Answer Happy

Case of Ramona Kelt When she was 20 and had been married only for a few months, Ramona Kelt was hospitalized for the first time with what was called "hebephrenia." According to records, her mood had been silly and inappropriate, her speech disjointed and hard to follow. She had been admitted after putting coffee grounds and orange peels on her head. She talked about television cameras in the closet that spied upon her whenever she had sex Since then she had had several additional episodes, widely scattered across 25 years. Whenever she fell ill, her symptoms were the same. Each time she recovered enough to return home to her husband. Every morning Ramona's husband had to prepare a list that spelled out her day's activities, even including meal planning and cooking. Without it, he might arrive home to find that she had accomplished nothing that day. The couple had no children and few friends. Ramona's most recent evaluation was prompted by a change in medical care plans. Her new clinician noted that she was still taking neuroleptics each morning her husband carefully counted them out onto her plate and watched her swallow them. During the interview, she winked and smiled when it did not seem appropriate. She said that it had been several years since television cameras had bothered her, but she wondered whether her closet "might be haunted."