well. 1909 Jan 17th [s/b 1910] Has been going on quietly much in the same manner – sometimes dines with me and behaves naturally – Is rather odd and suspicious and is put-out and rather disturbed by news of his father’s serious ill health – Today while talking very quietly he repeated that he use to be followed by detectives in town and asked whether there were any about now – He said that he forces P.T.O.
	Revd J. Graham Forrest Jan 17th 1909 (contd) that he forces himself to go out and that he cannot concentrate his mind on anything. He spoke as usual of never being told the truth by his family – He is in good general health and sleeps quietly - reads and plays the piano a good deal March 7th Has been going on quietly in his usual rather odd way – but has been generally cheerful and has been to church. Today visited by his brother Frank. He became agitated and refused to see him or speak with him at all – offered to “show himself” and proceeded to walk in front of the window – general health very good. March 15th Goes on much as usual. Says little about his father but knows he is ill and not likely to recover; at times he is self deprecating, says that he may have to give up going to church, as he thinks he may keep others from attending – at other times ??? and cheerful. Sleeps rather eratically, generally soundly toward morning and does not always ??? ??? ???. ????? ??? ???? and ???? . Plays piano. March 21st His father died today. Received the news calmly but was evidently excited by it though and tried hard to conceal it. Talked a good deal about it, and is heard to talk by himself also. General behaviour as usual. May 14th Has received visits from his brothers and from his lawyer, has not ??? any sentiment, he seems reasonably anxious to ??? some better provision for his younger brother whose share under his father’s will is smaller – this seems to be likely to be arranged as he ??? He is studying well – he goes to church and plays chess and does not obviously avoid meeting people. July 18th Mr Forrest seems tranquil and goes on quietly. He has laely seen his younger brother and has been introduced to this gentleman’s fiancée and her mother. His conversation is less marked by reference to his own troubles, but today he talked freely to me. He spoke of the private detectives as a fact and referred to the various charges of ??? against him.
	Revd J. Graham Forrest July 18th (contd) On my saying that “at least no one had interfered with him here” he explained “he was not so sure about that, that he believed that the Vicar had been troubled about him “and further told me that he found “that everyone in his parish to whom he had spoken had left the neighbourhood” This was to me a new delusion – He told me that he would like to attend his brother’s wedding. Also that he would like to “live abroad”. On speaking he becomes agitated and tremulous – he refers also to some delusion about a man who was formerly a gardener and thinks that he was the author of anonymous letters, but does not know where this man now is living. August 8th Visited by his brother Charles who is shortly to be married bringing his fiancée with him. Mr Graham Forrest presented her with some jewellery which had belonged to his Mother. He is cheerful and lively – Lately he has been at his own special request to visit his mother’s grave – he went there and back in a motor car with three attendants and did not call on anyone. August 22nd Mr Forrest was to my surprise anxious to attend his brother’s wedding on the 20th. Very reluctantly I had to refuse permission as he continued to rail against his relatives and I thought that he was hardly in a condition of mental health to warrant me in allowing him to meet so many friends and relatives. He was angry and annoyed and his delusions were very apparent for several days. He has now become tranquil again and has resumed his ordinary self control- But he talks to himself loudly when alone violently abusing his relatives. September 30th Is generally rather more rational, seldom speaks of relatives in the former manner and occupies himself – has delusions that his presence is offensive to others but lately has been more ready to go out on little excursions – plays the piano. Sleeps quietly. Nov 26th Mr Forrest is in fairly good health – Is rational on many points and generally cheerful. Has been evidentally troubled by the sale that has taken place of his father’s effects but his friend shave tried to please him by ?????? any silver or articles of value which he wished to have. Mr Forrest is still troubled by the delusions that he is responsible for any calamities? Or troubles, and thinks that by reason of his presence,
	Revd J. Graham Forrest Nov 26th (contd) that his presence in some way offends the people of the neighbourhood and that the congregation of the church falls off by this cause and that this gives trouble to his vicar – He begins to talk of wishing to leave and thinks that he would like to go abroad and learn a language. He is rather inclined to avoid people but comes to my house and lunches at times and has played the piano lately at a concert. On these occasions he is cheerful and natural in manner – he sleeps well but wishes to sit up rather late at night. He still talks in the same odd way about his family. Dec 22nd Mr Forrest seems to be more tranquil, he has asked me to write to his brother which I have done – he plays chess and has sent a wreath for his mother’s grave. 29th Has been better and more natural lately. Attended church several times at Xmas. Plays chess. Jan 18th 1911 Mr Forrest is doing well ??? but has a cold in the head. He rather objects to taking proper care of himself – Mentally he is less troubled by delusions and his manner, though nervous and a little odd at times is tranquil. He can talk and converse well but on being questioned about his delusions he becomes rather secretive and very irrational repeating that he was followed by detectives in London and charged with ??? ??? and scandals. He told me that his mother was to write to the Bishop of Oxford to complain of the clergy and made so much scandal that he could not get into the Diocese. He wants to get some occupation and I have persuaded him to resume a book he was engaged upon (history of a parish) and at his request I have written for some ancient “wills” which are in the Parish Office in Northampton. These he says will give him information for the book. He has been going to bed earlier lately. March 14th Going on quietly and is less disturbed by delusions but is nervous and very odd at times. He is going out to church regularly – plays chess – visited by his brothers and is ??????????? and playing the piano.
	Revd J. G. Forrest 1911 May 3rd Mr Forrest is about at his best mental condition, he is organized and his conversation is quiet and he controls himself well. He begins to talk of “travel” and of going abroad but though rational in ???? it is evident that he is not normal or free from delusions. But his expression is certainly more natural and he appears less nervous and more cheerful 15th Is going on well has been out to the theatre with my father F W Tuke – Today goes on special leave to visit his brother at Enfield – Improved manner June 20th Mr Forrest has been very tranquil and at his best, at times agitated and nervous ??? is seen but as a rule he has been better. – That the delusions are still there and he is very unstable. He talks sometimes of going to stay with one of his brothers – It is evident that he is likely to need supervision Sept 10th Has been going on well, less agitation and quieter tranquillity. He plays the piano with ????? Has been to visit his brother at Bristol. Travelling alone and returning very cheerfully – has dined with me sometimes lately. The delusions are still there as is shown by his asking at times “if there has been much trouble about him lately” He looks well. Attends daily service at the Parish Church. Is very keen about croquet and plays daily. Has several times been up to lunch and dine ??? ??? ???. Does not sit up late. October 8th Was going on very well, paying visits and keeping in a cheerful frame of mind. Playing croquet – dining with my family. Lately a good deal disturbed by being told by the friend of his Parish that it was not desirable that he should attend daily service, or visit the curates so much. The ???? service were ????? that he turned round and looked at people as they came into church and that he took up too much of the curates time – I would have preferred that it has been left to me to inform Mr Forrest for the writer has troubled him, as he always has delusions that his presence is in some way offensive to others – He seems now to be getting over this a little. ??? goes to another church and listen ??? my ??? son to visit  ??? ???, and seems to be ??? self ???? and tranquil.
	Revd J. G. Forrest October 14th Mr Forrest had to some extent got over the trouble last referenced to. Now he is again disturbed by news of his brother’s financial positions – he has however been able to go out, and has attended a concert, but he evidently is under the impression that in some way these troubles are “down to him” and that his presence is not good for others. 15th Slept well, but this morning is disturbed in mind by delusions e.g. asked whether a ????? person “was a detective” and said he would like to be sent to a country anyhow? – But played a game of croquet in the afternoon – Is kept under supervision Nov 4th Quite cheerful again lately – But frequently refers to the delusions that he is responsible for everything that goes wrong – Looking fairly well – goes to another church frequently 1912 Jan 30th Bright and ???? ??????? ???? Talks ???- Is allowed to go out to ???? visits ??. ???? nervous and odd in manner. The delusions are not so obvious. Health good. March 12th Going on well often very bright and cheerful at times shows that the delusions are present. His health is good he wished to play hockey and ????? in a match. He visits friends and goes out to church – Rather nervous in manner. April 12th Was at Winkton for 48 hours on leave April 1st and 2nd, he was very cheerful and well and seemed to enjoy the change. July 10th Has been on the whole going well, but at times he tells people that he has the blame of and all kind of things, his ??? that can ??? others, people leaving the parish, and so on and asks if any enquiries have been made about him. He is not ??? cheerful, but he is very impulsive and easily ???, and still talks a fair deal to himself. He is happy with ???? and plays croquet a good deal. Sept 25th Is going on quietly has been away for a short time to Winkton with Mr F Tuke and his wife. ???? and cycled ??? with and seem to carry himself to a certain extent. He has been ??? very lately composing songs. Has taken the word from the “Princess” Some of these are not without ???? he writes them not ???? ???? ??? Plays croquet
	CHISWICK HOUSE, CHISWICK. Sep 31st. Is now very quiet and contented again. Has had several visitors lately. His solicitor came and talked to him of the sale at his ???, Mr. Forrest had sent for a catalogue, and ??? ??? in ??? about thinkgs that can or ??? not to be sold. His brother Frank came ??? day & was ??? with at once - Two days after Mr. Forrest wished to go to Princes Risboro' and see the things. Was allowed to go in ?? ?? ?? ??? ???. ??? his brother Frank there (he had told him he would not be there) &
	they went around together, at times ??? within ??? ??? ??? which argues about things, & had tea together. Brother told ??? ??? that he was not very civil at times, and that he seemed rather nervous. Came home in good spirits, but said "I might well have been ??? had they ??? him", and talked rather strangely about it. His brother Charles ??? him, and he ??? ??? his youngest? brother at dinner. He has had several conversations with me, ??? told that ??? been ??? ??? relation in his old parish & said to me "that will ???? for ??? ??? ???" He also often says that people ??? him & asks me if there is anything said against him, & whether people leave Chiswick & church because of him.
	Revd J. G. Forrest Dec 27th 1913 The visit of his brother evidently disturbed Mr Forrest after a rather long interval of ???????? ?????? is a good deal troubled by delusions again. There as before are ??? and the effect that he is responsible for all troubles, and also that “things are said about him”, He thinks that he has “???? The church” he now attends – He is nervous and disturbed to some extent, but continues his occupations and plays the piano and plays golf. He lunched with Dr S Tuke on Xmas day but refused to drive with me, and delusions more troublesome all that day. Today he is a little better, but says he thinks he had better go away as his presence is bad for everyone. Jan 2nd 1914 The morbid and troublesome delusions still ???. He dined at my house last night however and became more cheerful. Today tells me that he had a better night and sleep and seems ???? to be brighter. 9th The condition last observed is not so marked – Mr Forrest states that he is better and is sleeping well. He has been playing the piano lately – I asked him to go to Winkton. March 19th Very well ???? now, delusions not troublesome, he goes out to lunch with friends etc and also to the theatre to see “Pa????” – he is looking well. Smokes a good deal and reads. He has been playing the piano and composing, which he always does when free from delusions. June 25th Very satisfactory condition lately – has been playing golf and lawn tennis a good deal and has improved in health?. Looks stronger – cheerful and pleasant, has been very kind and fair to another patient lately, asking him to drive with him etc. July 11th Very cheerful and is more friendly and constructive? in all ways – plays golf and tennis and is consider? and pleasant in manner. Has been to visit friends in town. July 18th A good deal disturbed by visit of  ???? ???? Visitor, asking why his visit to him should be necessary. It appears to have disturbed and alarmed him though the visit was planned. But he is very suspicious – Mr Forrest is looking extremely well and he is playing games daily – tennis and golf. He is earlier to bed now.
	Revd J. G. Forrest October 10th Is looking a good deal stronger and better for having been playing games all the summer. Continues to play golf daily with another patient – Is in very fair mental condition and is not troubled by delusions so much. Sleeps better – Has been invited and has been to London to see his brother. Is much interested in War news, and follows the campaign in the papers – Does not seem to care to go away for a change. Jan 2nd 1915 Is going on well. Is bright and active lately has been tired by the new of death of his brother Charles of Phthisosis at Bath, but has not broken down. Is still inclined to think that he is the cause of illness in others and of all their misfortunes – he has written letters to his lawyer and is to go to visit a sister in law. Jan 15th Went to visit sister in law near Oxford – Is cheerful generally and well exercised plays golf. Feb 20th Was asked to visit sister in law at his late brother’s home, but this disturbed him and he began talking of his relations in very much the old strain. Eventually after some hesitation, he refused to go on this visit. March 11th Very weak, ????? that he has had a slight cold. Is rather inclined to expose himself to chills – plays golf and takes ???????? ????? – Is going to visit his sister in law at Oxford, though he would not to go to see her at Gloucester. April 21st Has been much as usual, and is good ?? ??? and cheerful as a rule. Rather troubled about his brothers who are in the army and especially of the one in the Canadian force. Occupies himself and sends things to them ????. Easily “upset” as usual. And has occasional colds, stayed in bed one day for a chill, but soon recovered & was up to dinner. Made no requests at ???. Plays golf, cycling daily, and practices piano, ??? positions, ?? several ???. Much out of doors now. Looking well. June 25th Mr Forrest has been for a fortnight at a friends home at Highcliffe with another patient with whom he is on excellent terms and an attendant. They had fine weather and appear to have enjoyed the visit, playing golf on the Highcliffe Links – all went on very quietly and they kept early hours.
	Sept 4th Is in very good health and is ???? by ????? interests – has friend ?? golf but plays squash racquets daily – goes to London attends Concerts writes to and visits friends and to his brothers who are on active service. Takes a keen interest in the war news, reads the papers and can discuss any subject, but his now affairs? So very odd and queer in some ways and has to be treated with much tact, and is offended sometimes without cause – seems contented and does not support on talk of any change. Dec 26th Has been going on extremely well – lately has had news of his brother’s death (killed in action in Baghdad). Was a good deal disturbed at first but recovered in a few days and is now calm about it and speaks of it normally. His health is good – he continues to play games, golf etc. 1916 March 27th Has been going on quietly ?????? ????? going to London, etc. Fairly odd in some ways at times but generally ?????? more ?????? and has suspicions is ???? Has had a slight cold lately and the weather has been bad – on Friday asked to go to Winkton on 48 hours leave – this was at once agreed to and he was allowed to make his arrangements and all was prepared for his visit. He seems to have been very cheerful and has returned. Today looking better for the change and pleased that he had been ????? to go alone. April 7th To Chistlehurst alone for the afternoon to see his nephew. June 10th Very cheerful and lively playing games and the piano, but has lately been odd and has new “suspicious” affairs which ?????? as ????? in the War news which he studies and knows very much of. He is looking well. August 20th Is in good health and cheerful – has been to visit friends and has had “48 hours leave” to go to Cheltenham alone – though pleasant in manner, he has obvious peculiarities, He can ask why permission ???? ??? only he is ???? to wear new clothes or to spend money. Has a very bad pair of hair? ????? but will not hear of getting new ones and is fairly “upset” if asked to do so – Very suspicious at times – seems to take great interest in War news. Nov 15th Going on very well and cheerfully – playing games and practicing the piano he has composed several pieces of music – He visits his sister in law and other friends. Behaviour unusual at intervals.
	1917 Feb 28th Though for some time Mr Forrest is able to go on in a daily routine very well, he is very liable to break down. He has been continually well for months. Lately disturbed by the serious illness of my brother Dr T S Tuke. He was all the time most ?????? and kind, but as usual was ???????? by the delusions that he was in some way responsible. At the death of my brother he ????? his ????? ???? most naturally ??? kindly, but at this time delusions were very evident e.g. he spoke of the accusations made against him (imaginary) by his late father. Looking a good deal more composed and has begun to play the piano again. March 15th For some days Mr Forrest has been restless and disturbed in manner and troubled by delusions of a marked degree. Speaking of accusations made against him e.g. that he “kept a mistress” etc. He frequently spoke about “not going to church again” saying that he would not go – very suspicious and ??????????? to be reassured. Special attention was paid to him. For the past two days he has become more tranquil, and today seems in his normal condition again. It is evident that these delusions are ???? more or less ???? though not always evident. 17th A considerable improvement in the last two days. He walks in the gardens and talks on ordinary topics. 27th Is ????? at his best again talking cheerfully on all topics. Wishes to make his sister in law an allowance. Is playing games as usual. May 20th Very well and cheerful now – playing bridge in the ????? going to church again. June 4th Is particularly well ??? tranquil and free from any form of delusion - ???? at his best. Sep 4th Going on quietly, playing games, and practicing at the piano – To ??? ??? ??? and Wednesday – Visits his ???? and brothers – looking very well in health.
	1918 Jan 9th Patient has not been feeling well for the last ten days, from a chill (internal) and now he has developed jaundice. He does not wish to stay in bed but is keeping in his sitting room and being dieted taking an alliative mixture. Jan 16th The jaundice has disappeared and patient says he feels quite himself again and his appetite has returned. He looks much better and is cheerful and much better mentally again. Jan 21st Mr Forrest went away today on leave to his sister in law for a change of air Feb 1st Mr Forrest did not stay long with his sister in law as he started quarrelling in a day or two and returned of his own accord in under the week. He is looking much better though very thin. Mentally is not very well. May 2nd Much the same, generally very cheerful but worries? A little – nervous and ??????? at times June 18th Mr Forrest has been troubled with some idea that he is responsible for his brother and family. He has been irritated by his brother – He has been writing to his lawyers and has apparently booked? For an interview with one of H.M. Communities? This has fallen through. Mr Forrest was rather restless and agitated for some days, and told me that he decided to ?????? and “live at a cheaper place” He is now less troubled by this – the news of the War is ???? read with great interest July 13th Mr Forrests’ mental condition causes some anxiety for he is ????? and nervous and irritated – Told me that he is no good to anyone and sometimes asks for something to do. Thinks that he might be “a hospital orderly” at other times says he wants to go into the depths of the country – He has the same ideas about ?????? in his expenses, but he spends money on himself – Talks of ????? up something but does not do so – I offered work in the garden but will not do any and at times? Must work in a very ????? way for ???? a share-time – says that he sleeps well and certainly seems very well – he plays the piano almost daily.
	1919 April 4th I have only seen him get on one occasion as he has parole and is generally out. I am told he is very deluded and often behaves and conducts himself in a queer way. July 2nd Lately Mr Forrest has been doing fairly well and his physical health is maintained. He is ???? and ????? – he visits friends in London and his sister in law with whom he appears to be very indignant on account of her to marriage, but afterwards became ???and satisfied and attended the wedding – at times his delusions of persecution are very evident – but at times ???? he is able to enjoy considerable freedom. 26th Sept Patient has a great deal of freedom and appears quite contented with his mode of life. He will converse on topics of interest and is a student of affairs but resents any efforts at close acquaintance and is suspicious and moody in his personal relations. He is in very good health. 30th Dec In good health: comes and goes as he wishes and is generally well controlled. His moods vary, at times he is friendly and confidential at others for no apparent cause he is hostile and suspicious 1920 4th Feb Appears very well physically and has full parole card is normally sociable and agreeable when left to follow his own devices 3rd April Interested in affairs and constantly in the open air: keeps his morbid ideas in the background July 27th He is very well in health – he goes out and visits friends etc. Has his moods as usual – Lately has quite given up his frequent visits to my home, but visits ????? House daily – He is now more ready to speak with me than he has been for some months . 4th Oct Remains in good health and goes out a great deal. He is very irritable and uncertain but on the whole has good control and does not air his delusional ideas very often. 1921 3rd Jan No change to report: suspicious and reserved as a rule though he can be very friendly and amiable. Keeps good bodily health. 10th Has lately spoken of a wish to go into the country, but there is no definite place preferred. Describes himself as being a “bundle of nerves” Is in the same state mentally with ????? delusions of suspicions and asks if anything has been said connecting him with a ?????? illness “ etc. He is worried about money matters, quite without cause.
	1921 12th April Enjoys full parole and leads a quiet regular life. Very suspicious and rather difficult socially but handled tactfully manages to conceal his morbid ideas of persecution. In good health. 30th June Went on 48 hours leave this week to his sister-in-law and returned as arranged 31st Aug Went on leave to Dr Liddondale Cheltenham as arranged by the Receiver and Mr Forrest’s solicitor 13th Oct The patient appears to be enjoying his stay at Cheltenham and good reports have been received about him. A further period of a month’s leave of absence has been sanctioned 20th ?? ?? received a good letter from Mr Forrest expressing his satisfaction at the extension of leave – Today I met his solicitor in London and discussed the ???? of Mr Forrest’s ???? from ???? I agreed to do so but ???? and had I could only discharge him as relieved and it was ???? to do so at the ???? of ??? ?? ???? – The solicitor was to ask for information from the “????” as required for the ?????? That evening I had a telephone message from Dr Liddondale to say that Mr Forrest had not returned to his home that say since being out at midday In the morning I had another message by telephone to tell me that a body had been found in the river at Tewkesbury by the Police which ???????? the description of the patient – This discovery was made on the 20th Oct 6pm Later an enquiry was held by the coroner – Verdict Suicide by drowning whilst of unsound mind, on Tue 20th.