"The patient is an attractive, well-dressed, 43-year-old woman who became acutely psychotic about one month before admission to the hospital. Before that time she had been working with her husband in a mail order gift business. After completing the Christmas catalog, under considerable pressure because of printer's deadlines, the patient began to have vague fears that her husband would hurt her. She felt an 'evil presence' in the building in which they lived and ran away to a friend's house. There she tried to write a letter to her husband, but felt that the electric typewriter she was using was 'cancelling people out' and that she might be the last person left on earth. On the street she felt that people were not who they seemed to be, and that they were giving her messages by 'clicking' their eyes. Intermittently she heard a voice saying, 'Gloria (her name) is nuts,' and telling her not to smoke." (p. 227)
From the 'Diagnostic Dilemmas' section of the "DSM-III Case Book"
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